Workers' Compensation Claims Specialist - Republic Indemnity Republic Indemnity Company of AmericaWorkers' Compensation Claims Specialist - Republic IndemnityWoodland Hills, CaliforniaScope of Job: Works within broad limits on highly complex assignments requiring specialized knowledge in breadth and/or depth within area of expertise. For over 50 years, Republic Indemnity has been a trusted partner for businesses across the western U.S., helping them effectively manage their workers' compensation costs.
EPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full Time SolutionHealthEPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full TimeCAEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
Principal Claims Consultant Work location Any Arcadis offices in West Coast Arcadis NVPrincipal Claims Consultant Work location Any Arcadis offices in West CoastCA$130,000–$220,000 / yearIn this highly visible role, you'll leverage your industry network, market knowledge, and strategic business development expertise to identify opportunities, build client relationships, and expand our presence across transportation, infrastructure, water, energy, and buildings markets. Arcadis is seeking a Business Development Manager - Claims to lead the growth of our Claims, Disputes, and Change Management practice across the Western United States.
Claims Examiner - Workers Compensation ICONMA, LLCClaims Examiner - Workers CompensationLong Beach, CA$45–$50 / hourSubject 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. Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
Claims Analyst (Virtual, US/CAN) Allied Moving Services AustraliaClaims Analyst (Virtual, US/CAN)CARemote$45,000–$57,000 / yearClaims Analysts are responsible for managing customer expectation while performing a thorough investigation on the claim which includes but is not limited to reviewing customer correspondence, client contract terms, seeking information from all parties involved, assigning repair firms to assess the damages and complete repairs as needed while medicating cost. From corporate relocation and household goods to home sale and commercial moving and storage, our portfolio of brands (including Sirva, Allied, northAmerican, Global Van Lines, Alliance, and Sirva Mortgage) provide everything needed to move talent and deliver experience.
Chief Claims Officer, Argo Group Argo Group International Holdings IncChief Claims Officer, Argo GroupLos Angeles, CAPossesses an extensive knowledge and experience with adjudicating and management claims for a portfolio of commercial products/program lines including surety, auto, general liability, workers' compensation, property, asbestos/environmental, reinsurance and the relevant claims handling practices supporting such products/programs. The Chief Claims Officer, Argo Group provides claim leadership and direction to the Senior Management of all the Argo Group claims operations with a focus on supporting the consistent execution of claims functions and maintenance of operational excellence.
Chief Claims Officer, Argo Group Argo Group International Holdings Ltd.Chief Claims Officer, Argo GroupLos Angeles, CAPossesses an extensive knowledge and experience with adjudicating and management claims for a portfolio of commercial products/program lines including surety, auto, general liability, workers' compensation, property, asbestos/environmental, reinsurance and the relevant claims handling practices supporting such products/programs. The Chief Claims Officer, Argo Group provides claim leadership and direction to the Senior Management of all the Argo Group claims operations with a focus on supporting the consistent execution of claims functions and maintenance of operational excellence.
Cust Serv Rep I -Claims Alert Crawford & CoCust Serv Rep I -Claims AlertCARemoteAll resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. Provides excellent customer service to all internal team members and external customers.
NewPatient Account Representative - Physician Claims GuidehousePatient Account Representative - Physician ClaimsEl Segundo, CA$34,000–$56,000 / yearThe Patient Account Representative has an extensive knowledge of billing, accounts receivable follow-up, timely filing guidelines and the ability to effectively review remittance advices and electronic billing reports from payer to determine the action required. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
NewDirector I Software Engineering (Claims Engineering) Mercury Insurance CompanyDirector I Software Engineering (Claims Engineering)CA$201,933–$280,462 / yearEssential Job Functions: Build and manage highly motivated, high-performing software engineering team(s) by hiring strong talent, mentoring, and motivating the staff to support many related business/technology areas, fostering a culture of continuous improvement, innovation, and excellence. Review and translate product requirements into robust designs to ensure high-quality applications that are modular, configurable, maximize reuse, are fast, effective, user-friendly, secure, compliant, scalable, maintainable, and deliver desired outcomes.
Medical Claims Intake Coordinator UCLA Health SystemMedical Claims Intake CoordinatorLos Angeles, CA$26.42–$37.49 / hourb'nn n n n n n n n n n n n nn n n n n n n n n n n n n n n n n n Medical Claims Intake Coordinator - - 29680 - UCLA Healthn n nnnn nn n n n nn n n n n Skip to content nn n n n n n UCLA Health Home Page n n nn nnn n nn n Main menu. Press enter or space keys to expands and escape key to collapse nn n n n n n n Search jobs n n nn...
Claims Quality Auditor UCLA Health SystemClaims Quality AuditorLos Angeles, CA$31.51–$62.64 / hourAs a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer. You will review claims (paid, pending, and denied) for accuracy, appropriate application of benefits, authorization for services, contract interpretation, Division of Financial Responsibility (DOFR), and application/compliance with policies and procedures.
Client Implementation Analyst - Healthcare Billing and Claims (Remote) Experian Information Solutions IncClient Implementation Analyst - Healthcare Billing and Claims (Remote)CARemoteExperian''s people first, inclusive and purpose driven culture is multi award-winning; World''s Best Workplaces 2025 (Fortune Global Top 25), Great Place To Work in 26 countries to name a few. Monitor accuracy and completeness of all assigned jobs· Provide technical support including testing, debugging, troubleshooting and implementing necessary program updates.
Business Analyst III-Encounters & Claims Data L.A. Care Health PlanBusiness Analyst III-Encounters & Claims DataLos Angeles, CAThe Business Analyst III manages and coordinates the implementation and/or integration of products or new features for clients including client training and provides subject matter expertise (SME) and support of the departments inbound and outbound functions. Perform data analysis to support evaluation of system defects or to develop requirements for new functionality; assist in various system trouble shooting and balancing and correction efforts including analysis, verification and validation of issues and fixes.
Claims Quality Supervisor University of CaliforniaClaims Quality SupervisorLos Angeles, CA$78,500–$163,600 / yearAs a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer. Provide direct supervision and guidance for Quality Control and Customer Service staff and provide developmental and training opportunities for team members.
Claims Intake Coordinator University of CaliforniaClaims Intake CoordinatorLos Angeles, CA$26.42–$37.49 / hourAs a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer. Able to key between 6,000 to 8,000 keystrokes or type 40-50 WPM with high accuracy for alpha and numeric data inputting.
Claims Examiner Career AdvocatesClaims ExaminerLos Angeles, CaliforniaThe Claims Examiner will be responsible for researching and resolving pending claims, reviewing claim denials requiring manual review, and ensuring timely processing in compliance with policies, procedures, and regulatory guidelines. Assist in claims processing and report billing/error trends identified during reviews.
Claims Quality Auditor University of CaliforniaClaims Quality AuditorLos Angeles, CA$31.51–$62.64 / hourAs a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer. You will review claims (paid, pending, and denied) for accuracy, appropriate application of benefits, authorization for services, contract interpretation, Division of Financial Responsibility (DOFR), and application/compliance with policies and procedures.
NewInvestigator II - Claims Los Angeles Police DepartmentInvestigator II - ClaimsLos Angeles, CA$86,004.72–$125,760.24 / yearThe responsibilities of this position include the following: Gathering evidence and information for general liability claims and lawsuits filed against the City of Los Angeles; Conducting complex interviews of witnesses and claimants, and preparing clear witness statements; Communicating with claimants and constituents in an effective and professional manner; Obtaining and evaluating court documents, department and police reports, traffic accident reports, and photos; Writing detailed investigation reports and findings; Evaluating the validity of claims to determine liability, and negotiating settlements; Evaluating bodily injury and medical records to quantify monetary damages; Evaluating damage to real and personal property to quantify monetary damages; Making small claims court appearances; Filing and maintaining orderly claim files, and updating the claims database in CityLaw; Handling a high volume of assignments from the Chief Investigator, attorneys and risk management staff; Conducting both moving and stationary surveillance using video equipment, taking photographs, measurements and drawing scale diagrams; Adjusting auto liability damage and bodily injury claims; Conducting follow-up investigations for attorneys involved in litigated matters; Obtaining public records, medical records or evidence for use by Liability Section attorneys; Testifying in depositions; Following Department Operating Procedures and meeting strict deadlines; and. With over 1,000 legal professionals, including 500 attorneys, the Office provides the City of Los Angeles ("City") with the highest caliber of legal services, ranging from prosecuting criminal misdemeanors and playing a leading role in criminal justice reform to advising on homelessness initiatives, defending civil lawsuits and claims, and bringing civil enforcement actions in the name of the People of the State of California.
Senior Claim Examiner I, CA AmTrust Financial Services, Inc.Senior Claim Examiner I, CATBD, California$49–$54 / hourFull timeSalaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations . Your ability to effectively interact with insureds, claimants, and their legal representatives will be essential in driving timely settlements while adhering to AmTrust’s mission, vision, and values.