Workers' Compensation Defense Attorney JobotWorkers' Compensation Defense AttorneySan Francisco, CA$100,000–$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. 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.
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 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)San Jose, 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 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.
Insurance Contracts and Claims Manager County of Santa ClaraInsurance Contracts and Claims ManagerSan Jose, CA$138,469.76–$168,324 / yearManages Countys certificate of insurance monitoring program that provides services to County departments; Administers the Countys contract insurance requirements; Negotiates, manages, and administers the Countys liability and property claims; Establishes and maintains policies and procedures for liability and property insurance contracts and claims; Manages the property and casualty insurance renewal process; Maintains and is apprised of current insurance coverage(s) and available options; Designs, implements, and monitors new insurance-related functions, as needed; Maintains inventory of County real and physical properties and the associated values and insurance coverages; Maintains current and historical list of Countys liability and property insurance coverage; Plans, organizes, and supervises the work of professional and technical staff for the Liability/Property Claims Division; Manages the claims adjusting function through participating in investigation, review, adjustment, and settlement of claims, and may supervise the settlement of claims up to the amount authorized by the Board of Supervisors; Establishes adequate reserves for property and liability claims; Represents the County on property and liability issues, including small claims court appearances; Prepares correspondence and reports which include confidential information; Maintains relationships with County department heads, insurance companies, outside agencies, and the general public; Manages the technical support functions and the policies and procedures relating to the establishment of claims; Consults with and advises top administrator on activities relating to liability contracts and claims; May be assigned as a Disaster Service Worker, as required; Performs related duties, as required. Knowledge of: Principles and procedures of risk management, loss prevention, and claims adjusting; Principles of organization and administrative, fiscal, and program management; Principles of employee supervision, hiring, training, and development; Principles of risk avoidance and risk transfer; Governmental or other self-insured programs; Insurance administrative principles and procedures; Current trends in liability insurance market conditions, including types of coverage; Automated risk management, claims reporting, and office information systems and applications; Provisions of the Government Insurance Code and the California Insurance Code; Regulations and procedures involved in collecting subrogation.
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.
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.
Product SME – Property Claims AssuredProduct SME – Property 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.
NewClaims & Legal Manager - Residential Properties ARCADIA MANAGEMENT SERVICES COClaims & Legal Manager - Residential PropertiesSan Jose, CAIn this role, you'll be responsible for supporting the residential property portfolio by managing eviction processes, coordinating litigation and claims, and partnering with internal teams and external counsel to mitigate legal and operational risk. This role supports the residential property portfolio by managing eviction processes, coordinating litigation and claims, and partnering with internal teams and external counsel to mitigate legal and operational risk.
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.
Property & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLPProperty & Casualty Insurance Claims Operations Consultant, ManagerSan Francisco, CA$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.
Property & Casualty Insurance Claims Operations Consultant, Sr. Associate PricewaterhouseCoopers LLPProperty & Casualty Insurance Claims Operations Consultant, Sr. AssociateSilicon Valley, CA$77,000–$202,000 / 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. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members.
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!
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).
Sr. Software Product Manager, Insurance Claims Tesla IncSr. Software Product Manager, Insurance ClaimsFremont, CA$136,000–$264,000 / yearDevelop products that optimize coordination between claims handlers, collision repair facilities, appraisers, and customers throughout the repair process while also capturing claims data, fraud detection and loss trends. In this role, you will combine your claims industry knowledge with product management skills to build solutions that optimize the end-to-end claims lifecycle, reduce processing times, and improve customer outcomes.
Contracts and Legal Claims Specialist Washington HospitalContracts and Legal Claims SpecialistFremont, CaliforniaSubpoena intake and management for the healthcare system, ensuring timely and accurate response to subpoenas and related data requests and coordinating with legal counsel and internal departments and external vendor to manage the subpoena lifecycle Daily management of the health system's Public Record Request website and coordinate with the appropriate stake holders and legal counsel to ensure compliance with regulatory requirements for responding to requests. The Contracts and Legal Claims Specialist is also responsible for coordinating claims and legal matter in collaboration with Vice President, outside legal counsel, insurance carriers and internal stakeholders.
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.
Sr. Manager, EPL Claims - Financial Lines Starr InsuranceSr. Manager, EPL Claims - Financial LinesSan Francisco, CaliforniaThe 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. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets: experience and training: licensure and certifications: and other business and organizational needs.
Property Claims Representative - Regional Insurance Carrier - Base Salary to 110k/year - San Jose, CA Allsearch RecruitingProperty Claims Representative - Regional Insurance Carrier - Base Salary to 110k/year - San Jose, CASan Jose, CA$71,000–$110,000 / yearInvestigate property claims involving commercial & residential buildings, collapse, structural damage, earth movement, and total building losses. The Property Claims Representative will be responsible for technical claim-handling, including investigation, evaluation, and negotiations pertaining to Property, Collapse, Earth Movement and Total loss of buildings.
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.
Software Engineer, Frontend, Customer Support & Claims Tesla IncSoftware Engineer, Frontend, Customer Support & ClaimsFremont, CA$140,000–$210,000 / yearProficiency in Typescript, JavaScript, ES6, HTML, CSS, and Angular framework, Strong understanding of component-based development, familiarity with Angular, Vue.js, ReactJS, or any other equivalent library, framework2-3 years of experience building applications with Angular, Typescript, HTML, CSS, Proficiency with software engineering best practices, including writing production quality code, agile development, version control, Degree in Computer Science or related, or equivalent experience, Experience with NodeJS is a plus. Build and maintain multiple tools in Angular, Typescript, JavaScript, Learn complex systems pertaining to claims, be responsible for deployment stability and usability of applications, Work with agile requirements, Collaborate with backend developers, testers, end users, Demonstrate ability to communicate and collaborate effectively at all levels in the organization and across multiple disciplines, Alignment with Teslas mission of accelerating the worlds transition to sustainable energy.
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.
Contracts and Legal Claims Specialist Washington Hospital Healthcare SystemContracts and Legal Claims SpecialistFremont, CA$50.42–$68.08 / hourSubpoena intake and management for the healthcare system, ensuring timely and accurate response to subpoenas and related data requests and coordinating with legal counsel and internal departments and external vendor to manage the subpoena lifecycle Daily management of the health system's Public Record Request website and coordinate with the appropriate stake holders and legal counsel to ensure compliance with regulatory requirements for responding to requests. The Contracts and Legal Claims Specialist is also responsible for coordinating claims and legal matter in collaboration with Vice President, outside legal counsel, insurance carriers and internal stakeholders.
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.
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.
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.
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.).
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!
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.
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.
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.
Claims Specialist (Contribution) ICW GroupClaims Specialist (Contribution)Pleasanton, CA$78,678.61–$132,686.15 / 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. Bachelor's degree (or equivalent combination of education and experience) required along with a minimum of 8 - 10+ years' related claims handling experience involving complex litigation, reserving, settlement strategy, and high exposure claims.
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.
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.
Epic Certified Hospital Billing Claims Analyst 5944595 Accenture PlcEpic Certified Hospital Billing Claims Analyst 5944595Mountain View, 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.
Senior Complex Claims Manager Airbnb IncSenior Complex Claims ManagerCARemote$125,000–$145,000 / yearIn partnership with key stakeholders in the organization, you'll support our Complex Claims Leader and contribute to Airbnb's multiple year strategy (vision, risk appetite, operating model, goals, KPIs), manage partners to influence prioritization, drive accountability, deliver improvements, and scale changes on claims which impact Airbnb. Philosophy will be to identify intelligence / risk gaps and work with other internal risk management teams (such as Trust team, and Safety team), third party adjusters, our partners, Platform Product Management, Global Crisis Management, Community support, Policy, Privacy Legal teams to strengthen Airbnb's platform.
Operations Manager, High Dollar Claims CommureOperations Manager, High Dollar ClaimsMountain View, CaliforniaOur platform spans the full care journey: Ambient AI and Dictation eliminating documentation burden at the point of care, intelligent Agents automating patient and revenue workflows, and autonomous RCM processing billions in claims, all on a single AI-native platform integrated with 60+ EHRs. As an Operations Manager at Commure, you will play a pivotal role in our Operations team focusing on Revenue-Cycle Management, by working across the whole organization (Product, Eng, Operations, Sales, Account Management) to define critical business processes.
Oracle Healthcare Business Consultant (Python / Claims) Pyramid Consulting, IncOracle Healthcare Business Consultant (Python / Claims)Foster City, CARemote$55–$60 / 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. Develop scalable datasets, data models, and reporting structures supporting healthcare operations and claims analysis .
Customer Service Claims Processor Zenith American SolutionsCustomer Service Claims ProcessorSan Francisco, CAFull timeThe Customer Service Claims Processor is focused on providing customer service via call handling to participants, beneficiaries, union locals and providers regarding eligibility, benefits and claims status in conjunction with claims processing as business needs dictate. We are currently looking for a dedicated, energetic employee with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day.
Supervisor, Claims Zenith American SolutionsSupervisor, ClaimsSan Francisco, CAFull timeZenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide. We are currently looking for a dedicated, energetic employee with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day.
Victim Claims Specialist I San Joaquin CountyVictim Claims Specialist ISan Jose, CAMobility-Frequent keyboard operation, sitting; occasional pushing, pulling, bending, squatting; Lifting-Frequent lifting up to 5 pounds; Vision-Constant reading and close-up work requiring good overall vision; frequent eye/hand coordination; occasional color/depth perception and peripheral vision; Dexterity-Frequent holding, gripping, writing and repetitive motion; occasional reaching; Hearing/Talking-Constant hearing normal speech, hearing/talking in person and on the telephone; occasional hearing faint sounds; Emotional/Special Conditions-Frequent public contact, decision making, and concentration; frequent exposure to trauma, grief and death; occasional working overtime. Learns to review and process a variety of claims submitted by victims including medical bills, mental health bills, funeral/burial bills, wage loss requests and other expenses; learns to research information as required to establish a link to the qualifying crime and to verify losses claimed by the victim; learns to calculate losses to victims and determine reimbursements considering all other sources of compensation available; learns to recommend approval or denial of reimbursement and level of services; notifies victims of claim determinations.
Epic PB Claims Computer Task Group, IncEpic PB ClaimsSan Mateo, CA$75–$85 / hourCTG is seeking a certified Epic Professional Billing (PB) Claims Build Analyst with 3+ years of hands-on build experience to support the design, configuration, and optimization of Epic billing and claims workflows. This role will work closely with revenue cycle stakeholders, operational leadership, and cross-functional IT teams to ensure accurate, compliant, and efficient claims processing.
Claims Processor 1 Zenith American SolutionsClaims Processor 1San Francisco, CaliforniaWe are currently looking for a dedicated, energetic employee with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide.
Claims Processor 3 Zenith American SolutionsClaims Processor 3San Francisco, CaliforniaWe are currently looking for a dedicated, energetic employee with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day. High school diploma or general education degree (GED); two years related experience processing all types of group health and/or dental benefit claims.
Claims Processor 2 Zenith American SolutionsClaims Processor 2San Francisco, CaliforniaZenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide. We are currently looking for a dedicated, energetic employee with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day.