Independent Insurance Claims Adjuster in San Pedro, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in San Pedro, CaliforniaSan Pedro, CAWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Aliso Viejo, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Aliso Viejo, CaliforniaAliso Viejo, CAWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in Anaheim, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Anaheim, CaliforniaAnaheim, CAWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Independent Insurance Claims Adjuster in South Pasadena, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in South Pasadena, CaliforniaSouth Pasadena, CAWHAT WE OFFER: • Adjuster licensing assistance• Xactimate training• Property inspection & scoping training• Claims-writing workflow training• Online and in-person training options• Resume guidance• Access to industry staffing firm contacts and resources WHY PEOPLE CHOOSE MILEHIGH ADJUSTERS HOUSTON: • Over 500 Five-Star Google Reviews• Over 1,750 students trained since 2020• Hands-on, real-world training approach• Flexible online and in-person programs IMPORTANT: Requirements for roster consideration vary based on experience, licensing status, certifications, and client needs. Independent adjusting is a certification-based career field that often requires:• State licensing• Xactimate estimating knowledge• Property claims training• Real-world claims workflow understandingIf additional licensing or training is needed, MileHigh Adjusters Houston offers career-entry training programs designed to help qualified individuals prepare for the industry.
Claims Examiner - Workers Compensation ICONMA, LLCClaims Examiner - Workers CompensationRancho Cucamonga, CARemote$45–$50 / hourResponsibilities: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. 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.
NewSupervising Veterans Claims Representative County of OrangeSupervising Veterans Claims RepresentativeOrange County, CA$70,220.80–$94,660.80 / yearThe ideal candidate will possess a minimum of two (2) years of work experience assisting the public in determining their eligibility and completing and submitting claim requests for public benefits programs (e.g., veterans' benefits, medical insurance benefits, unemployment benefits, disability benefits, and/or Social Security benefits, AND two (2) years of experience training, mentoring, leading or supervising staff. Assisting the Veterans Service Officer in the implementation and coordination of newly approved programs, participating in the planning and development of new veterans assistance programs and special projects in order to improve services to veterans.
Senior Claim Benefit Specialist - Remote CVS Health CorpSenior Claim Benefit Specialist - RemoteCARemote$18.50–$42.35 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
Medical Clerk The Siskin GroupMedical ClerkInglewood, CAFull timeThis position plays a key role in ensuring timely and accurate submission of medical documentation required for disability leave claims, while maintaining strict confidentiality and compliance with clinic policies and healthcare regulations. Allied Health Solutions Medical Group, an outpatient medical clinic providing primary care services to patients, is seeking a Medical Clerk-EDD Claims Processor.
Workers' Compensation Claim Supervisor CCMSIWorkers' Compensation Claim SupervisorIrvine, California$98,000–$108,000 / yearResponsibilities: When we hire supervisors at CCMSI, we look for people-leaders who recognize that every claim impacts a real person’s livelihood, hold themselves and their teams accountable for results, and approach challenges as opportunities to develop others and drive excellence. At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.
Legal Secretary I Mercury Insurance CompanyLegal Secretary ICA$51,307–$92,353 / yearPrepares documents for filing with Court; Produces quality written communication, corrects and edits documents to ensure final copy conveys propery format and is correct in detail; Prepares Answers, Cross-Complaints, discovery and all pleadings as directed by the handling attorney; Maintains transcripts, documents and evidence; Handle files with minimal exposure and complexity; typical soft-tissue injury claims with no risk; Maintains record of claims and legal documents and case activity; Works with attorney to assist in work flow processes; Coordinates legal services such as court reporting, copying and delivery agencies; Assures all work is prepared and timely submitted without delay. Knowledge and Skills: Minimum: Ability to multitask and prioritize assignments; organization skills with an eye for details; ability follow directions; typing minimum 60 wpm; Knowledge of legal terminology and legal document management (e.g., briefs, summonses, complaints, motions, pleadings and discovery).
["Provider Relations Representative","Provider Relations Representative"] divvyDOSE["Provider Relations Representative","Provider Relations Representative"]Corona$60,200–$90,000 / yearResponds timely (within one business day) to provider issues, works with other groups/central departments to resolve issues and updates providers and office staff regularly through to resolution. As a ProviderRelations Representative at Optum, you will act as a direct interface between Optum and the affiliated physicians in Optum's Independent Physician Association (IPA) network and support their operations and performance success.
Bilingual Pharmacy Support Specialist Loblaw Companies LtdBilingual Pharmacy Support SpecialistCA$60,000–$82,500 / yearTwo to three years of advanced experience/knowledge of current pharmacy business practices, prescription claims processes, workflows and pharmacy legislation, which includes in depth knowledge of provincial and third party drug plan rules and adjudication processes in Quebec (national knowledge an asset). Demonstrated understanding of the pharmacy landscape in Quebec including regulations impacting pharmacy practice in Quebec, prescription reimbursement plans and prescriptions claims processing (public and private), clinical programs, pharmacy workflow, and health technology would be an asset.
System Configuration Analyst LIBERTY Dental PlanSystem Configuration AnalystTustin, CA$65,000–$75,000 / yearIn this highly collaborative role, you'll partner with Claims, UM, Account Management, Quality Management, Compliance, and IT teams to configure, test, and maintain system logic that directly supports high‑quality service delivery and sound operational outcomes. Our first-class benefits package supports employees and their dependents with: Competitive pay structure and savings options to help you reach your financial goals.
Senior Developer - Guidewire ApolisSenior Developer - GuidewireCosta Mesa,CA, CA$80–$85 / hourThis role works closely with business stakeholders, architects, analysts, QA teams, and integration teams to translate claims-processing requirements into scalable, secure, and reliable technology solutions. * Design and implement integrations between ClaimCenter and internal or third-party systems using REST APIs, SOAP services, messaging, plugins, and batch processes.
Risk Management Coordinator City of Upland, CARisk Management CoordinatorUpland, CA$78,526.56–$100,222 / yearDevelops, composes, types, edits, and proofreads a variety of complex documents, including forms, memos, administrative, statistical, financial, and staff reports, and correspondence; inputs and retrieves data and text using a computer terminal; checks draft documents for punctuation, spelling, and grammar; makes or suggests corrections to drafts. Working closely with and reporting directly to the Deputy Director of Human Resources & Risk Management, the Risk Management Coordinator will help protect the Citys employees, operations, and resources by coordinating a comprehensive risk management program.
Dental Financial Insurance Coordinator Brea EndodonticsDental Financial Insurance CoordinatorYorba Linda, California$19–$26 / hourFull timeAt Specialized Dental Partners, its affiliates, related companies and independently owned supported clinical practices, we are committed to ensuring fair and equitable pay for all employees. Responsibilities include answering phone calls, scheduling patients, and helping ensure an efficient and welcoming experience for patients and team members.
Accounting Coordinator (Health Plans or Managed Care) LIBERTY Dental PlanAccounting Coordinator (Health Plans or Managed Care)Tustin, CA$25–$30 / hourAs our Accounting Coordinator, you'll support a wide range of accounting operations, including: Completing ASO balance sheet reconciliations, including Claims Payable schedule preparation. Whether you're an internal team member looking to grow your career or an external candidate excited to join a mission‑focused organization-this is a great opportunity to make an impact within our Finance team.
IT Systems & API Integration Manager Nutex Health IncIT Systems & API Integration ManagerCA$85,000–$125,000 / yearThis role oversees API development, healthcare data exchange, system optimization, and automation to improve operational efficiency while ensuring secure, HIPAA-compliant integration between internal applications, health plans, EMRs, clearinghouses, and third-party vendors. IT Systems & API Integration ManagerThe IT Systems & API Integration Manager is responsible for leading the organization's healthcare technology infrastructure, system integrations, and interoperability initiatives across the MSO and IPA operations.
Contact Representative (Benefits Coordinator) US Department of Health and Human ServicesContact Representative (Benefits Coordinator)Riverside, CA$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: interpreting and applying federal, state, Tribal, and third-party program regulations to determine eligibility and ensure compliance for programs such as Purchase Referred Care, Medicare, Medicaid, Affordable Care Act, Veterans Affairs Healthcare, and other alternate resources; conducting in-depth patient interviews to assess eligibility, verify coverage, and complete applications; registering eligible patients in various assistance programs; resolving claim denials and eligibility issues through coordination with patients, healthcare providers, and outside agencies; reviewing Medicaid eligibility information and supporting billing requirements; and utilizing effective oral and written communication to explain program requirements, provide referrals, and resolve complex patient service issues. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: determining patient eligibility for alternate resources programs; interpreting and applying Medicare, Medicaid, VA, and other third-party payer policies and procedures; conducting patient interviews to identify available healthcare coverage and funding sources; assisting patients with enrollment and claims processes; researching and resolving eligibility, denial, and reimbursement issues; maintaining effective working relationships with patients and resource agencies; and safeguarding confidential patient information in accordance with Privacy Act and HIPAA requirements.
Workers Compensation Analyst Your Next CareerWorkers Compensation AnalystSanta Fe Springs, CaliforniaRecognized as the 2026 “Top Hispanic Supermarket in the U.S.” by Abasto, we are committed to serving our customers, supporting our communities, and creating growth opportunities for our team members. Setting up the initial file for injury and determining if this is a claim that needs to be reported to the insurance company, it is a Medical Only, Indemnity claim or if it is a possible non-industrial incident.