Claims Representative- Healthcare Billing Vista Del MarClaims Representative- Healthcare BillingLos Angeles, California$28–$30 / hourIf TIER data is complete, submits the call to update CWS; Monthly, runs Non-Final Saved Notes reports for programs assigned, reviews notes for action required., and disseminates to programs; Reviews Final Saved Charge reports before batching claims for electronic submission to DMH. Completes any updates or corrections required, and manually updates services charges and ‘final save’ so that claims can be batched; Daily, reviews Diagnosis and Financial Update Reports and Client Action Forms submitted for any client information that requires updating in CWS.
Hospital Claims Examiner MedPOINT ManagementHospital Claims ExaminerSherman Oaks, CARemoteFull timeJoin MedPOINT Management as a Hospital Claims Examiner in Sherman Oaks, CA, where you'll play a crucial role in ensuring accurate and timely processing of hospital claims. Our commitment to quality and innovation has earned us a reputation for excellence, making us a preferred partner in the healthcare industry.
Medical Malpractice Claims Specialist KI Executive GroupMedical Malpractice Claims SpecialistOrange, CaliforniaThe Medical Malpractice Claims Specialist is responsible for managing assigned medical malpractice claim files, including complex and high exposure matters. This role oversees claim investigation, litigation coordination, reporting, and documentation while working closely with defense counsel and internal stakeholders.
Claims Loss Reporting Specialist AAAClaims Loss Reporting SpecialistCosta Mesa, CaliforniaThe position receives and documents first notice of loss, takes overflow calls, and answers low complexity claims related questions for the Claims department while delivering a totally satisfying member experience through exceptional customer service. With our national brand recognition, long-standing reputation since 1900, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team.
NewClaims Examiner MedPOINT ManagementClaims ExaminerSherman Oaks, CARemoteFull timeMedPOINT Management is a leading Independent Physician Association (IPA) management company based in Sherman Oaks, CA, dedicated to delivering high-quality healthcare administrative services. We foster a collaborative and supportive work environment where employees are empowered to grow and make a meaningful impact in the healthcare industry.
NewClaims Auditor MedPOINT ManagementClaims AuditorSherman Oaks, CARemoteFull timeMedPOINT Management is a leading Independent Practice Association (IPA) management company serving the greater Los Angeles area, dedicated to delivering high-quality, coordinated healthcare to patients across Southern California. Our team enjoys a collaborative work culture, opportunities for professional growth, and the satisfaction of making a meaningful impact in the healthcare industry.
General Liability Claims Consultant CNA Financial Corp.General Liability Claims ConsultantBrea, CA$72,000–$141,000 / yearThis individual contributor role operates under broad authority to manage commercial claims of high complexity and exposure within the Commercial Auto/General Liability/ Construction Auto and General Liability line(s) of business. Performs a combination of duties in accordance with departmental guidelines: Manages highly complex investigations of claims, including coverage issues, liability, compensability and damages.
Logistics Specialist (Claims Management) Pyramid, IncLogistics Specialist (Claims Management)Santa Ana, CA$30–$34 / hourFull timeBy applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Our client is a leading T echnology and consumer electronics Industry and we are currently interviewing to fill this and other similar contract positions.
Analyst III, Epic Application Professional Billing and Claims PDS HealthAnalyst III, Epic Application Professional Billing and ClaimsIrvine, California$103,000–$133,000 / yearFull timeOwns highly complex projects, such as multi-module implementations or enterprise-wide systems upgrades; leads medium-scale projects, including scoping, design, implementation, testing and go-live support. This role ensures accurate and efficient billing workflows, claim generation, and revenue cycle operations by collaborating with finance, billing, and operational teams.
Claims Examiner - Workers Compensation ICONMA, LLCClaims Examiner - Workers CompensationOrange, CARemote$47–$52 / hourSubject 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. Responsibilities: 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.
Bilingual Legal Assistant TORKLAWBilingual Legal AssistantIrvine, CA$47,000–$65,000 / yearThis is an opportunity to work alongside a collaborative and high-performing team while contributing to meaningful work that directly impacts the lives of our clients. TORKLAW is more than an award-winning personal injury law firm - we are a dedicated team committed to supporting people through some of the most challenging moments of their lives.
Property Damage Case Manager L.A. Injury AttorneysProperty Damage Case ManagerBurbank, California$60,000–$67,500 / yearInjury Attorneys is one of the top rated personal injury law firms in California and belongs to the Million Dollar Advocates Forum and the Multi- Million Dollar Advocates forum which is exclusive to those law firms that have excelled in their profession and secured multi-million dollar settlements and verdicts for their clients. In this role, you will be responsible for the initial investigative work necessary to establish/clear liability on all types of cases, including government claims, motor vehicle accidents, slip and falls, and dog bites.
Lead - Claims Operations Astrana Health, Inc.Lead - Claims OperationsMonterey Park, CA$27–$32 / hourWork closely with other Company departments and specifically, the Claims QA and Training Specialist to communicate findings of recovery audits and to facilitate accurate adjudication of claims. Ensures that all legal, regulatory and policy requirements are met by keeping informed of changes and by implementing necessary controls and/or programs to meet requirements.
Sleep Apnea Medical Biller Aava InternationalSleep Apnea Medical BillerIrvine, CAFull timeZapZzz is a specialized sleep apnea treatment program with a mission of improving patients’ overall health and quality of life by providing advanced, patient-centered solutions for sleep apnea. The Medical Biller will be responsible for accurately preparing, submitting, and managing insurance claims related to sleep apnea treatment and oral appliance therapy.
Personal Insurance Associate General Adjuster / General Adjuster - CA/AZ The HartfordPersonal Insurance Associate General Adjuster / General Adjuster - CA/AZBrea, ArizonaThe successful Associate General Adjuster candidate will plan, recommend, reserve and execute the investigation, valuation, disposition and settlement of large personal insurance property claims in a manner consistent with corporate claim settlement policies and procedures and statutory, regulatory and ethics requirements throughout the United States as appropriate. The successful General Adjuster candidate will plan, recommend, reserve and execute the investigation, valuation, disposition and settlement of large Personal Insurance property claims in a manner consistent with corporate claim settlement policies and procedures and statutory, regulatory and ethics requirements throughout the United States as appropriate.
Claims Support Specialist II Mercury Insurance Services, LLCClaims Support Specialist IIBrea, California$35,520.30–$43,413.70 / yearAbility to manage in a fast-paced high volume virtual contact center or office inbound and outbound calls in a timely manner, while maintaining a positive, empathetic, and professional demeanor towards customers at all times. Overview: Position Summary: The primary role of this position may be working in a fast-paced high volume remote virtual contact center environment or office that requires 100% phone-based customer interaction.
Risks & Claims Manager (Workers' Compensation & General Liability) sweetgreenRisks & Claims Manager (Workers' Compensation & General Liability)Los Angeles, CA$84,000–$119,000 / yearSitting on the Operations Services team and reporting to the Senior Director of Risk + Safety, you will direct the claims adjusting service provided by our workers' compensation carrier, oversee our general liability carrier, and serve as the internal point of contact connecting our restaurants, carriers, brokers, and defense counsel. Build and partner with the People Team and Restaurant Operations on the return-to-work and modified duty program to reduce lost-time exposure, and serve as a clear, consistent point of contact for injured team members.
Claims Appraiser - Auto Estimatics State FarmClaims Appraiser - Auto EstimaticsLos Angeles, California$69,398.62–$91,000 / yearFull timeWith the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you! Additional Details: Employees must successfully complete all required training, including applicable proficiency, licensing exam(s), Motor Vehicle Record (MVR) checks, and background checks required of various state(s).
Claims Follow-Up Lead-CA WellPsycheClaims Follow-Up Lead-CALos Angeles, CARemote$25–$30 / hourWe are a lean and fast-growing organization , which means every team member plays a meaningful role in improving operations, strengthening revenue cycle performance, and supporting our mission to help patients become the best version of themselves. The Claims Follow-Up Lead is a senior, hands-on revenue cycle professional responsible for resolving complex denials, accelerating accounts receivable, and supporting daily claims workflow execution.
Senior Litigation Construction Liability Claims Representative The Travelers CompaniesSenior Litigation Construction Liability Claims RepresentativeIrvine, CA$94,400–$155,800 / yearDirectly investigates each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Actively engages in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts.