191 Results for

Claims Representative Jobs in California

Jobs

New!

Monrovia, CA6 days ago

$55,000–$75,000 Per Year
Temporary

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.

New!

Irwindale, CA2 days ago

$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.

New!

Fresno, CA2 days ago

$22–$26 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 crucial to ensure the satisfaction of our customers by addressing their concerns, evaluating warranty requests, and supervising warranty repairs.

New!

San Francisco, CA6 days ago

$50–$70 Per Hour

Consistently ranked among the nation's best hospitals, particularly recognized for excellence in neurology and neurosurgery; cancer care; heart care; diabetes; ear, nose and throat care; and psychiatry and psychology, among other services. 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.

Tustin, CA7 days ago

Remote

$110,000–$190,000 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. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.

Tustin, CA7 days ago

Remote

$140,000–$190,000 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. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.

New!

Woodland Hills,, California6 days ago

Remote

$55–$60 Per Hour
Contractor

The specific compensation for this position will be determined by several factors, including the scope, complexity, and location of the role, as well as the cost of labor in the market; the skills, education, training, credentials, and experience of the candidate; and other conditions of employment. Successfully placed or hired candidates would only be asked for banking details after accepting an offer from us during our official onboarding processes as part of payroll setup.

San Diego, CA7 days ago

Remote

$150,000–$200,000 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. Our attorneys operate in a highly collaborative, fully remote environment supported by streamlined systems, responsive leadership, and a litigation team that values efficiency, accountability, and strong advocacy.

El Segundo, CA7 days ago

$140,000–$220,000 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. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.

New!

Fullerton, CA3 days ago

$200,000–$250,000 Per Year

We are a premier California public sector law firm known for providing high-level legal advice, guidance, and litigation representation to cities, counties, law enforcement agencies, public entities, and governmental clients throughout the state. 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.

Los Angeles, CA7 days ago

$200,000–$250,000 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. This role is ideal for an attorney seeking a long-term platform to manage sophisticated litigation matters, maintain and expand client relationships, and contribute to the continued growth of a dynamic litigation practice.

New!

Orange, CA2 days ago

$40,000–$48,000 Per Year

Coordinates all registration functions necessary to ensure the processing of a clean claim including but not limited to obtaining and processing patient demographics, visit and financial information in a manner that facilitate maximum financial reimbursement and promotes premier customer service. See Sharp HealthCare Terms & Conditions at https://www.sharp.com/patient-rights-privacy/terms-of-use.cfm and Privacy Policy at https://www.sharp.com/patient-rights-privacy/privacy-practices.cfm and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.

Fresno, CA7 days ago

$75,000–$85,000 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. Our operations team plays a critical role in ensuring accurate billing, compliance, and reimbursement across multiple programs and payor sources.

Los Angeles, CA7 days ago

$375,000–$415,000 Per Year

This is not a traditional project role — this is a program-level leadership seat with direct visibility to executive stakeholders and influence across one of the most significant rail infrastructure programs in the U.S. Key Responsibilities: Provide executive oversight of design-build rail delivery. 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.

Beverly Hills, CA7 days ago

$150,000–$200,000 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. We also provide dedicated legal representation to individuals harmed in personal-injury incidents such as car accidents, slip-and-falls, wrongful deaths, and catastrophic injuries.

New!

Los Angeles, CA3 days ago

$80,000–$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. Responsibilities include: • Prepare, revise, format, and proofread pleadings, motions, correspondence, discovery, subpoenas, deposition notices, mediation briefs, trial documents, and other litigation materials.

New!

Orange, CA6 days ago

$24–$30 Per Hour
Temporary

Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets and/or other information applicable to the position assignment. Addresses member and provider inquiries, questions and concerns in all areas including eligibility, enrollment, claims or authorization status, benefit interpretation and referrals/authorizations for medical care in-person or telephonically.

San Francisco, CA7 days ago

Remain current with developments in the law; understand medical, scientific, construction, products, engineering or similar issues and defenses involved with cases or matters. Conduct necessary and appropriate discovery, hearings, trials, depositions, oral arguments, mediations, arbitrations and similar proceedings.

New!

Los Angeles, CA5 days ago

Remote

Remain current with developments in the law; understand medical, scientific, construction, products, engineering, or similar issues and defenses involved with cases or matters. Conduct necessary and appropriate discovery, hearings, trials, depositions, oral arguments, mediations, arbitrations, and similar proceedings.

New!

Los Angeles, CA5 days ago

Remote

New!

Irvine, CA2 days ago

$150,000–$190,000

pp style=margin:0.0in 0.0in 8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serif /pp style=margin:0.0in 0.0in 8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serifAdditional responsibilities will include:/pp style=margin:0.0in 0.0in 8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serif /pul style=margin-top:0.0in;margin-bottom:0.0in type=discli style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serifAchieve best outcomes for clients by demonstrating a high level of technical excellence in case handling, trial preparation and presentation for matters of moderate to high complexity/lili style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serifDrive positive outcomes by correctly applying the law and legal trends, conducting legal analysis and research, preparing legal pleadings and documents, preparing for and managing pre-trial discovery, and participating in judicial or administrative hearings and trials/lili style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serifDocument case files by accurately capturing and updating relevant information in compliance with best practices/lili style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serifWork to have a timely resolution to matters by collaborating with the claims adjuster, developing a case strategy and escalating issues as appropriate/lili style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serifEnsure customer service to clients by proactively communicating information; responding to inquiries; and following customer protocols/lili style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serifDetermine and implement alternative dispute resolution techniques as appropriate, by using effective mediation and negotiation skills within authority limit/lili style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serifMaintain professional and technical knowledge by participating in educational opportunities, staying current with industry trends, establishing personal networks and participating in professional societies/lili style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serifContribute to the team effort by accomplishing related results and collaborating on matters as needed/lili style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serifServe as a technical resource by providing guidance and/or mentoring lower level attorneys on legal strategies and use of tools and resources/lili style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serifEnsure legal compliance by following state and federal laws and regulations/lili style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serifProtect Zurich’s reputation by keeping claims information confidential/li/ulp style=margin:0.0in 0.0in 8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serif /pp style=margin:0.0in 0.0in 8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serifBasic Qualifications:/pp style=margin:0.0in 0.0in 8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serif /pul style=margin-top:0.0in;margin-bottom:0.0in type=discli style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serifJuris Doctor and 5 or more years of experience in the Litigation areabrAND/lili style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serifMember in good standing of the California State Bar Association/lili style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serifExperience with Microsoft Office and Adobe/lili style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serifExperience working with Lexis or Westlaw/lili style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serifKnowledge of the insurance industry, claims and the insurance defense litigation legal environment/lili style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serifKnowledge of the law and procedure/li/ulp style=margin:0.0in 0.0in 8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serif /pp style=margin:0.0in 0.0in 8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serifPreferred Qualifications:strong /strong/pp style=margin:0.0in 0.0in 8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serif /pul style=margin-top:0.0in;margin-bottom:0.0in type=discli style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serifEffective communication skills/lili style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serifEffective negotiation skills/lili style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serifExperience working in a team-based environment/lili style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serifCollaboration skills/lili style=margin-top:0.0in;margin-right:0.0in;margin-bottom:8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serifEffective problem solving and analytical skills/li/uldiv/divdivp /ppspan style=font-family:arial, helvetica, sans-serif;font-size:12.0ptspan style=font-family:arial, helvetica, sans-serif;font-size:12.0ptYour pay at Zurich is based on your role, location, skills, and experience. /pp style=margin:0.0in 0.0in 8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serif /pp style=margin:0.0in 0.0in 8.0pt;line-height:115%;font-size:12.0pt;font-family:Aptos, sans-serifThis litigator will be responsible for representing the commercial insureds of a prestigious and financially stable commercial insurance carrier, by preparing and trying moderate to high exposure General Liability, Commercial Auto and Products Liability cases from a challenging and varied caseload.

New!

Bakersfield, CAToday

$76,400–$137,520 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.

Los Angeles, CA10 days ago

Monitor job costs, maintain accurate reports, and assist the Project Manager and Superintendent in preparing quantity reports, analyzing labor costs, and completing quarterly profit project records. Candidate Privacy To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://peaktechnical.com/privacy-policy/and https://peaktechnical.com/ca-residents-privacy-rights/

Sylmar, CA10 days ago

This role reports to the Senior Project Engineer and focuses on providing cost estimate proposals for all costs, including subcontractor or supplier costs associated with Owner related changes. Candidate Privacy To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://peaktechnical.com/privacy-policy/and https://peaktechnical.com/ca-residents-privacy-rights/

Los Angeles, CA11 days ago

This role provides senior leadership across all phases of the project lifecycle—including design coordination, procurement, construction, testing, and commissioning—while managing multidisciplinary teams and maintaining accountability for schedule, cost, quality, and safety. • Oversee all phases of project delivery including design development and review, procurement strategy, construction readiness, field execution, testing, commissioning, and closeout.

Los Angeles, CA17 days ago

$77,550–$142,500 Per Year

Ability to develop scope of work based on RFI/RFC answers and estimate the detailed costs of those scopes of work independent of the contractor proposal. Salary $152,000 to $155,000 per year as a full-time employee, plus full company benefits, including 10 paid vacation days, 11 paid holidays, and 5 paid sick days.

San Pedro, CA15 days ago

$30–$35 Per Hour

The Human Resources Specialist will report directly to the Human Resources Manager and will be responsible for supporting day-to-day human resources operations with a primary focus on full-cycle recruitment, onboarding, and personnel records management. The Human Resources Specialist will manage the recruitment process from requisition through onboarding, maintain accurate and audit-ready employee records, and provide administrative and coordination support across HR functions including benefits, leaves of absence, and compliance-related processes.

New!

Oakland, CAToday

$3,055.60–$3,055.60

Modified 12:00:00 AM Account Manager: Quinton Reed Account Manager Email: COVID-19 Vaccine: Unknown Flu Vaccine: Unknown Job Requirements & Qualifications Previous Charge Experience : Preferred Years of Experience : 2 Patient Ratio Experience : 10 Charting System Experience : Preferred Charting System Name : Epic Community Hospital Experience : Preferred LTAC Experience : Preferred Trauma Level I Experience : - Trauma Level II Experience : - Travel Experience Required : Yes Certifications : BLS*Skills : Acute Hospital, Admission Criteria*, Admission Criteria*, Appeals and Denials*, Appeals and Denials*, Care coordination, CMS: Centers for Medicare and Medicaid Services*, Concurrent Review*, Concurrent Review*, Continued Stay Reviews*, Continued Stay Reviews*, Disability case management*, Discharge Planning, DRG (Diagnosis Related Groups)*, Emergency Department*, Home Health*, Hospice*, ICU*, MS*, Needs Assessment/ Order DME*, Prior Authorizations*, SDU/PCU/IMC/Obs*, Utilize InterQual Criteria*, Utilize InterQual Criteria*, Utilize Milliman Guidelines*, Utilize Milliman Guidelines*, screen any missing skills Unit Details Staffing & Scheduling Scheduling Type : Other Patient Ratios Days : -15 Patient Ratios Nights : - Patient Ratios Weekends : -25 Float Required : - Call Required : no Weekend Coverage : True Number of Weekend Shifts Per Contract : - Pre-Approved Time Off : one Orientation Hours : - Facility & Patient Care Details Patient Age Groups : Adults, Geriatrics Daily Census : - Number of Visits Per Day : - Number of Rooms : - Number of Beds : - Additional Unit Information Interdisciplinary Support : - Patient Diagnoses : - Special Procedures/Unit Details : - Special Equipment : - #Tier3 Travel Compliance RTO only one holiday will be approved Requires specific amount of exp - 2 yrs required for submission Must be available to go in for lab work within 3-5 days of signing Valid State License (required at time of submission) 50 miles travel requirement; Locals accepted at local rate, please confirm that locals are aware that they are accepted at a lower BR Copy of Certifications All certs must be AHA and in hand at the time of the submittal Specific Charting Exp. Any time spent on modules exceeding the 16 NBO hours are billable Modules are completed during orientation, and module hours vary by specialty Modules are recorded through e-learning Submittal Details: #Tier3 Travel ComplianceRTO only one holiday will be approvedRequires specific amount of exp - 2 yrs required for submissionMust be available to go in for lab work within 3-5 days of signingValid State License (required at time of submission) 50 miles travel requirement; Locals accepted at local rate, please confirm that locals are aware that they are accepted at a lower BRCopy of CertificationsAll certs must be AHA and in hand at the time of the submittalSpecific Charting Exp.

Los Angeles, CA10 days ago

$24–$30 Per Hour
Temporary
Contractor
Full-time

Auditor: Knowledge of HMO/IPA operations; medical terminology; ICD-10, RVS, and CPT coding; Medicare and Medi-Cal guidelines; and 10-key skills by touch. WinCorp Solutions is seeking multiple healthcare roles to serve as a consultant for our clients in the healthcare system.

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.

New!

Fairfield, California4 days ago

$24.13–$29.56 Per Hour

To accurately research and process paper and electronic medical, outpatient, ancillary, long term care, CHDP, encounter data and paper crossover/other coverage claims within established time frames, applying appropriate program policies related to claims processing and analysis. Overview: To research and resolve provider telephone and written inquiries within established time frames, accurately screen claims, and participate in provider meetings and projects.

Redding, CA11 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.

Sacramento, CA11 days ago

Los Angeles, CA11 days ago

San Diego, CA11 days ago

Bakersfield, CA26 days ago

$58,755–$97,926 Per Year

The primary purpose of a Casualty Claim Representative II – Casualty is to investigate, evaluate, and resolve commercial and personal lines casualty claims. Bachelor’s degree and two to five years of casualty claim handling experience or five + years casualty claim handling experience.

New!

Rancho Cucamonga, California6 days ago

$98,568–$120,473 Per Year

As a Property Claims Field Adjuster 2, you will: • Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims . • Be able to seamlessly transition between various methods of inspection, including physical, video, or photo, to write a damage estimate: o May include climbing ladders to inspect roofing or attic space and inspection of crawl spaces.

Bakersfield, CA26 days ago

$96,193–$160,322 Per Year

The primary purpose of a Claim Representative IV - Casualty is to investigate, evaluate, and resolve complex commercial and complex personal lines casualty claims, including claims with potential for high value exposures and unique exposures. Good working knowledge of mathematics and common accounting practices which relate to gross and net income, understanding of business interruption elements or living-expense calculations.

Irvine, California10 days ago

$44–$54 Per Hour

Responsibilities: Investigates the claim or coverage by making timely and appropriate contact with involved or interested parties including but not limited to the insured or employer representatives, claimants or injured workers, witnesses and producers. Depending on the type of claim may:Communicate with internal Managed Care and Medical resources to ensure coordination with Medical providers on the development and authorization of appropriate treatment plans as well as accurate billing.

New!

los Angeles, CA4 days ago

Remote

Silva-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.

Los Angeles, California26 days ago

$23–$28 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.

Concord, CA30+ days ago

Remote

$50.25–$55.89 Per Hour

The Senior Claims Examiner will adjust workers compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements. Must possess a current Experienced Indemnity Claims Adjuster Designation, provided by an insurer, as defined in California Code of Regulations, Title 10, Chapter 5, Subchapter 3, Section 2592.01(f) .

Rancho Mirage, CA20 days ago

Contractor

Ability to maintain high degree of confidentiality Ability to prioritize tasks and manage time efficiently to meet deadlines Ability to use Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and other relevant software applications Ability to work effectively with individuals at all levels within the organization Ability to work independently and as a team member General understanding of California and Federal court rules, especially as related to discovery High attention to detail and accuracy Understanding of healthcare related vocabulary especially in the context of medical malpractice cases Written and verbal communication skills Schedule Notes: M-F 8 x5 Exempt Coordinates, & at the direction of Chief Risk Officer/Legal Counsel, attends settlement conferences, mediations, arbitrations, bench trials & jury trials; coordination may include assisting the law firm representing the *** client to schedule dispute resolution meetings, serving as client representative, & reporting information back to Chief Risk Officer/Legal Counsel (from summary information to an evaluation of law firm attorney performance).9.

Simi Valley, CA24 days ago

Knowledge of California Labor Code statutes, rules/regulations, case law, and workers' compensation fee schedules a plus. This is an excellent opportunity for candidates with at least 1 year of experience in bill negotiations or California workers' compensation claims.

San Diego, CA19 days ago

PRIMARY DUTIES AND RESPONSIBILITIES: The primary job functions required of our Medical Billing Representative includes the following, but not limited to: Thorough appropriate account review on billed claims, contact third-party payors for status and resolution. CORE COMPENTENCIES AND EXPECTATIONS: A successful Medical Billing Representative will possess the necessary core competencies and meet the general expectations, such as: Thorough understanding of the revenue cycle process for physician billing.

Cerritos, CA, California24 days ago

$90,000–$125,000

Collect evidence and information regarding the circumstances of the claim will be obtained through interview with knowledgeable parties, inspection of property, examining documents, and/or review of reports to secure relevant facts, circumstances, documents, and materials. Investigation will be accomplished through direct contact with member staff via phone, email or direct field contact as may be appropriate and given the potential severity of the matter.

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".

New!

Santa Ana, California2 days ago

$20–$25 Per Hour

Through our vast network of independent and franchise dealers, we have helped countless customers with their financing needs, allowing them to drive off in the vehicle they deserve. You will be greeted by friendly, positive, and ambitious team members, and work alongside leaders who encourage and value your new ideas.

Sacramento, California24 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.

New!

Sacramento, California4 days ago

Remote

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Claims Representative Jobs in California

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Counsel - Field Axelon Services Corporation

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Sr. Staff Legal Liability Trial Attorney Zurich Insurance Company Ltd.

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