Claims Examiner - Workers Compensation (On-Site Ontario, California Or Remote In California) Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation (On-Site Ontario, California Or Remote In California)Ontario, CARemote$85,000–$95,000 / yearMental: 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. PRIMARY PURPOSE OF THE ROLE: To analyze Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Claims Associate - Workers Compensation (On-Site - Rancho Cucamonga) Sedgwick Claims Management Services, Inc.Claims Associate - Workers Compensation (On-Site - Rancho Cucamonga)Rancho Cucamonga, CA$25–$28 / hourMental: 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. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Claims Examiner - Workers Compensation (Hybrid - Ontario, CA) Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation (Hybrid - Ontario, CA)Ontario, CA$80,000–$90,000 / yearPRIMARY PURPOSE OF THE ROLE: To analyze workers' compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Senior Claims Specialist (SIP) 4850 CorVel CorpSenior Claims Specialist (SIP) 4850Rancho Cucamonga, CARemote$29.35–$47.28 / hourPay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries.
Analyst III, Epic Application Professional Billing and Claims Pacific Dental Services IncAnalyst III, Epic Application Professional Billing and ClaimsIrvine, CA$103,000–$133,000 / yearOwns 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 Referral Specialist II LIBERTY Dental PlanClaims Referral Specialist IITustin, CA$20–$25 / hourThis position is ideal for someone who thrives in a fast-paced environment, enjoys working independently while supporting a collaborative team culture, and has a strong understanding of dental claims processing and benefit administration. Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives.
Senior Workers Compensation Claims Advocate Alliant Insurance Services, Inc.Senior Workers Compensation Claims AdvocateIrvine, CAManages workers' compensation claims for assigned clients; Provides value added services for Producers, focusing on account retention and obtaining new business; Provides technical field support on complex claims and accounts; Assists Unit Manager with units administration; Conducts quarterly claims review meetings with employer representatives; Obtains loss runs and claim status; discusses claims finalization plans with adjusters; Provides individual claims analysis reports; Conducts unit statistical review meetings; Obtains customers' experience rating worksheet from the Workers Compensation Insurance Rating Bureau; Produces experience modification projections and "what if" scenarios; Attends new business calls and presents department services; Provides technical assistance to Producers and clients; Other duties as assigned. We operate through a network of specialized national platforms and local offices to offer our clients a comprehensive portfolio of solutions built on innovative thinking and personal service.
Medical Only Claims Specialist CorVel CorpMedical Only Claims SpecialistRancho Cucamonga, CARemote$16.74–$26.92 / hourPay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. ABOUT CORVEL: CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries.
Claims Coordinator RedlandsClaims CoordinatorRedlands, California$25–$30 / hourPosition Overview As the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensures that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met. Ensure that uploading photos, and other documents are appropriately described, titled and uploaded in real time, as well as follows up to get missing required data from homeowner and insurance/mortgage information not obtained on initial call.
Analyst I, Epic Application Professional Billing and Claims Pacific Dental Services IncAnalyst I, Epic Application Professional Billing and ClaimsIrvine, CA$83,000–$103,000 / yearThe Analyst I, Epic Application Professional Billing and Claims is primarily responsible for assisting with basic Epic Professional Billing and Claims system configuration, routine tasks like build updates, testing, and report creation. Strong problem-solving and troubleshooting skills with the ability to analyze complex issues and recommend effective solutions.
Workers Compensation Claims Representative | Ontario, CA (In-Office) Sedgwick Claims Management Services, Inc.Workers Compensation Claims Representative | Ontario, CA (In-Office)Ontario, CAMental: 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. Adjusting various levels of workers' compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim.
Senior Claims Examiner, Workers' Compensation GallagherSenior Claims Examiner, Workers' CompensationCorona, CaliforniaRemoteFull timeBehaviors: Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges. Introduction : At Gallagher, we help clients face risk with confidence because we believe that when businesses are protected, they’re free to grow, lead, and innovate.
Claims Supervisor, Workers' Compensation GallagherClaims Supervisor, Workers' CompensationCorona, CaliforniaRemoteFull timeEnsures flawless and consistent execution of client service instructions and performance guarantees Ability to actively review work of others via file reviews; identify coaching opportunities, act on needed coaching opportunities and position subordinates for successful development leading to advancement within the organization. We are seeking an experienced Claims Supervisor to provide leadership, technical oversight, and operational guidance within our Workers’ Compensation claims department.
Liability Claims Representative | CA, OH, IN, KY Jurisdictional Knowledge | Licensing Required | Dedicated Client Sedgwick Claims Management Services, Inc.Liability Claims Representative | CA, OH, IN, KY Jurisdictional Knowledge | Licensing Required | Dedicated ClientLake Forest, CA$45,000–$63,000 / yearPRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. To analyze Liability claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Claims Representative (Iap) - Workers Compensation Training Program - Ontario, CA Sedgwick Claims Management Services, Inc.Claims Representative (Iap) - Workers Compensation Training Program - Ontario, CAOntario, CAMental: 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. Adjusting various levels of workers' compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim.
Workers Compensation - Claims Examiner | HYBRID | Riverside, CA Sedgwick Claims Management Services, Inc.Workers Compensation - Claims Examiner | HYBRID | Riverside, CARiverside, CA$80,000–$100,000 / yearMental: 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. PRIMARY PURPOSE OF THE ROLE: To analyze workers' compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Workers Compensation - Claims Standards & Compliance Analyst | Ontario, California Sedgwick Claims Management Services, Inc.Workers Compensation - Claims Standards & Compliance Analyst | Ontario, CaliforniaOntario, CA$80,000–$98,000 / yearProgram compliance initiatives supported for audit compliance, subject to but not limited to benefit timeliness and accuracy, file balancing compliance, training for penalty and interest avoidance strategies, and mitigation of excess costs. Prepares offices for regulatory audits, serves as a liaison with state auditors, participates in audit debriefs, and assists in developing rebuttal responses when required.
Workers Compensation - Claims Examiner | Hybrid | Riverside, CA Sedgwick Claims Management Services, Inc.Workers Compensation - Claims Examiner | Hybrid | Riverside, CARiverside, CA$80,000–$100,000 / yearMental: 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. PRIMARY PURPOSE OF THE ROLE: To analyze workers' compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Workers Compensation Claims Examiner | Ontario, California Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | Ontario, CaliforniaOntario, CA$80,000–$98,000 / yearPRIMARY PURPOSE OF THE ROLE: To analyze workers' compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
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.