2,358 Results for

Claims Jobs in Calabasas, CA

Jobs

Senior Construction Defect Technical Claims Specialist Argo Group International Holdings Inc

Los Angeles, CA

Remote

$151,062–$181,254 / year

Boston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Essential Responsibilities: Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.

14 days ago

Senior Construction Defect Technical Claims Specialist Argo Group International Holdings Ltd.

Los Angeles, CA

Remote

$151,062–$181,254 / year

14 days ago

Sr Claims Specialist Argo Group International Holdings Ltd.

Los Angeles, CA

$75,200–$90,600 / year

This includes assessing coverage, contacting the customers, investigating the facts surrounding the loss, arranging inspection, experts, and third parties; collecting information and evaluating complexity of loss of claims when needed; negotiating loss settlements either directly with our customers or through their assigned counsel and finalizing settlement. Core qualifications and requirements for this position include: A broad theoretical knowledge of general liability claims as well as an exceptional customer service focus typically obtained through: Bachelor's degree from an accredited university required.

30+ days ago

Sr Claims Specialist Argo Group International Holdings Inc

Los Angeles, CA

$75,200–$90,600 / year

30+ days ago

Claims Specialist Lead The Progressive Corp

Woodland Hills, CA

$39.18–$51.92 / hour

For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ . As a claims specialist on our team, you'll play a critical role in our ability to successfully and efficiently resolve large-loss injury claims valued over $60k.

2 days ago

Fractional Customer Service (Claims) Manager Silva-Lining HR

los Angeles, CA

Remote

Silva-Lining HR is seeking a Fractional Customer Service (Claims) Manager for a client to oversee and optimize the end-to-end claims process, ensuring timely resolution, operational efficiency, and exceptional customer experience. Lead project management efforts for claims resolution, including task delegation and coordination with internal team members, vendor partners, shipping providers, and repair services.

30+ days ago

Supervisor - Claims Delegation Oversight Astrana Health Inc

Monterey Park, CA

This role will be responsible for the development and execution of department strategies, overall Audit program, Audit process optimization, and management, identifying and leveraging technology and data to improve the quality and minimizing process cost of Claims. About the Role: The Supervisor, Claims Delegation Oversight, is responsible for the management and oversight of all Claims Delegation Audits, including health plan and governing agencies audits, i.e., DMHC, CMS, and DHCS.

7 days ago

Associate Bond Claims Litigation Representative HCC Life Insurance Company

Los Angeles, CA

$28.46–$42.72 / hour

Tokio Marine HCC - Surety Group, a member of the Tokio Marine Group of Companies, has an opportunity for Associate Bond Claims Litigation Representative at our Los Angeles, CA branch office. Knowledgeable of industry changes, legal updates, and technical developments related to applicable area of the Company's business to proactively respond to changing business environment.

21 days ago

Associate Bond Claims Litigation Representative HCC Life Insurance

Los Angeles, CA

$28.46–$42.72 / hour

21 days ago

Sr. Supervisor, Commercial Casualty Claims - Remote CSAA Insurance Group

Remote

$99,855–$133,250 / year

Alabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker {+ 20 more}. Communicates and enforces administrative policies, operating procedures, and safety rules, communicates changes in policy and procedures, ensures compliance of company procedures and DOI regulations, Oversees the daily operations of the business unit as well as multiple shifts in an operation that is open up to 7 days per week.

19 days ago

Claims Examiner - Workers'''' Compensation (Remote) ICW Group

Remote

$61,979.26–$97,736.56 / year

Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for the twelfth consecutive year in a row and for the 20th time overall as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. If hired at ICW Group, your final base salary compensation will be determined by factors unique to each candidate, including experience, education and the location of the role and considers employees performing substantially similar work.

9 days ago

OHS Claims Processor I (Bilingual) Kaiser Permanente

Inglewood, CA

$31.05–$34.40 / hour

Criminal history may have a direct, adverse, and negative relationship on the following job duties, potentially resulting in the withdrawal of the conditional offer of employment: Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente''s Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation, and licensure requirements (where applicable), and Kaiser Permanente''s policies and procedures. Ordering and photocopying medical records; temporarily cover other desk/functions due to vacation and workload fluctuations; clears designated Health Connect work queues daily, creates patient accounts to register patients and fills in the required KP computerized systems, provides personalized and professional patient/employer/carrier services.

3 days ago

Senior Claims Benefit Specialist CVS Health Corp

$18.50–$42.35 / hour

Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines.

4 days ago

Supervisor - Claims Operations Astrana Health Inc

Monterey Park, CA

The Supervisor - Leads claims production team, ensuring accurate, timely, and compliant adjudication while developing staff, reducing errors and overpayments, and advancing organizational quality and financial goals.

16 days ago

Lead - Claims Examiner Astrana Health Inc

Monterey Park, CA

Manager - Claims and enable us to continue to scale in the healthcare industry. We are currently seeking a highly motivated Lead - Claims Examiner.

30+ days ago

Pharmacy Claims and Rebates Audit Consultant Marsh & McLennan Companies Inc

Los Angeles, CA

$102,500–$204,500 / year

We will count on you to: Lead end-to-end pharmacy claims and rebate audits for complex, high-visibility clients, applying deep working knowledge of pharmacy claims data and every claim field and component (e.g., NDC, days' supply, quantity, ingredient cost, dispensing fee, copay/coinsurance, DAW code, prior authorization, and plan/formulary edits) to manually and analytically identify claims that were mispriced, misadjudicated, or paid outside of contract or plan terms. As a Pharmacy Claims and Rebates Audit Consultant, you will lead complex pharmacy claims and pharmacy rebate audits from planning through final report, applying deep expertise in pharmacy benefits, PBM contracts, and rebate economics.

21 days ago

Claims Specialist, Workers Compensation - West Region Liberty Mutual Holding Company Inc

Glendale, CA

Remote

Responsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages. As a Workers Compensation Claims Specialist, you will work within a Claims Team, using the latest technology to review, analyze, and process claims that are routinely characterized as moderately complex to complex within assigned authority limits.

18 days ago

Vice President, Claims and Provider Operations SCAN Health Plan

Long Beach, California

Remote

$260,000–$325,000 / year

Partners closely with IT, EDI Operations, Finance, Network Management, Compliance, Clinical, Appeals and Grievances, and other business leaders to optimize claims system configuration, edit logic, benefit loading accuracy, provider and contract data integrity, accumulator logic, dispute root cause remediation, operational readiness, provider experience, and downstream member outcomes for new products, regulations, contracts, and enterprise initiatives. Drives affordability through payment integrity, configuration discipline, and disciplined claims controls, including pre-payment and post-payment review, clinical and non-clinical editing, duplicate detection, unbundling, upcoding, billing anomaly detection, provider audits, coordination of benefits, and high-dollar claims review.

30+ days ago

Claims Examiner ObjectWin Technology

West Hills, CA

Remote

Quick Apply

PRIMARY PURPOSE: To 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. Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.

10 days ago

Claims Processor Arsenault

Los Angeles, California

$15–$20 / hour

Through our dedicated associates, Arsenault delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments creating exceptional outcomes for our clients and the millions of people who count on them. Hours: 8:00 am to 4:30 pm EST, M-F Would you enjoy being part of a team that makes a difference in people's lives Do you love helping people solve complex problems and delivering solutions?

30+ days ago

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Claims Jobs in Calabasas, CA

Senior Construction Defect Technical Claims Specialist Argo Group International Holdings Inc

Senior Construction Defect Technical Claims Specialist Argo Group International Holdings Ltd.

Sr Claims Specialist Argo Group International Holdings Ltd.

Sr Claims Specialist Argo Group International Holdings Inc

Claims Specialist Lead The Progressive Corp

Fractional Customer Service (Claims) Manager Silva-Lining HR

Supervisor - Claims Delegation Oversight Astrana Health Inc

Associate Bond Claims Litigation Representative HCC Life Insurance Company

Associate Bond Claims Litigation Representative HCC Life Insurance

Sr. Supervisor, Commercial Casualty Claims - Remote CSAA Insurance Group

Claims Examiner - Workers'''' Compensation (Remote) ICW Group

OHS Claims Processor I (Bilingual) Kaiser Permanente

Senior Claims Benefit Specialist CVS Health Corp

Supervisor - Claims Operations Astrana Health Inc

Lead - Claims Examiner Astrana Health Inc

Pharmacy Claims and Rebates Audit Consultant Marsh & McLennan Companies Inc

Claims Specialist, Workers Compensation - West Region Liberty Mutual Holding Company Inc

Vice President, Claims and Provider Operations SCAN Health Plan

Claims Examiner ObjectWin Technology

Claims Processor Arsenault

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