Sr. Construction Liability Claim Representative The Travelers Companies IncSr. Construction Liability Claim RepresentativeDiamond Bar, CA$85,600–$141,200 / yearDirectly investigate 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.
NewSpecial Investigations Unit (SIU) - Field Investigator Ethos Risk Services LLCSpecial Investigations Unit (SIU) - Field InvestigatorLos Angeles, CAJOB SUMMARY: Our dynamic Ethos team is seeking a Special Unit Investigations (SIU) Field Investigator to conduct field investigations, gather and analyze evidence, and produce detailed reports that support claims decisions. Case Documentation: Conduct in-person interviews and obtain accurate, detailed statements from all parties involved, and retrieve relevant documents to support investigative findings.
Legal Specialist Dine Brands Global IncLegal SpecialistPasadena, CA$65,000–$75,000 / yearThe following is a list of all material job duties which Dine Brands reasonably believes that criminal history may have a direct, adverse, and negative relationship, potentially resulting in the withdrawal of a conditional offer of employment: comply with applicable laws, mitigate risk, provide competent legal advice, and securely obtain, store, and handle employees and third parties personal, financial, and medical information. Based in Pasadena, California, Dine Brands Global, Inc. (NYSE: DIN), through its subsidiaries and franchisees, supports and operates restaurants under the Applebees Neighborhood Grill + Bar, IHOP, and Fuzzys Taco Shop brands.
🟢 Green — Claims & Risk Data Analyst Funtonetwork🟢 Green — Claims & Risk Data AnalystLos Angeles, CaliforniaOnce you complete AI vetting and are approved, you will log in to the FuntoNetwork mobile app to track relevant opportunities, application status, contracts, earnings, payments, withdrawals, and related records. If selected, FuntoNetwork may ask you for your assigned part only, such as role-specific technical notes, work samples, estimates, availability, or other supporting materials connected to your consultant role.
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.
NewAuto Damage Claim Representative TravelersAuto Damage Claim RepresentativeDiamond Bar, CaliforniaLeverage all internal and external resources to conduct thorough investigations to gather all relevant facts accurately document findings in the claim management system and maintain accurate records of claim activity in claim management systems. Manage auto physical damage claims from first notice of loss through resolution and settlement, handling low to moderate complexity cases, including total loss evaluations and vehicle repair oversight.
Operations Manager Imagen Dental Partners, LLCOperations ManagerLos Angeles, CAJoin us as a growth-oriented Dental Office Manager and lead the charge in elevating patient care, streamlining operations, and driving the success of our thriving dental practice. Financial Partnership: Execute strategies to optimize revenue, improve billing processes, and explore new collections opportunities without compromising our clinical culture.
Bilingual Spanish | California Personal Injury Pre-Litigation Case Manager EvenUp IncBilingual Spanish | California Personal Injury Pre-Litigation Case ManagerLos Angeles, CARemoteYou will also oversee demand preparation, resolve final liens, and manage cases through to completion, ensuring that attorneys have comprehensive, well-documented files to effectively build and negotiate each case. Our products enable law firms to secure faster settlements, higher payouts, and better outcomes for victims injured through no fault of their own in vehicle collisions, accidents, natural disasters, and more.
Technical Claim Manager-Design Professionals/Construction RLI CorpTechnical Claim Manager-Design Professionals/ConstructionLos Angeles, CA$115,778–$168,746 / yearThis approach rises from and is supported by our talented, ethical and smart team of employee owners united around a single purpose: to work alongside our customers and partners when they need us, in unexpected ways, with exceptional results. Our goal is to attract, develop, and retain the best employee talent from diverse backgrounds while promoting an environment where all viewpoints are valued and individuals feel respected, are treated fairly, and have an opportunity to excel in their chosen careers.
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.
ESIS Claims Associate Chubb LtdESIS Claims AssociateChatsworth, CA$47,500–$67,500 / yearThe company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients.
Complex Claims Consultant - Private & NFP D&O CNA Financial CorpComplex Claims Consultant - Private & NFP D&OLos Angeles, 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.
Facility Inpatient Surgical and Claims Edit Auditor Cedars-Sinai Medical CenterFacility Inpatient Surgical and Claims Edit AuditorLos Angeles, CARemoteMaintains appropriate open communication with internal and external partners and peer departments such as Coding Operations, Clinical Documentation Integrity (CDI), Payor Revenue Management (PRM), and Compliance Revenue Integrity (CRI). Auditors evaluate compliance with all coding guidelines including but not limited to: Internal Coding policies/procedures/handbook, American Hospital Association (AHA) and American Medical Association (AMA) coding references, local, State, and Federal Coding Guidelines.
Senior Claims Specialist - Claims Processing Providence St. Joseph HealthSenior Claims Specialist - Claims ProcessingMission Hills, CATogether, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non-contracted, per diem, case rate etc.) and adjudication and claims research when necessary.
Claims Specialist - Claims Processing Providence St. Joseph HealthClaims Specialist - Claims ProcessingAnaheim, CATogether, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. Required Qualifications: HMO claims processing experience in a managed care environment, preferably PMG/IPA setting within the last 3 years or any combination of education and/or experience which produces an equivalency.
Claims Specialist - Claims Processing Providence Health & ServicesClaims Specialist - Claims ProcessingAnaheim, CA$24–$33.73 / hourRequsition ID: 429445 Company: Providence Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 7520 CLAIMS PROCESSING CA HERITAGE SERVICES Address: CA Anaheim 200 W Center St Promenade Work Location: St Joseph Home Health-Anaheim Workplace Type: On-site Pay Range: $24.00 - $33.73 Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Quality Claims Administrator Assistant Bentley Mills IncQuality Claims Administrator AssistantCABentley Mills reserves the right to pay outside of the given range based on a variety of factors including but not limited to: candidate skills and experience, complexity of the job, budgetary factors, and local/geography. Skills: The Quality Claims Administrator Assistant uses strong organizational skills daily to manage multiple claims efficiently and ensure accurate documentation.
Supervising Veterans Claims Representative County of OrangeSupervising Veterans Claims RepresentativeOrange County, CA$70,220.80–$94,660.80 / yearThe ideal candidate will possess a minimum of two (2) years of work experience assisting the public in determining their eligibility and completing and submitting claim requests for public benefits programs (e.g., veterans' benefits, medical insurance benefits, unemployment benefits, disability benefits, and/or Social Security benefits, AND two (2) years of experience training, mentoring, leading or supervising staff. Assisting the Veterans Service Officer in the implementation and coordination of newly approved programs, participating in the planning and development of new veterans assistance programs and special projects in order to improve services to veterans.
Lead Claims Specialist - Claims Processing Providence Health & ServicesLead Claims Specialist - Claims ProcessingMission Hills, CARequsition ID: 451045 Company: Providence Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 7520 CLAIMS PROCESSING CA HERITAGE SERVICES Address: CA Mission Hills 11165 N Sepulveda Blvd Work Location: Facey Sepulveda Annex-Mission Hills Workplace Type: Hybrid Pay Range: $27.92 - $42.73 Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Lead Claims Specialist - Claims Processing Providence St. Joseph HealthLead Claims Specialist - Claims ProcessingMission Hills, CATogether, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.