NewCollection System Manager Oro Loma Sanitary DistrictCollection System ManagerSan Lorenzo, CA$160,332–$214,860 / yearEXAMPLES OF JOB DUTIES: Plan, develop, and implement a preventive maintenance program for the collection system; develop, audit, and update the Sewer System Management Plan (SSMP) and act as legally responsible official (LO) for certifying SSO reports; assist with budget preparation; supervise employees, evaluate their performance, and impose discipline; manage insurance claims related to the collection system; and perform other duties as assigned. To apply: https://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=15103cd6-c3ba-4567-ac76-31499f411077&ccId=19000101_000001〈=en_US&jobId=589440.
NewDirector, Enterprise Risk & Insurance Joseph Michaels InternationalDirector, Enterprise Risk & InsuranceSan Francisco, CADirector, Enterprise Risk & InsuranceLocation: San Francisco Bay Area Headquarters (primarily on-site)A leading organization in the Bay Area is seeking a highly experienced leader to guide strategies that safeguard assets, manage exposures, and maintain financial resilience through effective risk and insurance oversight. Key factors often include offering competitive compensation (salaries, benefits, perks) and fostering a customer-centric approach that drives long-term success through innovation.
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 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 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.
Workers Compensation Claims Adjuster (California Experience Required) Cottingham & ButlerWorkers Compensation Claims Adjuster (California Experience Required)Oakland, CARemote$50,000–$100,000 / yearThis is a fully remote position, and prior workers' compensation adjusting experience is required (including taking statements, issuing lost wage payments, completing state filings, denying claims, handling subrogation, managing litigation, etc.). Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve.
Claims Adjuster Senior - Litigation The Progressive CorpClaims Adjuster Senior - LitigationConcord, 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.
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.
Claims Processors x2 - San Francisco CA Lee Hecht HarrisonClaims Processors x2 - San Francisco CASan Francisco, CA$25–$27 / hourPosition Summary: The Claims Processor provides customer service and processes routine health, and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.
Workers Compensation Claims Adjuster (California Experience Required) CBCSWorkers Compensation Claims Adjuster (California Experience Required)Oakland, CARemote$60,000–$100,000 / yearThis is a fully remote position, and prior workers' compensation adjusting experience is required (including taking statements, issuing lost wage payments, completing state filings, denying claims, handling subrogation, managing litigation, etc.). Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve.
General Liability Claims Adjuster - Licensure required Sedgwick Claims Management Services, Inc.General Liability Claims Adjuster - Licensure requiredConcord, CA$60,000–$78,000 / yearManages mid-level general liability claims by gathering information to determine liability exposure; assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Complex Claims Consultant - Life Insurance Agent / Broker Dealer CNA Financial CorpComplex Claims Consultant - Life Insurance Agent / Broker DealerWalnut Creek, CA$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.
Workers Compensation Claims Specialist Lee Hecht HarrisonWorkers Compensation Claims SpecialistSan Francisco, CARemote$80,000–$100,000 / yearLHH is working with a leading organization is seeking a Senior-level Workers' Compensation Claims Specialist to manage a high-volume California desk with a strong focus on litigated claims. This is a fully remote, direct hire opportunity for an experienced adjuster who thrives in a fast-paced environment and can independently drive claims to resolution.
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) .
Associate Claims Counsel Old Republic National Title Insurance CompanyAssociate Claims CounselSan Francisco, CA$120,000–$140,000 / yearClaims management includes investigating and determining coverage, correspondence with insured as to coverage and status: statutory compliance resolving title defects, directing defenses with outside counsel, negotiating settlements mitigating losses for the company, determining agent liability, and pursuing/preserving recovery. Factors which may be used to determine the actual pay rate may include, but are not limited to, education, training or experience; seniority; merit and work performance; quantity or quality of production; regional differences in compensation; differences in local minimum wages, or ability and effort.
Claims Examiner - Auto - Commercial Trucking Sedgwick Claims Management Services, Inc.Claims Examiner - Auto - Commercial TruckingConcord, CA$75,000–$90,000 / 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: To analyze and process complex auto claims for a large commercial trucking account by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.
NewProperty 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.
Workers Compensation Claims Specialist, West CNA Financial CorpWorkers Compensation Claims Specialist, WestWalnut 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.
Claims Analyst Edgewood Partners Insurance CenterClaims AnalystConcord, CA$65,000–$75,000 / yearThis role is responsible for analyzing claims data, identifying trends, and delivering actionable insights using advanced tools such as Microsoft Excel, Power BI, and Tableau, while also supporting key administrative and operational workflows. Fueled and driven by capable, committed people who share common beliefs and values and bring it every day, EPIC is always looking for people who have the right stuff people who know what they want and arent afraid to make it happen.
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.
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.
Senior Accountant - Claims Operations Turo IncSenior Accountant - Claims OperationsSan Francisco, CA$120,000–$150,000 / yearWhether you're flying in from afar or looking for a car down the street, searching for a rugged truck or something smooth and swanky, Turo puts you in the driver's seat of an extraordinary selection of cars shared by local hosts. In general, Turo interacts with candidates through our Careers page and via turo.com email addresses, and we don't ask candidates for sensitive financial or personal info or request money as part of the hiring process (so an application fee or equipment costs).
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.
Complex Claims Director - EPL, Private and Not-For-Profit D&O, Fiduciary CNA Financial CorpComplex Claims Director - EPL, Private and Not-For-Profit D&O, FiduciaryWalnut Creek, CA$97,000–$189,000 / yearEssential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Leads the work activities of medium to high severity specialized Claims Professionals and has full management responsibility for executing the Specialty Claim Handling Guidelines by setting and communicating expectations, providing direction and situational coaching, facilitating ongoing training and development, and managing employee performance. Advanced technical expertise in Private D&O, EPL and Fiduciary matters or a specialized or highly complex line of business, business management acumen, investigation and claims resolution experience, expert knowledge claims principles, practices and procedures.
Sr. Manager, EPL Claims - Financial Lines Starr International Co IncSr. Manager, EPL Claims - Financial LinesSan Francisco, CAThe 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.
Workers Compensation Claims Examiner | Remote - Must Reside in Central Valley, CA Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | Remote - Must Reside in Central Valley, CACARemote$80,000–$98,000 / yearNewsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Remote - Must Reside in Central Valley, CA Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? OFFICE LOCATIONS REMOTE for Central Valley, California Applicants 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 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.
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.
Senior Claims Examiner ICW GroupSenior Claims ExaminerPleasanton, CA$68,481.25–$115,489.01 / yearHeadquartered 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.
Triage Claims Associate ICW GroupTriage Claims AssociatePleasanton, CA$22.54–$35.54 / 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. A key objective of this role is to equip the Associate with the knowledge, skills, and abilities necessary to effectively manage a caseload of 70+ files and successfully complete either the SIP exam or earn the Claims Examiner designation within one year of hire for California.
Property & Casualty Claims Advocate Hub International LtdProperty & Casualty Claims AdvocateSan Ramon, 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.
Complex Claims Consultant - Private & NFP D&O CNA Financial CorpComplex Claims Consultant - Private & NFP D&OSan Francisco, CA$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.
Complex Claims Consultant - EPL, Private & NFP D&O CNA Financial CorpComplex Claims Consultant - EPL, Private & NFP D&OWalnut Creek, CA$72,000–$141,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities Performs 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.
Lead Full Stack Software Engineer, Claims CollectiveHealth IncLead Full Stack Software Engineer, ClaimsSan Francisco, CA$168,000–$210,000 / yearTeam Collaboration: Work closely with cross-functional teams, including developers, and product managers, to gather requirements and ensure solutions meet business needs. Lead full-stack development and support of services across backend (Java/Spring Cloud), integration platforms (Kafka, Mulesoft), and frontend (React/Angular/GraphQL etc.).
Claims System Technical Project Manager III ICW GroupClaims System Technical Project Manager IIIPleasanton, CA$121,624.81–$217,710.99 / yearHeadquartered 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. Insurance certification in one or more domain-specific areas (AINS, AIC, ARM, etc.), Project Management Professional (PMP), IT Service Management (ITIL), or Process Optimization (BPM, Six Sigma, Lean) certifications preferred.
Claims Specialist Lead The Progressive CorpClaims Specialist LeadConcord, CA$39.18–$51.92 / 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/. 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.
Associate Actuary / Sr. Actuarial Analyst, Claims Analytics Uber Technologies IncAssociate Actuary / Sr. Actuarial Analyst, Claims AnalyticsSan Francisco, CA$118,000–$131,000 / yearThis is an excellent opportunity for an intellectually curious actuarial candidate to gain valuable non-traditional actuarial experience, all while working in one of Uber's most critical and fastest-growing divisions. So if you're ready to go deep working on a rewarding set of challenges and if you've got the skills, experience, passion, and a strong team mentality - read on and get in touch!
Workers Compensation | Claims Examiner | Concord, CA Sedgwick Claims Management Services, Inc.Workers Compensation | Claims Examiner | Concord, CAConcord, CA$85,000–$95,000 / yearNewsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Workers Compensation | Claims Examiner | Concord, CA. 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.
Health Claims Audit Supervisor Withum Smith+Brown, PCHealth Claims Audit SupervisorSan Ramon, CA$85,000–$110,000 / yearIn addition to the base compensation, Withum offers a competitive benefits package and bonus program (for eligible roles) based on individual and firm performance. How You'll Spend Your Time: Working closely with our clients, and their vendors, to ensure that health, dental, prescription and vision claims are being paid in compliance with regulations and plan documents.
Senior Claims Examiner GallagherSenior Claims ExaminerWalnut Creek, CaliforniaRemote$75,000–$105,000 / yearThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Behaviors: Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.
Senior Claims Examiner, Workers' Compensation GallagherSenior Claims Examiner, Workers' CompensationPleasanton, CaliforniaRemoteThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Behaviors: Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.
Senior Contracts & Claims Manager Aequor Technologies LLCSenior Contracts & Claims ManagerVacaville, CABusiness and financial acumen; " Contracting strategy & execution, strategic sourcing expertise, procurement/sourcing knowledge/experience for large CAPEX projects; " A strong understanding of construction technology, sequencing and practices; " Exceptional problem solving and analytical skills; " Demonstrated project management skills; " Demonstrated experience developing and implementing sourcing strategies that have yielded measurable business results. " Identifying opportunities for outgoing claims, development of claim strategies, supporting/preparing notifications/correspondence as well as negotiation and settlement; " Analysis of incoming claims, development of defense strategies, supporting/preparing response/correspondence, claim negotiation and settlement; " Collection and registration of all claim related documentation in company's claim repository.
Liability Claims Team Lead - GL & Auto Exp. Required | Must Reside in CA Sedgwick Claims Management Services, Inc.Liability Claims Team Lead - GL & Auto Exp. Required | Must Reside in CAConcord, CA$95,000–$115,000 / yearPRIMARY PURPOSE: To supervise a team of liability claims examiners and adjusters; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. 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.
EDI & Claims Operations Analyst Natera IncEDI & Claims Operations AnalystCA$79,400–$99,200 / yearThis role is responsible for monitoring the lifecycle of submitted claims, identifying barriers that prevent claims from reaching or being accepted by payers, and driving resolution of claim status issues through process improvement, analytics, automation, and cross-functional collaboration. This individual will investigate claim acceptance and rejection trends, identify root causes impacting claim flow, and partner with internal stakeholders to implement scalable solutions that improve claim acceptance rates, reduce manual work, and accelerate reimbursement.
Manager, Claims Operations San Francisco Health PlanManager, Claims OperationsSan Francisco, CA$140,000–$150,000 / yearSFHP is chosen by eight out of every ten San Francisco Medi-Cal managed care enrollees and its 175,000+ members have access to a full spectrum of medical services including preventive care, specialty care, hospitalization, prescription drugs, and family planning services. ABOUT SFHP: Established in 1997, San Francisco Health Plan (SFHP) is an award-winning, managed care health plan whose mission is to provide affordable health care coverage to the underserved low and moderate-income residents in San Francisco County.
APeX Claims Analyst UCSF Medical CenterAPeX Claims AnalystSan Francisco, CAYesWorks on complex initiatives to analyze patient care workflow in various clinical departments, and to develop and define information technology solutions for improved system integration and functionality. Ability to work with senior staff and managers, serving as a technical resource and providing advice and counsel on issues of functionality, efficiency, cost-effectiveness, policy, and performance.
Epic Certified Hospital Billing Claims Analyst 5944595 Accenture PlcEpic Certified Hospital Billing Claims Analyst 5944595San Francisco, CAIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: Epic Certified Hospital Billing Claims Analyst will bring experience in managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.
Epic Certified Professional Billing Claims Analyst 5944596 Accenture PlcEpic Certified Professional Billing Claims Analyst 5944596San Francisco, CAIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: Epic Certified Professional Billing Claims Analyst will bring experience in managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.
Workers' Compensation Senior Claims Examiner ICW GroupWorkers' Compensation Senior Claims ExaminerPleasanton, CA$68,481.25–$115,489.01 / yearHeadquartered 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.