Independent Insurance Claims Adjuster in Carson, California MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Carson, CaliforniaCarson, CaliforniaHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Assistant Claims Adjuster - Workers' Compensation GpacAssistant Claims Adjuster - Workers' CompensationHuntington Beach, CA50000–75000Instead, the Assistant Claims Adjuster serves as a liaison between the insured, insurance carriers, and claims adjusters to ensure clear communication, timely follow-up, and exceptional client service throughout the life of each claim. We are seeking a detail-oriented and customer-focused Assistant Claims Adjuster to support the management of Workers' Compensation claims for a select group of commercial clients.
Independent Insurance Claims Adjuster in Walnut, California MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Walnut, CaliforniaWalnut, CaliforniaHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in San Pedro, California MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in San Pedro, CaliforniaSan Pedro, CaliforniaHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Claims Specialist, Workers Compensation - West Region Liberty Mutual Holding Company IncClaims Specialist, Workers Compensation - West RegionGlendale, CARemoteResponsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages. As a Workers Compensation Claims Specialist, you will work within a Claims Team, using the latest technology to review, analyze, and process claims that are routinely characterized as moderately complex to complex within assigned authority limits.
Independent Insurance Claims Adjuster in Palos Verdes Peninsula, California MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Palos Verdes Peninsula, CaliforniaPalos Verdes Peninsula, CaliforniaHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Subrogation Attorney (Hybrid) Intact InsuranceSubrogation Attorney (Hybrid)Anaheim, CA$159,000–$186,000 / yearWorks with Lead Attorney on all aspects of pre-suit and litigated files including retaining experts, sending pre-suit notice letters, coordinating joint inspections and exams, initiating litigation and conducting all phases of litigation through trial. Some of the Subrogation Attorney responsibilities include but are not limited to: Handles a consistent workload of subrogation files representing Intact's subrogation interests in property, maritime, financial and cyber matters.
Sr. Fraud Investigation Associate Hyundai Capital America, Inc.Sr. Fraud Investigation AssociateIrvine, CAFraud Investigation Associate is responsible for working closely with management as well as Operations (Servicing, Collections, Credit/ Funding), Legal, law enforcement and our dealers to coordinate research and investigate fraudulent or suspicious activities related to Fraud, irregular dealer activity and other auto finance irregularities or potential misrepresentations. In addition, this position investigates, gathers and analyzes facts, and supports culpability determination, including drafting dealer buyback demands, requesting proper approvals, and maintaining required follow-up activities through receipt of payments.
CCSB Eligibility Specialist I Western GrowersCCSB Eligibility Specialist ICA$35,288.33–$45,874.31 / yearKnowledge of generally accepted health care eligibility and billing procedures as well as Health Insurance Portability and Accountability Act (HIPAA), Consolidated Omnibus Budget Reconciliation Act (COBRA), California Continuation Benefits Replacement Act (Cal-COBRA) and Employee Retirement Income Security Act (ERISA) legislation. Assist in reviewing and processing all manual and/or Electronic Data Interchange (EDI) enrollment transactions (adds, changes, terminations) in the system of record as received from the client or internal sources in accordance with Participation Agreements, Employer Policy Statement, Eligibility Guidelines and/or Summary Plan Descriptions.
Call Center Representative I (California Only) Western GrowersCall Center Representative I (California Only)Irvine, CARemote$38,625.60–$50,874.31 / yearAt Pinnacle Claims Management, we are an innovative third-party administrator (TPA) that provides a full-suite of comprehensive and customized health benefits administration services for self-funded companies, including health management and wellness solutions, and pharmacy benefit management. The Call Center Representative I will play a crucial role in assisting clients over the phone and electronically, making a real difference in their experience with the Health Benefits Exchange (HBEX).
Senior AI Automation Engineer Alignment Healthcare IncSenior AI Automation EngineerCA$172,364–$258,547 / yearAI/ML Engineering: Expert-level Python proficiency with deep command of ML frameworks including PyTorch, TensorFlow, scikit-learn, and Hugging Face Transformers; advanced experience designing LLM-based systems including RAG pipelines, vector databases, and multi-agent orchestration frameworks (LangChain, LangGraph, AutoGen, CrewAI). Cloud AI Platforms & MLOps: Expert-level experience with AWS SageMaker, Azure AI / Document Intelligence, Google Cloud Vertex AI, or Databricks; mastery of containerization (Docker, Kubernetes), CI/CD pipelines, and MLOps tooling (MLflow, Kubeflow, or equivalent) at an architecture and governance level.
VP, Internal Audit Alignment HealthcareVP, Internal AuditOrange, California$227,952–$341,928 / yearThis leader works in close partnership with the Audit Committee, CFO, CAO, executive leadership, legal, compliance, finance, and business unit leaders to strengthen the overall control environment and position internal audit as a trusted advisor—not merely a compliance function. This leader works in close partnership with the Audit Committee, CFO,CAO,executive leadership, legal, compliance, finance, and business unit leaders to strengthen the overall control environment and position internal audit as a trusted advisor—not merely a compliance function.
New["VP, Internal Audit","VP, Internal Audit"] Alignment Healthcare["VP, Internal Audit","VP, Internal Audit"]Orange$227,952–$341,928 / yearThis leader works in close partnership with the Audit Committee, CFO, CAO, executive leadership, legal, compliance, finance, and business unit leaders to strengthen the overall control environment and position internal audit as a trusted advisor-not merely a compliance function. Audit Committee & Executive Communication (Advanced) : Exceptional written and verbal communication skills; ability to translate complex audit findings into concise, strategic narratives for Board-level and C-suite audiences while maintaining full independence from management decision-making.
NewAppeals Rep Humana IncAppeals RepCARemote$48,300–$65,900 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
E-Commerce Customer Support Specialist (HYBRID) InBodyE-Commerce Customer Support Specialist (HYBRID)Cerritos, CAFull timeYou will be responsible for managing customer inquiries, resolving complex issues, supporting technical troubleshooting, coordinating returns and warranty claims, and maintaining proactive customer engagement. From class-leading body composition analyzers to user-friendly automated blood pressure monitors, our goal is to equip health and wellness professionals with the tools they need to help clients and communities improve their well-being.
E-Commerce Sales Operations Specialist (HYBRID) InBodyE-Commerce Sales Operations Specialist (HYBRID)Cerritos, CAFull timeFrom class-leading body composition analyzers to user-friendly automated blood pressure monitors, our goal is to equip health and wellness professionals with the tools they need to help clients and communities improve their well-being. Analyze marketplace data, including conversion rates, fee fluctuations, and competitor pricing, to identify trends and support strategic decision-making.
Compliance Specialist - Medical Billing Advantage Healthcare ServicesCompliance Specialist - Medical BillingHuntington Beach, CAThis role serves as a key operational partner to Compliance, Pharmacy Operations, Revenue Cycle, and Credentialing teams to support licensing activities, billing compliance, audit readiness, reimbursement requirements, and ongoing regulatory compliance. The ideal candidate combines strong administrative discipline with knowledge of pharmacy operations, licensing regulations, healthcare reimbursement, medical billing, pharmacy claims processing, and regulatory documentation.
P&C Insurance (Personal & Commercial) Transformation Manager Accenture PlcP&C Insurance (Personal & Commercial) Transformation ManagerCulver City, CAAs a Transformation Manager / Senior Manager, you'll lead cross functional teams to redesign operating models, digitize workflows, and scale AI enabled capabilities that support profitable growth, reduce loss and LAE, compress cycle times, and elevate the policyholder/claimant experience. Partner with engineering/data teams design and implement end-to-end agentic workflows (e.g., doc ingestion policy/coverage retrieval summarization suggested adjudication actions) with appropriate human in the loop controls.
Provider Network Specialist Independent Living Systems LLCProvider Network SpecialistGlendale, CABuilds and maintains positive, professional relationships with contracted and subcontracted providers by supporting provider engagement initiatives, serving as a trusted liaison, addressing provider concerns, and promoting provider satisfaction through responsive and collaborative service. Collaborates effectively with Operations, Clinical, Quality, Compliance, Credentialing, Care Management, Claims, Provider Network, and other cross-functional teams to support organizational objectives, provider success, and high-quality member care.
Supervisor Compliance and Liaison Specialist U.S. Department of Veterans AffairsSupervisor Compliance and Liaison SpecialistLos Angeles, CA$90,925–$159,575 / yearMINIMUM QUALIFICATION REQUIREMENT: You may qualify based on your experience as described below: Specialized Experience: To qualify for the GS-12 level, you need to have at least one year of full-time experience equivalent to the GS-11 level defined as direct specialized experience with Veterans Educational Benefits and experience working educational institution program approval applications and compliance survey activities, ability to set priorities and tasks, and resolve conflicting issues or actions in question. The Supervisor Compliance and Liaison Specialist serves as a manager in the Approvals, Management & Oversight team (AC&L) of the Program Oversight & Accountability Division and serves in an assigned jurisdiction(s) across the United States and is responsible for providing first level supervision and leadership of teams comprised of grades ranging from GS-09 to GS-11 within an assigned portfolio in support of Education Services mission.