Xactimate-Certified Damage Assessor / Residential Field Inspector (Part-Time) 4LEAF, IncXactimate-Certified Damage Assessor / Residential Field Inspector (Part-Time)Pleasanton, CA$50–$75 / hourThis position will be responsible for performing field inspections of residential properties impacted by storm-related damage, documenting property conditions, preparing accurate damage assessments, and supporting repair scopes and cost estimates. As one of the industry’s notable providers of planning, building and safety, construction management, and fire consulting services, 4LEAF has an enviable track record of completing complex projects and staffing assignments with both public and private clients.
Workers' Compensation Defense Attorney JobotWorkers' Compensation Defense AttorneySan Francisco, CARemote$165,000–$210,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Well-known for being aggressive, detail-oriented, and providing cost-effective managed litigation with a strong ethical core- we believe in innovation, teamwork, and pushing for excellence in every case.
NewTravel Nurse RN - Outpatient Clinic - $2,546 per week in Napa, CA TravelNurseSourceTravel Nurse RN - Outpatient Clinic - $2,546 per week in Napa, CANapa, CA$2,545.50A Registered Nurse (RN) – Outpatient Clinic provides direct nursing care and support to patients in an outpatient setting, focusing on preventive care, chronic disease management, and patient education. Key Responsibilities : Patient Assessment and Triage : Perform initial assessments for patients visiting the clinic, including taking medical histories, measuring vital signs (e.g., blood pressure, temperature, weight), and assessing current health status.
M&A Specialist Diedre Moire Corp.M&A SpecialistSan Jose, CA$300,000–$400,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Tax Accountant Attorney Mergers Acquisitions Divestitures Equity Funds Tax JD CPA MBA Representations Warranties Insurance RWI Transactional Risk Insurance #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs. Shall: • Determine acceptability of Representations and Warranties Insurance and Transactional Risk Insurance options for Mergers and Acquisitions deals using high level financial risk analysis and negotiating with buyers and sellers.
Accounts Receivable Lead SarnovaAccounts Receivable LeadSan Francisco, CAThe A/R Management Lead also serves as a subject matter expert, identifying process improvements to increase efficiency within the A/R Management team, and acting as a resource to help team members resolve issues. Since its founding in 1984, Digitech has refined its software platform to create a cloud-based billing and business intelligence solution that monitors and automates the entire EMS revenue lifecycle.
NewCommercial Lines Account Assistant JobotCommercial Lines Account AssistantWalnut Creek, CA$70,000–$80,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.
Claims Adjuster Lee Hecht HarrisonClaims AdjusterPleasanton, CA$33–$35 / hourIn addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy.
Sr. Work Comp Claims Adjuster (SIP Cert required - Concord, CA) EliteSr. Work Comp Claims Adjuster (SIP Cert required - Concord, CA)Concord, California$85,000–$95,000 / yearExcellent written and verbal communication skills, including ability to convey technical details to claimants, clients and staff. Effectively manages a caseload of 130 to 150 workers’ compensation files, including very complex claims.
Claims Manager Garuda Labs IncClaims ManagerSan Francisco, CA$150,000–$175,000 / yearWhat You'll Do: Report, oversee, monitor, and investigate insurance claims across all jurisdictions; Support Instawork with workers' compensation and occupational accident claims by running loss control surveys and training for teams involved in the claims reporting process as well as monthly data reporting requirements to carriers; Partner with insurance carriers to mitigate loss by evaluating and implementing tools, including but not limited to investigators and nurse case managers; Communicate frequently with internal stakeholders and third parties, including claims adjusters, brokers and other insurance personnel, injured Professionals, business Partners, doctors, and attorneys; Participate in monthly claim reviews to steer claims towards resolution; Maintain organized, accurate records of all claims and supporting documentation; Provide regular updates to senior management on claims activity; Analyze claims data to identify trends and areas for improvement; Develop, implement, and improve scalable processes and training to build a best-in-class claims function. Who You Are: 5+ years in insurance claims adjusting or management, including workers' compensation, occupational accident, and other injury and property damage claims; Impeccably organized; Detailed and process-oriented; Thorough knowledge of insurance lines and insurance laws across the United States; Composed handling high-priority escalations; Excellent verbal and written communication; Ability to analyze, classify, and rate risks, exposures, and loss expectancies; Marketplace risk experience preferred.
Claims Adjuster Trainee The Progressive CorpClaims Adjuster TraineeConcord, CA$31.01–$33.17 / hourFor 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/ . This is a hybrid role, which means you'll work in-office two days that are selected by local leadership and choose where you want to work the other three days, whether that's at home or in the office, for a period of 12 months.
Claims Adjuster - Attorney Represented Injury The Progressive CorpClaims Adjuster - Attorney Represented InjuryConcord, CA$30.29–$39.23 / hourAn ideal candidate will have experience managing an inventory independently, experience assessing and evaluating liability, coverage, and damages, as well as working independently and directly with attorneys to negotiate and settle claims. 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/ .
Claims Adjuster Senior - Injury The Progressive CorpClaims Adjuster Senior - InjuryConcord, CA$36–$47 / hourFor 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/ . Investigating complex and high-risk claims - which may be attorney represented or have additional litigation features - you'll consult with police officers, medical professionals, claimants and others involved in the accident.
Sr. Workers' Compensation Claims Professional Tesla IncSr. Workers' Compensation Claims ProfessionalFremont, CA$72,000–$162,000 / yearSupport the internal benefits team with reviewing temporary and permanent disability benefits pertaining to workers' compensation claims,excused and unexcused absences, FMLA exhaustion and denials, short-termdisability claims, and long-term disability claims. Manage catalogue of open workers' compensation claims to focus on cost mitigation and reducing liability through continued medical treatment activity, targeted return-to-work efforts, and ongoing case progression; provide settlement authority within limits.
Complex Claims Consultant - Life Insurance Agent / Broker Dealer CNA Financial CorpComplex Claims Consultant - Life Insurance Agent / Broker DealerCA$72,000–$141,000 / yearResolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority. Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of high complexity and exposure Financial Lines claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
Claims Specialist Cowbell Cyber IncClaims SpecialistPleasanton, CAPerform tasks such as coverage analysis and letter writing; investigation; incident response; evaluation; reserve adequacy and timeliness; diary maintenance; management of defense and coverage counsel; reinsurance reporting; and claim disposition. In its unique AI-based approach to risk selection and pricing, Cowbell's underwriting platform, powered by Cowbell Factors, compresses the insurance process from submission to issue to less than 5 minutes.
Claims Specialist CowbellClaims SpecialistPleasanton, CaliforniaPerform tasks such as coverage analysis and letter writing; investigation; incident response; evaluation; reserve adequacy and timeliness; diary maintenance; management of defense and coverage counsel; reinsurance reporting; and claim disposition. In its unique AI-based approach to risk selection and pricing, Cowbell’s underwriting platform, powered by Cowbell Factors, compresses the insurance process from submission to issue to less than 5 minutes.
Senior Workers' Compensation Claims Examiner (FULL Remote - Contract) - CA Johnson Service GroupSenior Workers' Compensation Claims Examiner (FULL Remote - Contract) - CAConcord, CARemote$50.25–$55.89 / hourThe Senior Claims Examiner will adjust workers compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements. Must possess a current Experienced Indemnity Claims Adjuster Designation, provided by an insurer, as defined in California Code of Regulations, Title 10, Chapter 5, Subchapter 3, Section 2592.01(f) .
Senior Workers' Compensation Claims Examiner (FULL Remote - Perm) - CA Johnson Service GroupSenior Workers' Compensation Claims Examiner (FULL Remote - Perm) - CAConcord, CARemote$98,000–$109,000 / yearThe Senior Claims Examiner will adjust workers compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements. Must possess a current Experienced Indemnity Claims Adjuster Designation, provided by an insurer, as defined in California Code of Regulations, Title 10, Chapter 5, Subchapter 3, Section 2592.01(f).
Property Claims Specialist Field I Mercury Insurance CompanyProperty Claims Specialist Field IConcord, CA$81,341–$99,416 / yearKnowledge and Skills: As a Property Claims Field Adjuster 1, you will: Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims. Be able to seamlessly transition between various methods of inspection, including physical, video, or photo, to write a damage estimate: o May include climbing ladders to inspect roofing or attic space and inspection of crawl spaces.
Property Claims Specialist Field I Mercury Insurance Services, LLCProperty Claims Specialist Field IConcord, California$81,341–$99,416 / yearAs a Property Claims Field Adjuster 1, you will: • Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims. • Be able to seamlessly transition between various methods of inspection, including physical, video, or photo, to write a damage estimate: o May include climbing ladders to inspect roofing or attic space and inspection of crawl spaces.
Product SME – Auto Claims AssuredProduct SME – Auto ClaimsPalo Alto, CaliforniaThe challenges we face are deep and diverse, from creating digital experiences that provide comfort and clarity to claimants at their most stressed and vulnerable to orchestrating large-scale ML-driven decision-making on billions of dollars of claims payments, life at Assured is dynamic, collaborative, and rewarding. This role will focus on understanding how claims move from First Notice of Loss (FNOL) through resolution, how decisions are made and documented, how data flows across systems, and where operational and product improvements can meaningfully impact cycle time, accuracy, customer experience, and financial performance.
Sr. Claims Specialist - Commercial Auto BI Philadelphia Insurance CompaniesSr. Claims Specialist - Commercial Auto BIWalnut Creek, CA$102,150–$120,177 / yearEvaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.
Claims Specialist - Auto Philadelphia Insurance CompaniesClaims Specialist - AutoWalnut Creek, CA$82,800–$97,300 / yearEvaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.
Manager, Claims Compliance Uber Technologies IncManager, Claims ComplianceSan Francisco, CARepresent Claims in SOX, statutory, and carrier audits; articulate control design and operating effectiveness to Financial Risk management and auditors; developing responses to ad hoc audit requests and inquiries. This role has a unique opportunity to impact the effectiveness of hundreds of internal & external claims professionals - if you're interested in making an outsized impact on one of the largest and most dynamic Claims programs in the world, read on and apply below!
Workers Compensation Claims Specialist, Complex & Settlement Focus CNA Financial CorpWorkers Compensation Claims Specialist, Complex & Settlement FocusWalnut Creek, CA$54,000–$103,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
Senior Workers Compensation Claims Assistant Alliant Insurance Services, Inc.Senior Workers Compensation Claims AssistantWalnut Creek, CACoordinates claims-related activities, maintains program documentation and tracking systems, supports vendor and client initiatives, prepares recurring reports, and assists with risk management and claims administration projects. We are proud to provide comprehensive, high quality employee programs to meet employees needs now and in the future, including a very competitive financial package.
Sr Examiner - 4850 Workers' Compensation Claims (Full Remote - Northern CA)(Perm) Johnson Service GroupSr Examiner - 4850 Workers' Compensation Claims (Full Remote - Northern CA)(Perm)Pleasant Hill, CARemote$98,000–$103,500 / yearThe Senior Claims Examiner will adjust police and fire 4850 workers compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements. The Senior Claims Examiner will adjust workers compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements.
Property & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLPProperty & Casualty Insurance Claims Operations Consultant, ManagerCA$99,000–$232,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . You will analyze client needs, implement solutions, and provide training and support to validate seamless integration and utilization of business applications, enabling clients to achieve their strategic objectives.
Claims Specialist Cowbell Cyber Inc.Claims SpecialistPleasanton, CAPerform tasks such as coverage analysis and letter writing; investigation; incident response; evaluation; reserve adequacy and timeliness; diary maintenance; management of defense and coverage counsel; reinsurance reporting; and claim disposition. In its unique AI-based approach to risk selection and pricing, Cowbell's underwriting platform, powered by Cowbell Factors, compresses the insurance process from submission to issue to less than 5 minutes.
Assistant Claims Examiner Athens AdministratorsAssistant Claims ExaminerConcord, CaliforniaATHENS POSITION DETAILS Position Title: Assistant Claims Examiner Department: Workers’ Compensation Reports To: Claims Supervisor FLSA Status: Non-Exempt Job Grade: 6 Career Ladder: Next step in progression could include Future Medical Examiner or Claims Examiner Trainee ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976. POSITION SUMMARY Athens Administrators has an immediate need for an experienced Assistant Claims Examiner to support our Workers’ Compensation department and can be located anywhere in the state of California, however, employees who live less than 26 miles from the Concord, CA or Orange, CA offices are required to work once a week in the office on a day determined by their supervisor between Tuesday – Thursday.
Workers Compensation Claims Specialist, West CNA Financial CorpWorkers Compensation Claims Specialist, WestWalnut Creek, CA$54,000–$103,000 / yearPartners with attorneys, account representatives, agents, underwriters, doctors, nurse case managers and insureds to develop a focused strategy for timely and cost effective resolution of more complex claims. Performs a combination of duties in accordance with departmental guidelines: Interprets more complex or unusual policy coverages and determines if coverages apply to claims submitted, escalating issues as needed.
Associate PM, Claims & Payments Maven ClinicAssociate PM, Claims & PaymentsSan Francisco, CA$130,000–$150,000 / yearFounded in 2014 by CEO Kate Ryder, Maven has raised more than $425 million in funding from top healthcare and technology investors including General Catalyst, Sequoia, Dragoneer Investment Group, Oak HC/FT, StepStone Group, Icon Ventures, and Lux Capital. You will work closely with the VP of Product, Healthcare and partner with engineering, operations, and finance to deliver on a roadmap that includes in-house claims adjudication, payer integrations, and the operational tooling that keeps Maven's payments infrastructure running.
Claims Assistant ICW GroupClaims AssistantPleasanton, CA$19.58–$30.88 / hourHeadquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for ten consecutive years 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.
Senior Claims Examiner - Remote or Hybrid Athens AdministratorsSenior Claims Examiner - Remote or HybridConcord, CaliforniaRemoteATHENS POSITION DETAILS Position Title: Senior Claims Examiner Department: Workers’ Compensation California Reports To: Claims Supervisor FLSA Status: Non-Exempt Job Grade: 12 Career Ladder: Next step in progression could include Lead Senior Claims Examiner or Claims Supervisor ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976. POSITION SUMMARY Athens Administrators has an immediate need for a full-time Senior Claims Examiner to support our workers compensation offices and can be located anywhere in the state of California, however, employees who live less than 26 miles from the Concord, CA or Orange, CA offices are required to work once a week in the office on a day determined by their supervisor between Tuesday – Thursday.
NewSenior Claims Examiner Athens AdministratorsSenior Claims ExaminerConcord, CaliforniaATHENS POSITION DETAILS Position Title: Senior Claims Examiner Department: Workers’ Compensation California Reports To: Claims Supervisor FLSA Status: Non-Exempt Job Grade: 12 Career Ladder: Next step in progression could include Lead Senior Claims Examiner or Claims Supervisor ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976. POSITION SUMMARY Athens Administrators has an immediate need for a full-time Senior Claims Examiner to support our workers compensation offices and can be located anywhere in the state of California, however, employees who live less than 26 miles from the Concord, CA or Orange, CA offices are required to work once a week in the office on a day determined by their supervisor between Tuesday – Thursday.
Claims Supervisor Athens AdministratorsClaims SupervisorConcord, CaliforniaATHENS POSITION DETAILS Position Title: Claims Supervisor Department: Workers’ Compensation Reports To: Division Claims Manager FLSA Status: Exempt Job Grade: 14 Career Ladder: Next step in progression could include Division Claims Manager ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976. Provide direct supervision for 6-10 employees, typically consisting of Senior Claims Examiners, Future Medical Claims Examiners, Claims Examiners, Assistant Claims Examiners and Assistant Claims Examiner Trainees.
Workers Compensation Claims Consultant, West CNA Financial CorpWorkers Compensation Claims Consultant, WestWalnut Creek, CA$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages highly complex investigations of claims, including coverage issues, liability, compensability and damages. Negotiates highly complex settlement packages, and authorizes payment within scope of authority, settling claims in most cost effective manner and ensuring timely issuance of disbursements.
Claims Client Service Executive Sales The Hartford Insurance Group IncClaims Client Service Executive SalesWalnut Creek, CA$108,000–$162,000 / yearWe look to the Client Service Executive, Sales to support the end-to-end service mission while delivering engaging customer presentations that demonstrate professional diplomacy, articulated messaging and a friendly confidence that drives positive outcomes for our customers. Responsibilities: As the integral member of the Client Service Team, supports the overall service mission by delivering customer presentations that demonstrate professional diplomacy, articulated messaging and confidence that drives positive outcomes for our customers.
Claims Administrative Supervisor Zenith Insurance CompanyClaims Administrative SupervisorDublin, CA$85,736–$107,170 / yearZenith is a team of Workers'' Compensation Specialists committed to helping businesses succeed by protecting against the financial and human consequences of workplace injuries, providing for the needs of injured employees and making the workplace safer. Ensure timely workflow and prioritization of clerical tasks, management of diary, and the appropriate training or matching of task complexity to staff capabilities.
Sr. Manager, EPL Claims - Financial Lines Starr International Co IncSr. Manager, EPL Claims - Financial LinesCAThe successful candidate will be required to evaluate coverage, draft coverage correspondence, assess appropriate reserves, undertake claims investigations, manage defense counsel and legal spend, assess liability and financial exposure, and effectively negotiate cost effective, good faith claims resolution. 10+ years of experience in the insurance/legal profession dealing specifically with Financial and/or Professional Lines claims In-depth understanding of policy language/coverage Experience managing, evaluating, mediating and negotiating EPL claims.
AVP, Construction Claims Account Executive Aon PlcAVP, Construction Claims Account ExecutivePleasant Hill, CA$110,000–$150,000 / yearCoordinate and direct all relevant claims to NFP Subject Matter Experts spanning all key construction-related lines of coverage (including general liability, workers' compensation, commercial auto, builders' risk, professional liability, cyber, pollution, wrap-up, property, inland marine, surety, and subcontract default insurance) to ensure alignment and effective claims management. 15+ years of experience managing construction claim programs, with strong exposure to general liability, workers' compensation, commercial auto, builders' risk, professional liability, cyber, pollution, wrap-up, property, inland marine, surety, and subcontract default insurance and related casualty lines.
AVP, Construction Claims Account Executive NFP CorpAVP, Construction Claims Account ExecutivePleasant Hill, CA$110,000–$150,000 / yearCoordinate and direct all relevant claims to NFP Subject Matter Experts spanning all key construction-related lines of coverage (including general liability, workers' compensation, commercial auto, builders' risk, professional liability, cyber, pollution, wrap-up, property, inland marine, surety, and subcontract default insurance) to ensure alignment and effective claims management. 15+ years of experience managing construction claim programs, with strong exposure to general liability, workers' compensation, commercial auto, builders' risk, professional liability, cyber, pollution, wrap-up, property, inland marine, surety, and subcontract default insurance and related casualty lines.
Pharmacy Technician – Prescription Routing & Claims Support PHILPharmacy Technician – Prescription Routing & Claims SupportSan Francisco, CaliforniaRemoteUtilize reroute best practices for orders falling outside normal workflow, including orders with state changes, insurance exceptions, pharmacy rejections, or failed transfers. Company Overview: Founded in 2015, Phil is a San Francisco-based, Series D health-tech startup that is revolutionizing prescription access by streamlining how doctors, pharmacies, and patients interact.
Claims Processing Expert - Fully Remote MercorClaims Processing Expert - Fully RemoteSan Francisco, CaliforniaRemoteManage claims submission workflows including electronic claim generation, clearinghouse edits, and payer-specific billing requirements. Coordinate with coding, CDI, and collections teams to resolve billing edits and claim rejections.
Claims Examiner - Workers Compensation (HYBRID- Concord, CA) Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation (HYBRID- Concord, CA)Concord, CA$85,000–$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.
Claims Representative (IAP): Workers Compensation Training Program | Concord, CA Sedgwick Claims Management Services, Inc.Claims Representative (IAP): Workers Compensation Training Program | Concord, CAConcord, 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 Manager, Software Engineering - Claims CollectiveHealth IncSenior Manager, Software Engineering - ClaimsSan Francisco, CA$200,000–$250,000 / yearTechnical and People Leadership: Guide the team in building scalable, cloud-native backend services and integrations using our tech stack (Java/Spring Cloud, Kafka, AWS, Kubernetes, PostgreSQL) and Business Rules Management Systems (BRMS). Drive AI & Agentic Development: Lead the team''s adoption of AI-powered developer tools (e.g., GitHub Copilot, Cursor, WindSurf) and drive architectural decisions for building AI-native, Agentic solutions (utilizing tools like LangChain or Google ADK).
Property & Casualty Claims Advocate Hub International LtdProperty & Casualty Claims AdvocateSan Francisco, CA$68,000–$100,000 / yearMaintains accurate and organized claim files by appropriately documenting conversations with clients and carrier representatives; updates all HUB computer systems and automated agency management systems; ensures the accuracy of data. QUALIFICATIONS: High School Diploma / GED 2-3 years property & casualty claims adjustment experience (brokerage preferred) or equivalent combination of education & experience Property & Casualty License required or willingness to obtain within 3 months.
Electronic Data Interchange (EDI) Claims Assistant UCSF Medical CenterElectronic Data Interchange (EDI) Claims AssistantEmeryville, CAThe Electronic Data Interchange (EDI) Claims Assistant will work in the EDI unit and will be responsible for all aspects of EDI production for UCSF Health Patient Financial Services (PFS), Medical Group Business Services (MGBS), UCSF Benioff Children's Hospital Oakland (BCH Oakland), By the Bay Health, UCSF Physicians Group, Community Connect clinic, and Community Hospitals. The EDI production supports all electronic claim production to various payers and clearinghouses, including Medicare, Medi-Cal, Medi-Cal MC, Anthem Blue Cross, Blue Shield, Availity, Optum IEDI, Optum Exchange, Jopari, PNT, and Office Ally.
Complex Claims Consultant - Private & NFP D&O CNA Financial CorpComplex Claims Consultant - Private & NFP D&OCA$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex Financial Lines claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.