Claims Specialist Pavement Recycling Systems, IncClaims SpecialistJurupa Valley, California$85,000–$115,000 / yearFull timeThe Claims Specialist is responsible for evaluating, processing, and managing liability, property, auto, general liability claims, and employment claims in compliance with state regulations; documenting activities; conveying information regarding claims and/or benefits; and providing testimony in benefit disputes while exercising discretion, independent judgment, critical thinking skills and demonstrate exemplary customer services skills. Serve as the face of the company in providing frequent, proactive verbal communication with our claimants, customers and/or their representatives demonstrating empathy and active listening while providing clear updates, direction and explanations regarding the claim process, benefits, and other pertinent policy provisions.
Workers Compensation Large Loss Claims Director CNA Financial Corp.Workers Compensation Large Loss Claims DirectorBrea, CA$97,000–$189,000 / yearWorking closely with claims leadership, disposition consultants, legal services, customers, brokers, and business partners, the Large Loss Director drives superior claim outcomes, technical excellence, operational effectiveness, and profitable growth while serving as a mentor and resource to claims professionals across the organization. This individual contributor role provides company-wide influence and leadership in the interpretation of complex policy coverages, litigation management, reserving, claim resolution strategies, regulatory compliance, and large loss methodologies.
Avp, Claims Client Services CNA Financial Corp.Avp, Claims Client ServicesLos Angeles, CA$152,000–$242,000 / yearLeads or participates in claim/ broker meetings, national meetings (i.e. RIMS), mid-term account reviews, stewardship meetings, renewals and new business offerings by collaborating and partnering with Client Service team, Marketing, Sales and Distribution, Underwriters, Brokers/Agents to understand customer needs, and package claim capabilities, customer-specific trends and industry data, into a compelling story and/or proposition for existing and prospective customers. Acts as a key point of contact both internally and externally at senior levels for National Brokers, Agencies and CNA Branch Vice Presidents by representing CNA Claims, communicating claim strategies, and initiatives, promoting product and service capabilities, establishing proactive touchpoints, ensuring timely responses and problem resolution and gathering and sharing feedback throughout the organization.
Claims Specialist Diversity Caree HubClaims SpecialistOrange, CaliforniaManage medical malpractice claims, including the assignment, direction, and control of defense counsel, under supervision and in compliance with the Claims Technical Manual, the Defense Attorney Guidelines, and the MPT Agreement. Minimum five years of medical malpractice claims management experience and/or three years CAP claims experience.
Claims Resolution Specialist (Customer Service) CalOptimaClaims Resolution Specialist (Customer Service)Orange, CA$53,813–$80,720 / yearWe are hoping you will join us as a Claims Resolution Specialist (Customer Service) and help shape the future of healthcare where you'll be an integral part of our Claims Administration team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. Responds to provider questions and researches issues regarding claims payments, denials, resolves claim issues, contractual and/or CalOptima Health agreements, established payment methodologies, division of financial responsibility, applicable regulatory legislation, claims processing guidelines and company policies and procedures.
Claims Associate - Workers Compensation Apidel TechnologiesClaims Associate - Workers CompensationBrea, CARemoteContractorSkills & Knowledge Excellent oral and written communication skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Good interpersonal skills Ability to work in a team environment Ability to meet or exceed Performance Competencies. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
Claims Examiner - Workers Compensation (Hourly) Apidel TechnologiesClaims Examiner - Workers Compensation (Hourly)Brea, CAContractorTo analyze complex or technically difficult workers\' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Analyzes and processes complex or technically difficult workers\' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
NewSr Claim Examiner- WC Paladin Consulting, Inc.Sr Claim Examiner- WCBrea, CARemote$37.27 / hourEstablish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements. Duties: Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
Revenue Cycle Specialist Behavioral Health Services IncRevenue Cycle SpecialistGardena, CACollaborate closely with other departments to contribute to cash reconciliation activities and to assist in the assessment of accounts receivable collectability and validation, including the writing off of bad debts. Includes all activities within the scope of the Billing & Accounting Departments including charge/ data entry, insurance follow up, and billing and collection of client balances.
Senior Case Manager MOET Law GroupSenior Case ManagerIrvine, CA$65,000–$85,000 / yearFull timeThis full-time, in-person role is ideal for a highly skilled case manager with 5+ years of personal injury pre-litigation experience who has successfully managed complex, high-value personal injury claims , including commercial insurance policies, traumatic brain injury (TBI) cases, spinal injuries, surgical cases, and seven-figure claims . The ideal candidate is confident handling sophisticated cases from intake through settlement, excels at client communication, and works collaboratively with attorneys to maximize case value.
Hearing Representative CNA Financial Corp.Hearing RepresentativeBrea, CA$54,000–$103,000 / yearUnder technical direction, provides legal services to the Workers' Compensation claims department and CNA insureds in the defense of Workers' Compensation cases at the Workers' Compensation Appeal's Board in California or other state authorizing use of Hearing Representatives to handle Workers' Compensation matters. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $54,000 to $103,000 annually.
Dental Financial Insurance Coordinator Brea EndodonticsDental Financial Insurance CoordinatorYorba Linda, California$19–$26 / hourFull timeAt Specialized Dental Partners, its affiliates, related companies and independently owned supported clinical practices, we are committed to ensuring fair and equitable pay for all employees. Responsibilities include answering phone calls, scheduling patients, and helping ensure an efficient and welcoming experience for patients and team members.
Collision Estimator CSN CollisionCollision EstimatorRancho Cucamonga, CA$80,000–$120,000A Collision Estimator is responsible for accurately and efficiently appraising vehicle damages to determine the cost of repairs for the customer or insurance companies: · Writes complete estimates/supplements in accordance with company and insurance guidelines with an emphasis on repairing versus replacing parts. · Educate the customer about the collision repair process; including insurance claims, processing, payment procedures, repair techniques, repair needs and approximate repair time.
Social Media Manager/Brand Content Manager Paul Davis Restoration of Pasadena CASocial Media Manager/Brand Content ManagerPasadena, CAFull timeTurn technical restoration topics (water mitigation, fire and smoke damage, mold remediation, insurance claims) into content that builds trust with homeowners, adjusters, and property managers. We are looking for a social media professional who can help us tell that full story: the expertise and trust that make us a leading restoration provider, and the personality that makes us a company people genuinely want to work with.
Coordinator Scheduling - Beverly Hills - IM Endo Cl - Full Time 8 Hour Days (Non-Exempt) (Union) University of Southern CaliforniaCoordinator Scheduling - Beverly Hills - IM Endo Cl - Full Time 8 Hour Days (Non-Exempt) (Union)Beverly Hills, CA$22–$37.40 / hourHe/She closely monitors patients throughout various phases to assure completion of required testing and services, validating financial clearance for services being scheduled, providing stellar customer service when interfacing with patients in person and over the phone to establish appointments, alerting clinicians when patient testing is complete or when patients are non-compliant in completing medical services, coordinating collection of testing results and provider notes, coordinating care with ancillary departments as needed. Process new referrals in a timely manner; this includes obtaining required outside medical records, entering demographic information into computer systems, provides medical records to physician / multidisciplinary team for review, provides insurance information to financial counselor for patient to be financially cleared, and schedule patient in clinic.
Experienced Auto Body Shop Estimator Smart Prep Automotive Reconditioning, IncExperienced Auto Body Shop EstimatorRiverside, CAFull timeCommunicate with body shop personnel to ensure that estimates are understood and that all repairs are known and carried out by all team members. Inspect vehicle after repairs are completed to ensure that all repairs have been done, that vehicle is safety compliant, and that no further supplements are needed.
Associate Attorney – Civil Litigation/Insurance Coverage Tressler LLPAssociate Attorney – Civil Litigation/Insurance CoverageCosta Mesa, CA$140,000–$180,000 / yearThe practice includes a wide range of industries and claims, including defective products, mass torts, environmental contamination, habitability, transportation, personal injury, professional liability, and intellectual property. The majority of Tressler attorneys devote their practice to the representation of the insurance industry in coverage analysis and resolution, litigation, underwriting consultation, product development, claims management, and reinsurance.
Litigation Associate Attorney Tressler LLPLitigation Associate AttorneyEl Segundo, CA$140,000–$170,000 / yearOur dynamic Litigation Practice Group is known for its comprehensive approach to managing a wide range of complex defense litigation involving personal injury, wrongful death, premises, products liability and transportation. The majority of Tressler attorneys devote their practice to the representation of the insurance industry in coverage analysis and resolution, litigation, underwriting consultation, product development, claims management, and reinsurance.
Collision Consultant- West Region OEConnection LLCCollision Consultant- West RegionLos Angeles, CACollision ConsultantHelp Shape the Future of Safe, OEM-Certified Collision RepairWe are seeking a knowledgeable and customer-focused Collision Consultant to serve as a trusted advisor to OEM-certified collision repair facilities. As a subject matter expert, you will provide consulting, coaching, and training that helps collision centers improve repair quality, operational efficiency, customer satisfaction, and profitability.
Billing Specialist West Coast AmbulanceBilling SpecialistBurbank, CaliforniaYour role will involve accurately processing and managing medical billing claims, ensuring timely reimbursements, and helping to maintain our financial stability. We are looking for a full-time and if you're a dedicated Billing Specialist ready to contribute to the success of a leading healthcare provider, we want to hear from you!