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.
Part-Time (34 hours/week) Data Entry Claims Intake Processor Staffing Data Services AgencyPart-Time (34 hours/week) Data Entry Claims Intake ProcessorSan Francisco, CaliforniaRemoteWork collaboratively with other team members to ensure that work is completed in accordance to designated turnaround times. If selected for further consideration, candidates will be required to complete an online alphanumeric data entry assessment.
Senior Workers'' Comp Claims Specialist CA Claims Zenith Insurance CompanySenior Workers'' Comp Claims Specialist CA ClaimsDublin, CA$94,502.68–$127,972.38 / yearZenith is a team of Workers'' Compensation Specialists committed to helping businesses succeed by protecting against the financial and human consequences of workplace injuries, providing for the needs of injured employees and making the workplace safer. Opens new Claims, completes three-point contact, and performs needed investigations to determine compensability as well as possible subrogation or apportionment, according to state and/or Zenith's timeframes and guidelines.
CLAIMS EXAMINER I MSO North East Medical ServiceCLAIMS EXAMINER I MSOBurlingame, CAESSENTIAL JOB FUNCTIONS: Perform the daily examination, auditing and adjudication activities to submitted professional claims based on established utilization criteria, Medi-Cal and/or Medicare guidelines, member's Evidence of Benefit, and policies and procedures outlined in the MSO Claims Manual. Working knowledge of managed care and/or healthcare claim reimbursement or medical billing in Medi-Cal and Medicare Advantage program preferred.
MSO Claims Manager North East Medical ServiceMSO Claims ManagerBurlingame, CAThis role provides guidance on healthcare claims adjudication and payment processing for Medi-Cal, Medicare, PACE, and other lines of business based on member Evidence of Coverages (EOC) and CMS/DHCS guidelines, ensures that claims are processed accurately, timely, and in compliance with regulatory requirements and contractual obligations. Responsibilities include interviewing and hiring of employees; planning, assigning, scheduling, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Group Product Manager, Core TPA Claims CollectiveHealth, Inc.Group Product Manager, Core TPA ClaimsSan Francisco, CA$172,500–$215,625 / yearCross-Functional Influence: Enable deep connections between engineering, UX, sales, marketing, operations, and client success to ensure buy-in for complex initiatives and to surface critical market insights. Results-Oriented Delivery: Proactively solve complex architectural and business problems alongside your PMs to ensure the delivery of high-quality, compliant, and scalable healthcare products.
Claims Process Specialist LancesoftClaims Process SpecialistOakland, CARemote$18Job duties include: Examine garnishments, levies, liens and information subpoenas to ensure accuracy, completeness and legal sufficiency. Claims include garnishments, levies, liens and information subpoenas received from creditors and taxing authorities.
Title Express Processor (In-Office) CopartTitle Express Processor (In-Office)Vallejo, CaliforniaThe primary responsibilities include handling call queues, managing total loss packets, performing calls to lien holders and lending institutions, and conducting initial and follow-up calls to vehicle owners/insureds. Copart, Inc. a technology leader and the premier online vehicle auction platform globally, with over 200 facilities located across the world, Copart links vehicle sellers to more than 750,000 buyers in over 190 countries.
Group Product Manager, Core TPA Claims CollectiveHealth IncGroup Product Manager, Core TPA ClaimsSan Francisco, CA$172,500–$215,625 / yearCross-Functional Influence: Enable deep connections between engineering, UX, sales, marketing, operations, and client success to ensure buy-in for complex initiatives and to surface critical market insights. Results-Oriented Delivery: Proactively solve complex architectural and business problems alongside your PMs to ensure the delivery of high-quality, compliant, and scalable healthcare products.
Inside Sales - Claims (Mandarin Required) ASUSTeK ComputerInside Sales - Claims (Mandarin Required)Fremont, CA$70,304–$71,400 / yearIn this role, you will partner closely with Sales, Product Management, Finance, and external customers to verify promotional documentation, resolve pricing and invoice discrepancies, coordinate claim resolution, and support the successful execution of channel programs. Essential Duties and Responsibilities: Serve as the primary liaison between ASUS Asia headquarters and North American Sales, Product Management, Finance, Accounts Receivable, and customers, ensuring timely communication and resolution of operational issues.
Senior Software Engineer, Claims Intelligence CommureSenior Software Engineer, Claims IntelligenceMountain View, CaliforniaThe claim generation pipeline: transforming structured claim payloads into valid electronic EDI claims across professional (CMS-1500), institutional (CMS-1450/UB), and dental (CDT) formats, plus paper-claim and PDF generation for payers that require mail or fax. Our 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.
Sr. Work Comp Claims Adjuster (SIP Cert required - Concord, CA) EliteSr. Work Comp Claims Adjuster (SIP Cert required - Concord, CA)Concord, CaliforniaExcellent written and verbal communication skills, including ability to convey technical details to claimants, clients and staff. Effectively manages a caseload of 130 to 150 workers’ compensation files, including very complex claims.
Product SME – Auto Claims AssuredProduct SME – Auto ClaimsPalo Alto, CaliforniaDeep understanding of the end-to-end auto claims process within P&C Experience working closely with product, engineering, data, and operational teams Proven ability to assess complex workflows and identify high-impact improvements Comfort owning ambiguous, high-leverage initiatives with measurable financial impact ️ Strong written and verbal communication skills. The 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.
NewSenior Engagement Lead - Claims Advocacy Marsh & McLennan Companies IncSenior Engagement Lead - Claims AdvocacySan Francisco, CA$132,700–$282,700 / yearWe aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. You will work closely with clients, insurers, and claims handlers to support claim resolution, strengthen relationships, and help manage clients' total cost of risk.
Claims Consultant - Ocean Marine (Hybrid) Intact InsuranceClaims Consultant - Ocean Marine (Hybrid)San Francisco, CA$143,000–$167,000 / yearWe currently have an opportunity for a Claim Consultant to join our Ocean Marine team based in our Plymouth, MN; Canton, MA; New York City, NY; Chicago, IL; Naperville, IL; Barrington, IL; Alpharetta, GA; Irvine, CA; Southfield, MI office on a hybrid schedule. In return, we promise you support, opportunities and performance-led financial rewards in a flexible work environment where you can: Shape the future: Help us lead an insurance transformation to better protect people, businesses and society.
Claims Consultant - Advertising / Personal Injury CNA Financial CorpClaims Consultant - Advertising / Personal InjuryWalnut Creek, CA$72,000–$141,000 / yearIndividual contributor responsible for the overall strategic management and resolution of highly complex claims that involve personal and advertising injury exposures, including but not limited to intellectual property, class action, and commercial disparagement. Negotiates highly complex settlement packages, and authorizes payment within scope of authority, settling claims in most cost-effective manner and ensuring timely issuance of disbursements.
NewClaims Specialist W. R. Berkley CorpClaims SpecialistWalnut Creek, CA$65,000–$115,000 / yearIn these roles, you will be responsible for the analysis and management of moderate to complex workers' compensation claims, including reviewing, investigating, and making determinations around coverage, compensability, and claim appropriateness. Success in this role requires strong judgment, consistent performance, and a high level of competency in negotiating settlements, managing subrogation, and delivering sound, compliant outcomes.
Complex Claims Consulting Director - Mass Tort Unit CNA Financial Corp.Complex Claims Consulting Director - Mass Tort UnitWalnut Creek, CA$97,000–$189,000 / yearManages an inventory of the most complex commercial claims, which generally involve multiple years of coverage, have significant loss exposure, by following company protocols to manage and oversee all aspects of the claim handling, including coverage determinations, investigations, and resolution strategies which may include pursuit of risk transfer, extensive negotiations and management of complex litigation. Drives the resolution of claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that often includes negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
Claims Consultant, Life Sciences CNA Financial Corp.Claims Consultant, Life SciencesWalnut Creek, CA$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex commercial claims with large exposures that require a high degree of 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 complex manage litigation and authorizing payments within scope of authority.