Sr. Manager - Claims Astrana Health IncSr. Manager - ClaimsMonterey Park, CAThis role will report to the AVP - Claims Operations and enable us to continue to scale in the healthcare industry. About the Role: We are currently seeking a highly motivated Claims Manager.
Immediate Hire /Receptionist Kohan International FoundationImmediate Hire /ReceptionistCULVER CITY, CAWhether you have experience or are eager to learn, we provide full training and a clear path for growth . We serve a diverse population and value compassion, integrity, and cultural awareness.
Claims Examiner - Workers Compensation eTeam Inc.Claims Examiner - Workers CompensationOntario, CARemote$50–$55 / hourPRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
Senior Major Loss Claims Manager Kemper CorpSenior Major Loss Claims ManagerCerritos, CA$99,000–$164,800 / yearWe believe a high-performing culture, valuable opportunities for personal development and professional challenge, and a healthy work-life balance can be highly motivating and productive. The Claims Manager will provide technical expertise, staff development and guidance on California claims handling practices/procedures and provide training as appropriate and necessary.
Claims Examiner - Workers Compensation MindlanceClaims Examiner - Workers CompensationOrange, CARemote$49–$50 / hourPRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
Professional Liability Claims Advisor (Remote) Sedgwick Claims Management Services, Inc.Professional Liability Claims Advisor (Remote)CARemote$100,000–$145,000 / yearYou bring experience handling complex Medical Malpractice and/or Professional Liability claims, excel at investigating claims, evaluating coverage, and driving strategic resolutions, and thrive in a client-focused environment where you can manage high-exposure files, collaborate with defense counsel, and mentor others while delivering exceptional results. 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.
Claims Resolution Specialist, Covered California CalOptimaClaims Resolution Specialist, Covered CaliforniaOrange, CA$53,813–$80,720 / yearWe are hoping you will join us as a Claims Resolution Specialist, Covered California and help shape the future of healthcare where you'll be an integral part of our Claims Administration team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet.
NewSenior Claims Specialist Macpower Digital Assets Edge Private LimitedSenior Claims SpecialistOrange, CA$110,000–$130,000 / yearJob Summary: Seeking a Senior Claims Specialist to manage a complex caseload of medical malpractice claims, supervise junior claims specialists, and contribute to ongoing training efforts. Key Responsibilities: Manage medical malpractice claims , including assigning and directing defense counsel, following Claims Technical Manual, Defense Attorney Guidelines, and MPT Agreement.
Claiming Analyst - Revenue Cycle Management Hathaway-SycamoresClaiming Analyst - Revenue Cycle ManagementLos Angeles, CA$23–$26 / hourUse internal communication to track admissions across all programs, in order to accurately create and open consumers financial profile in both EHRS and IBHIS.In collaboration with eligibility worker, research and resolve consumer eligibility issues. In collaboration with Claiming and Revenue Manager, claim, track and monitor invoice/EDI claims to other funding entities to ensure timely submission.
Mitigation Estimator Water Mold & Fire Restoration ServproMitigation Estimator Water Mold & Fire RestorationLake Forest, California$75,000–$105,000 / yearMitigation Estimator – Water, Mold & Fire Restoration Location: Orange County, CA Employment Type: Full-Time Industry: Property Restoration (Water, Mold, Fire) Position Overview We are seeking an experienced Mitigation Estimator to support our growing restoration operations. We’re seeking self-motivated, proactive, responsible, and service-oriented teammates to join us in our mission of helping customers in their greatest moments of need by repairing and restoring homes and businesses with an industry-leading level of service.
Auto Collision Estimator Auto Collision Group, Inc.Auto Collision EstimatorGardena, CAFull timeA Collision Estimator is responsible for accurately and efficiently appraising vehicle damages to determine the cost of repairs for the customer or insurance companies: · Writes complete estimates/supplements in accordance with company and insurance guidelines with an emphasis on repairing versus replacing parts. A typical work day for an estimate writer includes inspecting damaged vehicles, consulting guide books for repair costs and creating estimation documents.
Account Representative - State Farm Agent Team Member Uzma Afzal - State Farm AgentAccount Representative - State Farm Agent Team MemberHuntington Beach, CAFull timeWith the knowledge you'll gain of insurance products and industry trends, you'll engage with clients, understand their needs, and recommend tailored solutions that make a real impact. My personal journey—from overcoming significant challenges to building a successful business—fuels my passion for helping others reach their potential.
Customer Service Representative - State Farm Agent Team Member Javier Misiego - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberNewport Beach, CARemoteFull timeAs a Customer Service Representative - State Farm Agent Team Member with Javier Misiego - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
In-house Legal Counsel - Litigation LennarIn-house Legal Counsel - LitigationIrvine, CaliforniaLennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity and growth for our Associates throughout their career. We reasonably expect the base compensation offered for this position to range from an annual salary of $126,500.00 - $158,100, subject to adjustment based on business-related factors such as employee qualifications, geographic pay differentials (e.g., cost of labor/living, etc.), and operational considerations.
Legal Counsel - Litigation Lennar CorpLegal Counsel - LitigationIrvine, CA$126,500–$158,100 / yearLennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity and growth for our Associates throughout their career. General Overview of Compensation & Benefits: We reasonably expect the base compensation offered for this position to range from an annual salary of $126,500.00 - $158,100, subject to adjustment based on business-related factors such as employee qualifications, geographic pay differentials (e.g., cost of labor/living, etc.), and operational considerations.
Senior Litigation Specialist, SLU Tokio Marine America Insurance CompanySenior Litigation Specialist, SLUPasadena, CA$130,000–$140,000 / yearThe job requires you be client focused, and develop strong partnerships that include communications and interactions with insureds, brokers and other internal business unit contacts to ensure smooth claims settlement, negotiations and resolutions. We provide unique insurance and risk management tools from our experienced staff of account executives, underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team of claim professionals.
NewCustomer Service Coordinator Staffmark Group LlcCustomer Service CoordinatorCA$18.50–$20.50 / hourYou will communicate professionally across multiple channels while documenting interactions, supporting internal teams, and helping deliver a positive customer experience through accurate, responsive, and courteous service. As a Customer Service Coordinator you will assist customers by answering questions, resolving concerns, processing requests, maintaining accurate records, and providing timely follow-up.
Patient Account Representative Pyramid Consulting, IncPatient Account RepresentativePomona, CA$21–$24 / hourBy applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Excellent analytical skills with the ability to identify claim denials, payment variances, and reimbursement opportunities.
Staff Product Manager, Legal & Insurance Datavant LLCStaff Product Manager, Legal & InsuranceCA$192,000–$240,000 / yearThis is an individual contributor role who can operate at multiple altitudes: setting long-term vision, shaping product architecture, influencing executive investment decisions, and still diving deep into workflows, data, AI, operations, and customer pain. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
Client Service Representative Venbrook Group LLCClient Service RepresentativeIrvine, CARisk Specialties & Services: Advisory, risk management, insurance brokers, accident & health insurance, property & casualty insurance, employee benefits, surety & title insurance, wholesale insurance, specialty programs, reinsurance, independent field adjusting, catastrophe services, and third-party claims administration. This role resolves routine issues, escalates complex matters following defined guidelines, and supports a consistent member experience while reducing service interruptions for Client Management teams.