Claims Auditor Health Source MSOClaims AuditorAlhambra, CAFull timeResponsibilities include, but not limited to: Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including:Contractual agreement rates. Job Description: Claims Auditor will be responsible for auditing claims processed by Claims Examiners.
NewClaim Specialist - Property Field Inspection State Farm Mutual Automobile Insurance CompanyClaim Specialist - Property Field InspectionSanta Monica, CA$64,965.62–$111,595 / yearAdditional Details: Employees must successfully complete all required training, including applicable licensing exam(s), Motor Vehicle Record (MVR) checks, and background checks required of various state(s). With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
NewRisk Manager MV TransportationRisk ManagerEl Monte, CA$97,000–$114,000This role is exclusively assigned to the potential contract and plays a crucial role in mitigating risk exposure, supporting safe operations, and driving continuous improvement in loss prevention efforts. The Risk Manager will serve as the primary point of contact for all Agency-related risk management matters and must be available and responsive at all times via mobile phone, email, or text message.
Casualty Claims Quality Assurance Consultant EMC Insurance Group Inc.Casualty Claims Quality Assurance ConsultantCA$85,799–$118,545 / yearYou'll partner closely with Casualty, Complex, and Specialty teams to review claim files, evaluate performance against best practices and KPIs, and identify opportunities to improve outcomes. Through targeted audits and broader claims reviews, you'll uncover trends, provide actionable insights, and help drive accountability and continuous improvement.
Claims Examiner I HCC Service CompanyClaims Examiner IEncino, CaliforniaTokio Marine HCC (TMHCC) brings 50 years of service to the specialty insurance industry, today offering over 100 products to commercial customers in 180 countries around the world. Our Good Company values, including integrity, empowerment, and commitment to customer service, and a culture of innovation, communication, and collaboration make TMHCC a great place to work.
Sr. Manager - Claims Delegation Audit Astrana Health IncSr. Manager - Claims Delegation AuditMonterey Park, CAThis role will be responsible for the development and execution of department strategies, overall Audit program, Audit process optimization, and management, identifying and leveraging technology and data to improve the quality and minimizing process cost of Claims. The position alongside the leadership team will contribute to driving strategic planning, operational excellence, and accuracy of the claims process and ensure compliance with regulations and contract requirements for Medicare, Commercial Exchange, and Medicaid service lines.
Claims Counsel, Financial Lines & Cyber MSIG HoldingsClaims Counsel, Financial Lines & CyberLos Angeles, CaliforniaThe Claims Attorney will be responsible for handling complex matters, including high severity claims and class actions, from inception through resolution for Financial Lines and Cyber products with an emphasis on Directors & Officers (D&O), Financial Institutions Professional Liability (E&O), Pension Trust (Fiduciary), Employment Practices Liability, and Fidelity policies. You will work closely with internal and external customers and stakeholders, deliver excellent customer service, analyze coverage, draft coverage letters, evaluate liability, make claim presentations, set judgmental reserves, and formulate and execute resolution strategies.
NewFreight Claims Specialist Oldcastle BuildingEnvelopeFreight Claims SpecialistLos Angeles, CaliforniaFrom apartments in New York to hospitals and stadiums in Dallas, libraries at prestigious universities to creating modern retail experiences, our teams contribute architectural glass and building products to projects that shape the way people live, work, heal, learn, and play. The Freight Claims Specialist is focused on managing and recovering freight claims related to lost or damaged shipments across parcel and LTL carriers and reports to the Logistics Manager .
Senior Commercial Auto Claims Adjuster Hankey Group ExternalSenior Commercial Auto Claims AdjusterLos Angeles, CaliforniaThe exact starting compensation to be offered will be determined at the time of selecting an applicant for hire and will be dependent on a wide range of factors, including but not limited to geographic location, skill set, experience, education, credentials, and licensure when applicable. The ideal candidate has strong analytical skills, sound judgment, and the ability to manage claims with efficiency, accuracy, and professionalism.
Personal Auto Property Damage (PD) Claims Adjuster Hankey Group ExternalPersonal Auto Property Damage (PD) Claims AdjusterLos Angeles, CaliforniaThe exact starting compensation to be offered will be determined at the time of selecting an applicant for hire and will be dependent on a wide range of factors, including but not limited to geographic location, skill set, experience, education, credentials, and licensure when applicable. Following successful completion of training and demonstrated performance, employees may be eligible for up to one work-from-home day per week, subject to business needs and manager approval.
Fractional Customer Service (Claims) Manager Silva-Lining HRFractional Customer Service (Claims) Managerlos Angeles, CARemoteSilva-Lining HR is seeking a Fractional Customer Service (Claims) Manager for a client to oversee and optimize the end-to-end claims process, ensuring timely resolution, operational efficiency, and exceptional customer experience. Lead project management efforts for claims resolution, including task delegation and coordination with internal team members, vendor partners, shipping providers, and repair services.
Field Property Claims Adjuster: Los Angeles, CA (Gateway Cities / Central LA) Farmers Group, Inc.Field Property Claims Adjuster: Los Angeles, CA (Gateway Cities / Central LA)Los Angeles, CARemote$24.70–$41.88 / hourExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. A Day in the Life of a Field Property Claims Adjuster: Conduct both virtual and on-site investigations by visiting policyholders' residences to assess propertydamage, determine liability, evaluate the extent of loss, and negotiate fair settlements.
NewSenior Manager, Claims Adjustments Mitchell MartinSenior Manager, Claims AdjustmentsLos Angeles, CA$117,509–$152,762 / yearBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. • This role involves managing complex workflows, ensuring compliance, and leading a team to drive performance.
NewDirector, Claims Administration Mitchell MartinDirector, Claims AdministrationLos Angeles, CA$135,136–$175,676 / yearBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. • The position involves leading a team, ensuring compliance with regulations, and utilizing general office software for reporting and data analysis.
NewManager, Claims Compliance Mitchell MartinManager, Claims ComplianceLos Angeles, CA$117,509–$152,762 / yearBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. • This role involves regulatory interpretation, compliance monitoring, and the development of operational training.
Multi-Line Claims Adjuster - California / Los Angeles Area Property Claim ProfessionalsMulti-Line Claims Adjuster - California / Los Angeles AreaLos Angeles, CAWe excel in providing professional, knowledgeable claims professionals to handle large losses, catastrophe claims, business interruption and daily property claims, as well as handle complete liability investigations, task assignments including scene investigations and property damage appraisals, construction defect claims as well as first party automobile claims for personal and commercial insurance policyholders. Experience in industry specific areas a plus, but not necessary: fire departments, agricultural, lumber mills, high value or historic buildings or Construction Defects, Automobile Liability, Subrogation Recovery investigations.
Manager, Configuration - Claims Adjudication/Custom Solutions - Remote Molina Healthcare IncManager, Configuration - Claims Adjudication/Custom Solutions - RemoteCARemoteLeads and manages team responsible for configuration activities including accurate and timely implementation and maintenance of critical information on claims databases, validation of data stored on databases, and adherence to health plan business and system requirements as it pertains to contracting, benefits, prior authorizations, fee schedules and other business requirements. Represents as primary liaison with various functional areas/stakeholders (i.e. utilization management, claims, configuration, provider network, health plan leadership, etc.) to seek understanding of workflows and obtain required documentation for applicable audits.
Senior Claims Specialist, Workers Compensation Tokio Marine GroupSenior Claims Specialist, Workers CompensationPasadena, CaliforniaWe 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. Tokio Marine has been conducting business in the U.S. market for over a century and we are licensed in all states, Puerto Rico and the District of Columbia, and write all major lines of Commercial Property and Casualty Insurance.
Senior Claims Assistant BP&CSenior Claims AssistantLos Angeles, CaliforniaUnder limited supervision, provide complex clerical support utilizing in-depth procedures on assignments of higher-level complexity to a nationwide team of claims adjusters and aide in facilitating timely and accurate management of claims by entering stop/cancel/release of checks, processing cash receipts, work check exceptions, and completion of complex state forms. This role is responsible for providing robust clerical support to our team of Claims Adjusters working across a wide variety of specialties and providing exceptional customer service to our brokers, claimants, and insureds.
Claims Consultant - Physicians & Surgeons (West Region) The Medical Protective CompanyClaims Consultant - Physicians & Surgeons (West Region)CAService to insureds, assist where possible in sales and retention efforts of sales force. Confirm coverage and then manage claims and suits brought against policyholders in our Dental Division.
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.
Claims Enablement Analyst EMC Insurance Group Inc.Claims Enablement AnalystCA$66,294–$91,570 / yearAs a Claims Enablement Analyst, you'll support Claims teams by resolving complex system and process issues, identifying root causes, and delivering timely solutions that improve daily operations. You'll collaborate with the Help Desk, IT, and business partners to enhance workflows, contribute to system improvements, and support testing and training efforts.
Associate Bond Claims Examiner HCC Service CompanyAssociate Bond Claims ExaminerLos Angeles, CaliforniaTokio Marine HCC – Surety Group, a member of the Tokio Marine Group of Companies, has an exciting opportunity for an Associate Claims Examiner position on-site at our office in Los Angeles, California. We are looking for motivated individuals to join our team of highly skilled claims examiners who are part of a successful division that specializes in surety bond business.
Claims Associate - Workers Comp. AvenicaClaims Associate - Workers Comp.Chatsworth, CAResponsibilities are consistent across both the Workers’ Compensation and Auto & General Liability claims desks and include: Receive claim assignments and review claim and policy information to provide background for investigation; determine extent of policy obligation as applicable. Our customer is a financially stable, nationally recognized employer of choice with offices in major U.S. cities and a strong track record of growing early-career talent into successful claims professionals.
NewVP, Claims Technical Lead, Workers Comp Sompo International Holdings LimitedVP, Claims Technical Lead, Workers CompLos Angeles, CA$170,000–$225,000 / yearThe successful candidate will supervise the internal Sompo TPA oversight claims team, manage TPAs who handle claims on Sompo's behalf, and work closely with internal and external business partners. Below is a summary of our current comprehensive U.S. benefit programs: Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution.
Claims Client Service Executive Sales The Hartford Insurance Group IncClaims Client Service Executive SalesLos Angeles, CA$108,000–$162,000 / yearWe look to the Client Service Executive, Sales to support the end-to-end service mission while delivering engaging customer presentations that demonstrate professional diplomacy, articulated messaging and a friendly confidence that drives positive outcomes for our customers. Responsibilities: As the integral member of the Client Service Team, supports the overall service mission by delivering customer presentations that demonstrate professional diplomacy, articulated messaging and confidence that drives positive outcomes for our customers.
NewClaims Representative Mercury Insurance CompanyClaims RepresentativeCA$32,363–$56,701 / yearThe Claims Representative will handle a high volume of calls and make regular contact with customers on multiple platforms, collaborating cohesively with other team members to achieve department goals. Sets reserves for anticipated losses, arranges vehicle inspections and rental authorizations, and makes referrals to specialty teams as warranted.
NewClaims Representative Mercury Insurance Services, LLCClaims RepresentativeCalifornia$32,363–$56,701 / yearThe Claims Representative will handle a high volume of calls and make regular contact with customers on multiple platforms, collaborating cohesively with other team members to achieve department goals. • Sets reserves for anticipated losses, arranges vehicle inspections and rental authorizations, and makes referrals to specialty teams as warranted.
Commercial Rideshare Injury Claims Adjuster - Weekend Farmers Group, Inc.Commercial Rideshare Injury Claims Adjuster - WeekendLos Angeles, CARemote$70,304–$110,000 / yearThis position uses in-depth expertise to manage claim scenarios such as multi-vehicle auto losses with comparative negligence and bodily injury losses pertaining to soft tissue injury, fracture, dislocation, ligament injury, herniated disc and nerve injuries. Provides professional verbal and written communication to customers including claim status updates, coverage explanations and decisions, and correspondence, including Reservation of Rights and Disclaimer letters, within prescribed authority limits.
Specialty Casualty Claims Director EMC Insurance Group Inc.Specialty Casualty Claims DirectorCA$130,955–$188,175 / yearYou'll partner cross-functionally to address claim trends and escalations, and play a key role in overseeing litigated matters by shaping strategy, evaluating counsel, and driving effective, cost-conscious outcomes. Through leadership, communication, and financial oversight, you'll enhance team performance, strengthen claim results, and deliver a consistent, high-quality experience for stakeholders.
Casualty Claims Consultant EMC Insurance Group Inc.Casualty Claims ConsultantCA$112,276–$161,326 / yearYou'll partner with claims teams and leadership to shape strategy, provide direction on high-impact cases, and ensure consistent, best-in-class claim handling. Your work will directly influence claim results, customer experience, and overall business performance, making you a critical player in both daily operations and long-term success.
Personal Auto Bodily Injury (BI) Claims Adjuster Hankey Group ExternalPersonal Auto Bodily Injury (BI) Claims AdjusterLos Angeles, CaliforniaThe exact starting compensation to be offered will be determined at the time of selecting an applicant for hire and will be dependent on a wide range of factors, including but not limited to geographic location, skill set, experience, education, credentials, and licensure when applicable. Following successful completion of training and demonstrated performance, employees may be eligible for up to one work-from-home day per week, subject to business needs and manager approval.
Claims Development Specialist Xifin IncClaims Development SpecialistWestlake Village, CA$20–$24 / hourThe Claims Development Specialist is responsible for specific geographic locations, ensuring accurate conversion of files, demographic posting, charge posting and clean up, and review of all outstanding data is completed daily. Our innovative technologies help diagnostic providers, laboratories, and healthcare systems manage complexity, drive better outcomes, and stay focused on what matters most: patient care.
Claims Analyst/Paralegal Clyde & CoClaims Analyst/ParalegalLos Angeles, CaliforniaOur hiring practice group represents international and domestic insurers in complex insurance coverage and insurance coverage litigation matters in a broad range of liability and first party policies, including energy and construction insurance, concert and event cancellation insurance, as well as disability insurance for athletes and high net worth individuals. The 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.
Claims Auditor Cohere Health Technologies LLCClaims AuditorCARemote$72,000–$82,000 / yearBacked by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes. By unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.
Hospital Claims Examiner MedPOINT ManagementHospital Claims ExaminerSherman Oaks, CARemoteAdhere to MedPOINT Management’s core values: Accountability, Community, Celebration, Integrity, Innovation & Collaboration. Researches, reviews and contacts provider services for problem claims and issues, as needed.
Hospital Claims Auditor MedPOINT ManagementHospital Claims AuditorSherman Oaks, CARemoteSummary: A Hospital Claims Auditor is responsible for the overall quality of claims processes as well as compliance, in accordance with outside regulations and the contractual obligations of the Health Plans and/or Hospital Clients. Knowledge, Skills and Abilities Required: · Strong organizational, analytical and oral/ written communication (English) skills required.
Claims Examiner MedPOINT ManagementClaims ExaminerSherman Oaks, CARemoteAdhere to MedPOINT Management’s core value: Accountability, Community, Celebration, Integrity, Innovation & Collaboration. Researches, reviews and contacts provider services for problem claims and issues, as needed.
EDI Claims Specialist MedPOINT ManagementEDI Claims SpecialistSherman Oaks, CARemoteJoin MedPOINT Management as an EDI Claims Specialist and play a crucial role in ensuring accurate and timely processing of electronic claims. MedPOINT Management has been a leader in healthcare management solutions for over a decade, committed to improving the efficiency and effectiveness of our partners.
Claims Director(WC & TPA Oversight) CNA Financial CorpClaims Director(WC & TPA Oversight)Los Angeles, CA$97,000–$189,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Leads the work activities of claims professionals and/or claims managers and has full management responsibility for setting and communicating expectations, providing direction and coaching, facilitating ongoing training and development, managing employee performance and contributing to employee engagement. This director-level role operates under general direction with broad authority to lead the oversight of complex, high-exposure commercial Workers' Compensation claims managed by Third-Party Administrators (TPAs), while also managing and developing a team of claim professionals.
AVP, US Healthcare Claims Sompo International Holdings LimitedAVP, US Healthcare ClaimsLos Angeles, CA$145,000–$195,000 / yearThe successful candidate will be able to provide insight and analysis on US Healthcare claims across various product lines, including primary medical liability, excess and surplus lines, and allied healthcare. Below is a summary of our current comprehensive U.S. benefit programs: Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution.
Executive Claims Examiner Markel Group IncExecutive Claims ExaminerWoodland Hills, CA$97,520–$134,090 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues.
Specialist, Claims & Export Documentation Sunkist Growers IncSpecialist, Claims & Export DocumentationValencia, CAVerify and maintain accurate pricing, including: validating invoice pricing against the weekly Export Sales scale, coordinating with Sales Operations (SOS) to ensure correct FOB and CNF values in Prophet, and requesting corrections when discrepancies are identified. At Sunkist, we believe that our strength and longevity is a result of the hard work and dedication from our employee's contribution Behind our history of innovation and commitment to market leadership is a company devoted to providing continued education, excellent benefits and good working conditions.
Casualty Claims Associate HDI Global Insurance CompanyCasualty Claims AssociateGlendale, CA$70,000–$75,000 / yearKey Responsibilities: Overseeing the day-to-day administrative operations of an office, ensuring smooth functionality by managing tasks like scheduling meetings, managing office supplies, greeting visitors, handling correspondence, and maintaining office systems, all while prioritizing efficiency and organization within the workplace. This direction helps HDI Global lead the profitable growth game as a globally connected business, raise the bar every day through stronger underwriting, claims, and investment performance, and win tomorrow by starting today with a lean, fast, resilient, and future-ready organisation.
Field Claims Specialist - CA Workers'''' Compensation Great American Insurance CompanyField Claims Specialist - CA Workers'''' CompensationCA$115,000–$125,000 / yearWe take an extremely aggressive and pro-active approach in claims adjusting and are looking for the person who not only knows their territorys comp laws but also enjoys the role of putting that experience to good use. Based in Cincinnati, Ohio, the operations of Great American Insurance Group are engaged primarily in property and casualty insurance focusing on specialty commercial products for businesses.
Senior Claims Specialist - CA Workers'''' Compensation Great American Insurance CompanySenior Claims Specialist - CA Workers'''' CompensationCA$110,000–$120,000 / yearAlthough we typically require 10+ years of experience, we will consider exceptional candidates with 7+ years of proven success in California workers' compensation claims adjusting experience with higher exposure claims. We take an extremely aggressive and proactive approach to claims adjusting and are looking for the person who not only knows their territory's comp laws but also enjoys the role of putting that experience to good use.
Senior Claims Specialist, Cyber Markel Group IncSenior Claims Specialist, CyberCAThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. • Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues.
Field Claims Specialist, Remote - Southern CA Workers'''' Compensation Great American Insurance CompanyField Claims Specialist, Remote - Southern CA Workers'''' CompensationCARemote$115,000–$125,000 / yearWe take an extremely aggressive and pro-active approach in claims adjusting and are looking for the person who not only knows their territory's comp laws but also enjoys the role of putting that experience to good use. Based in Cincinnati, Ohio, the operations of Great American Insurance Group are engaged primarily in property and casualty insurance focusing on specialty commercial products for businesses.
Claims Auditor, Managed Care (remote) Cedars-Sinai Medical CenterClaims Auditor, Managed Care (remote)Los Angeles, CARemoteThe Cedars-Sinai Medical Network is committed to helping primary care and specialist physicians provide excellent care to all their patients, who benefit from convenient access to primary and specialty care physicians and seamless coordination of care between them. Provides process improvement suggestions to Management Monitors appeals from providers, members and health plans to make sure they are processed accurately and in timely manner.
Construction Claims Consultant Aon PlcConstruction Claims ConsultantLos Angeles, CA$120,000–$185,000 / yearVarious other types of leaves of absence; paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, health savings account, health care and dependent care reimbursement accounts, employee and dependent life insurance and supplemental life and AD&D insurance; optional personal insurance policies, adoption assistance, tuition assistance, commuter benefits, and an employee assistance program that includes free counseling sessions. You'll spend significant time interacting with clients-addressing questions, providing updates, offering strategic guidance, and collaborating with your workers compensation advocate counterpart to get a full view of each client's claims profile.