214 Results for

Claims Processor Jobs in Silver Lake, CA

Jobs

New!

Irwindale, CAToday

$29–$30

Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Pay: $29-30/hrVaco by Highspring values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply.

Costa Mesa, CA8 days ago

$25.48–$28.03 Per Hour

This entry-level position supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of material damage, property damage, and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. With our national brand recognition, long-standing reputation since 1900, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team.

Costa Mesa, CA8 days ago

$28.93–$38.53 Per Hour

The Claims Senior Auto Adjuster supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of material damage, property damage, and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. With our national brand recognition, long-standing reputation since 1900, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team.

Brea, CA8 days ago

$0–$0.01 Per Hour

Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost-effective manner and ensuring timely issuance of disbursements. Duties:Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.

New!

Los Angeles, CA5 days ago

$25–$29 Per Hour

Information 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. This role is responsible for preparing, reviewing, and submitting claims, resolving denied or unpaid claims, and maintaining compliance with local, state, and federal billing regulations.

New!

Los Angeles, CA5 days ago

$75,000–$110,000 Per Year

Information 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. Corrective Actions and Continuous Improvement: Identify non-compliant practices on the production floor, propose corrective actions, and collaborate with production leaders to implement improvements.

New!

Fountain Valley, CA5 days ago

$19–$22 Per Hour

Information 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. You will utilize your medical reception skills to provide outstanding service while coordinating patient flow, managing appointments, and maintaining accurate patient records.

New!

Fountain Valley, CA5 days ago

$19–$22 Per Hour

Information 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. You will utilize your medical reception skills to provide outstanding service while coordinating patient flow, managing appointments, and maintaining accurate patient records.

New!

Fountain Valley, CA1 day ago

$18–$25 Per Hour

Information 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. You will utilize your medical reception skills to provide outstanding service while coordinating patient flow, managing appointments, and maintaining accurate patient records.

New!

Los Angeles, CA5 days ago

$130,000–$160,000 Per Year

Information 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. Small, litigation-driven plaintiff-side firm in Southern California that handles injury, employment, and complex civil disputes, with a reputation for aggressive advocacy and hands-on client service.

Los Angeles, CA30+ days ago

The Claims Processor will provide excellent client service by accurately processing provider claims in a timely manner while adhering to the contractual requirements of the California Department of Education and LA County Department of Public Social Services as well as Crystal Stairs, Inc. policies and procedures. An AA/AS Degree in Accounting, Business, or Human Services preferred/or a minimum of two years of verifiable college coursework with a focus on accounting or business; verifiable work experience may be substituted for college level education.

Los Angeles, CA25 days ago

Full-time
Employee

Minimum of 3 years of experience in healthcare fraud investigation/detection and/or healthcare related specialty including but not limited to; Pharmacy, DME, Mental Health, Behavioral Health, Hospice, Home Health, Dental etc. **Minimum of 3 years of experience in healthcare fraud investigation/detection **Healthcare-related specialty, including but not limited to: Pharmacy, DME, Mental Health, Behavioral Health, Hospice, Home Health, Dental, etc.

New!

Los Angeles, CAToday

$69,920–$133,620 Per Year

Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.

New!

Yorba Linda, CAToday

$19–$26 Per Hour

At 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.

Los Angeles, CA20 days ago

The most significant responsibilities of this job classification are: Review and resolve submitted claims by initiating payment or denial in line with eligibility and benefits as described in the applicable Summary Plan Description. The Southern California Pipe Trades Administrative Corporation is seeking a Claims Processor in the Health & Welfare Benefit Funds Department.

New!

Agoura Hills, CAToday

Remote

$100,000–$220,000 Per Year

The firm has earned top-tier rankings across multiple respected platforms, including placement among the Top 20 Fortune Best Workplaces for Women™ 2025, Top 10 Fortune Best Workplaces in Consulting & Professional Services™ 2025, and Top 50 2025 PEOPLE® Companies that Care. Position offers the opportunity to represent employers and insurers in a broad range of workers’ compensation matters while working in a collaborative, technology-forward environment that prioritizes attorney development and work-life balance.

New!

La Palma, CA5 days ago

$25–$30 Per Hour

Sylvia Gonzalez also understands that there needs to be a balance between work and life, so she strives to provide her employees with an environment that values a healthy balance. We need a Pre-Litigation Legal Assistant with experience in Personal Injury, specifically pre-litigation, as well as dealing with clients, insurance companies, and negotiating.

Pasadena, California25 days ago

$24–$28 Per Hour

Communicate professionally with members and providers to resolve inquiries, follow up on pended claims, and complete corrections or adjustments. This position is ideal for someone who enjoys problem‑solving, working with complex benefit plans, and collaborating with both internal teams and external partners.

New!

Pasadena, California2 days ago

$24–$31 Per Hour

We are seeking a detail-oriented Medical Claims Examiner with 3-5 years of experience to review, evaluate, and process healthcare claims in accordance with plan guidelines, policies, and regulatory requirements. Fast-paced, detail-driven environment requiring strong organizational skills and the ability to manage multiple priorities effectively.

Anaheim, CA9 days ago

$60,000–$100,000 Per Year

Our client, a large and growing insurance carrier, is seeking a Third Party Liability Claims Examiner to manage complex bodily injury, property damage, and litigated liability claims related to commercial trucking and business insurance policies. This role is responsible for investigating, evaluating, negotiating, and resolving third-party liability claims while coordinating with attorneys, TPAs, claimants, and internal teams.

Alhambra, CA30+ days ago

Full-time
Employee

Ability to work regularly scheduled shifts within our hours of operation including the training period, where lunches and breaks are scheduled, with the flexibility to adjust daily schedule, and work over-time as needed. Review and research incoming healthcare claims from members and providers(doctors, clinics, etc) by navigating multiple computer systems and platforms and verifies the data/information necessary for processing (e.g.

El Monte, California25 days ago

$23–$29 Per Hour

Interact professionally with members and providers to resolve inquiries, follow up on pended claims, and complete corrections and adjustments. Review claims for fraud, waste, abuse, hospital‑acquired conditions, Workers' Compensation, and Third‑Party Liability, referring cases as appropriate.

Pasadena, CA30 days ago

Remote

Contractor

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. Subject 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.

Irvine, California18 days ago

$110,000–$125,000 Per Year

This role actively supports and participates in the company’s culture of continuous learning and innovation, including engagement in innovation groups focused on identifying opportunities for process improvement, enhancement, and transformational change. Key functions include but are not limited to: Adjust all aspects of complex claims and loss notices, including coverage and compensability analysis, reserve setting, reinsurance reporting, and coverage litigation.

Los Angeles, California10 days ago

The Claims Investigator-Examiner enhance the experience of providers and the organization by being knowledgeable, friendly, and helpful and by offering accurate and thorough responses or instructions to enquiries about claims. The Claims Investigator-Examiner contributes to AHF's mission by ensuring accurate and timely and payment of claims and providing a positive experience to providers and internal staff.

Torrance, California30+ days ago

Remote

The 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.

California23 days ago

$44,466–$77,881 Per Year

Bodily Injury Claims Management: Analyze medical records to evaluate, negotiate, and settle moderate bodily injury claims with legal counsel for represented claimants and unrepresented parties. If you’re passionate about helping people restore their lives when the unexpected happens, and providing high-quality customer experiences, then our Mercury Insurance Claims team could be the place for you!

Anaheim, CA25 days ago

Full-time

In this role, you will handle claims involving third-party liability, specifically in commercial trucking and business policies, working to resolve them efficiently while ensuring fair settlements. Key Responsibilities: Investigate, evaluate, and resolve third-party claims including bodily injury, property damage, and liability claims including ones in litigation for commercial trucking and business policies.

Buena Park, CA30+ days ago

$70,000–$80,000
Full-time

Information 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. Claims Coordinator with worker's comp exp. for a grocery Chain—drive compliance, investigations, and return-to-work programs in a fast-paced environment.

Long Beach, CA30+ days ago

$69,288–$98,000 Per Year
Full-time
Employee

PRIMARY PURPOSE: 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.

Long Beach, CA30+ days ago

$70,000–$100,000 Per Year
Full-time
Employee

PRIMARY PURPOSE: 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. Subject 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.

Pasadena, CA30+ days ago

$25–$27 Per Hour

This role serves as a key liaison between OEM teams, dealers, customers, and suppliers to ensure efficient resolution of claim issues. Verify claim accuracy by reviewing labor hours, parts usage, repair orders, and supporting documentation.

Simi Valley, California30+ days ago

$61,864–$108,197 Per Year

ORANGE, California22 days ago

Remote

Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions. We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community.

Brea, CA30+ days ago

Job Description: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. OSIP certificate - Preferred .

Bucyrus, OH15 days ago

Full-time

OCCASIONAL (up to 33%): standing, stooping, kneeling, squatting, body-twisting, sense of touch, manual dexterity, lifting over 10 lbs. to 50 lbs., reaching, range-of-motion, lifting, carrying, pushing, pulling, climbing ladders, climbing stairs, balancing. This position ensures the productivity of daily operations, working closely with management to determine recruiting/hiring needs, deadlines, and safety protocols to enforce among the crew.

Los Angeles, California30+ days ago

You will manage a caseload of personal injury matters from intake through settlement, working directly with clients, providers, and insurance carriers to maximize case value. Career Consulting Partners is partnered with a large Personal Injury Law firm that has been voted as one of America's "Most Feared Plaintiff Firms".

LA, CA30+ days ago

$60–$63 Per Hour

ExperienceRequired: A minimum of 5 years of experience performing claims audits or claims processing related to Medi-Cal, Cal MediConnect, and/or other managed care product lines similar to PASC-SEIU programs. Job SummaryThe Financial Compliance Auditor III, Claims is responsible for various tasks within the Financial Compliance Unit, including the audit of claims processed by medical groups and health plans contracted with Client.

Irvine, California30+ days ago

$169,000–$227,000 Per Year

Success in this role requires the ability to translate complex insurance and claims data into actionable insights for leadership, while ensuring operational effectiveness and cost discipline. This role oversees the design, placement, and ongoing management of the company's insurance portfolio, including coordination with brokers, carriers, and third-party administrators.

Buena Park, CA30+ days ago

$100,000–$120,000
Full-time

Information 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. This role is integral to our operations, and the successful candidate will be responsible for managing and resolving claims, ensuring adherence to legal requirements, and maintaining comprehensive documentation.

Woodland Hills, California30+ days ago

$185,000–$230,000 Per Year

Create and champion expense management initiatives across all phases of the claim lifecycle including early case assessment, targeted and timely resource deployment, budgeting and financial management, resolution planning). Salaries 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.

Orange, CA30+ days ago

$25–$32 Per Hour

Job duties: Addresses provider inquiries, questions, and concerns in all areas including enrollment, claims submission and payment, benefit interpretation, and referrals/authorizations for medical care. Outreaches to Health Network(s), providers, and collection agencies when appropriate to resolve claims billing, claims payment, and provider payment disputes.

Glendale, California30+ days ago

Remote

The 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. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives.

Glendale, California30+ days ago

Remote

The 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. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives.

Monrovia, CA18 days ago

$55,000–$75,000 Per Year

The ideal candidate has a strong understanding of coverage analysis, liability evaluation, and California insurance regulations, and is able to resolve claims efficiently and fairly. This role is responsible for providing high-quality customer service while managing a volume of property damage claims.

Los Angeles, CA16 days ago

$28–$31 Per Hour

The company provides top tier data privacy and security practices, deploys robust case management technology customized to clients’ needs and delivers worldwide coverage via its 700+ employees and affiliates worldwide. CoventBridge Group is a global leader in full-service investigations providing: Surveillance, SIU and Compliance, Claims Investigation, Counter-Fraud Programs, Desktop Investigations, Social Media, Record Retrieval, Canvasses and Vendor Management programs.

Los Angeles, California15 days ago

$120,000–$190,000 Per Year

Various 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.

New!

Los Angeles, CA2 days ago

We 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.

Irvine, California30+ days ago

$49–$54 Per Hour

Salaries 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.

Los Angeles, CA30+ days ago

We are seeking a Provider Payments Assistant, that will process and print provider payments exported from Stage 1 and CCAP databases, complete research necessary to define and resolve problems as they relate to processing of provider payments, and update fiscal stale dated check spreadsheets for Stage 1 and CCAP bank accounts. This position assists with processing, printing, mailing and answering provider inquiries for MISC 1099's forms for Stage 1 and CCAP providers.

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Claims Processor Jobs in Silver Lake, CA

Jobs

Auto Claims Adjuster - TempVaco LLC

Claims Auto AdjusterACSC Management Services Inc

Claims Senior Auto AdjusterACSC Management Services Inc

Claim Examiner- WCTPI Global Solutions

Medical Billing SpecialistJobot

Quality Control SupervisorJobot

Vietnamese Speaking Medical ReceptionistJobot

Medical Receptionist - Vietnamese SpeakingJobot

Bilingual Vietnamese and English Front Desk/Medical ReceptionistJobot

Personal Injury Pre-Litigation AttorneyJobot

Claims ProcessorCrystal Stairs

Special Investigations Unit (SIU) Investigator – Healthcare FraudINFT Solutions, Inc

Property Adjuster Specialist - FieldUSAA

Dental Financial Insurance CoordinatorBrea Endodontics

Claims Processor IIISouthern California Pipe Trades Administrative Corporation

Associate Attorney (Workers' Compensation Defense) - CAPernini Recruiting Company

Legal AssistantLaw Offices of Sylvia V. Gonzalez

Health Claims ExaminerUltimate Staffing Services

Medical Claims ExaminerUltimate Staffing Services

Third Party Liability Claims Examiner - Insurance Carrier - Base Salary to 100k/year - Anaheim, CAAllSearch Professional Staffing

Customer Service RepresentativeHealth Source MSO

Healthcare Claims AdjusterUltimate Staffing Services

Claims Examiner - Workers CompensationApidel Technologies

Senior Claims ExaminerBerkley

Claims Investigator-ExaminerAIDS Healthcare Foundation

Senior Claims ExaminerGallagher

Claims Specialist IIMercury Insurance Services, LLC

3rd Party Claims Adjuster/Examiner - HYBRIDDB Insurance Co., Ltd.

Claims CoordinatorJobot

Workers Compensation Claims Examiner | Long Beach, CASedgwick Claims Management Services, Inc.

Workers Compensation Claims Examiner - Long Beach, CA (Hybrid)Sedgwick Claims Management Services, Inc.

Claims SpecialistRIDE Mobility

Property Claims Specialist Field IMercury Insurance Services, LLC

Senior Specialist - WC Claims - CA Jurisdiction, RemoteCrum & Forster

Claims ExaminerLancesoft

Foreperson - NON-UNIONAsplundh Tree Expert

Claims Specialist (Los Angeles)Career Consulting Partners

Financial Compliance Auditor III, ClaimsGTT

Dir, Risk Insurance and ClaimsPDS Health

Workers Compensation Claims SpecialistJobot

AVP, Claims LitigationAmTrust Financial Services, Inc.

Medical Claims Resolution SpecialistKinetic Personnel Group, Inc.

Senior Workers Compensation Claims AdjusterGallagher

Senior Workers Compensation Claims Adjuster - CaliforniaGallagher

Claims AdjusterKinetic Personnel Group, Inc.

Claims Investigator - Full TimeCoventBridge Group

Construction Claims ConsultantAon Corporation

Multi-Line Claims Adjuster - California / Los Angeles AreaProperty Claim Professionals

Senior Claim Examiner IAmTrust Financial Services, Inc.

Payment / Check ProcessorCrystal Stairs

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