Claims Examiner - Workers Compensation -| Brea, CA Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation -| Brea, CABrea, CA$80,000–$100,000 / yearPRIMARY PURPOSE OF THE ROLE To analyze complex or technically difficult California 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. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
Claims & Customer Service - Los Angeles Ca. Career StrategiesClaims & Customer Service - Los Angeles Ca.Los Angeles, CaliforniaThe Claims Specialist/Analyst will process health insurance claims and answers calls from the customer (participant members, providers, physicians, hospitals etc.) Adhere to eligibility, claims and call policies and procedures while making sound claim/call decisions. · Review and research incoming healthcare claims by navigating multiple computer systems and platforms and verify the data/information necessary for processing (e.g.
Senior Claims Account Manager Argo Group International Holdings IncSenior Claims Account ManagerLos Angeles, CA$137,500–$167,000 / yearDeep workers' compensation technical expertise, including compensability, medical treatment, disability exposure, return-to-work, settlement valuation, Medicare considerations, litigation management, jurisdictional requirements, and claim resolution strategy and exception customer service focus typically obtained through: Bachelor's Degree from an accredited university. Support onboarding and oversight of additional runoff programs as Clearbrook acquires new companies, portfolios, or lines of business, including transition planning, TPA implementation, claim file transfer, authority protocols, reporting expectations, and governance routines.
Senior Claims Account Manager Argo Group International Holdings Ltd.Senior Claims Account ManagerLos Angeles, CA$137,500–$167,000 / yearDeep workers' compensation technical expertise, including compensability, medical treatment, disability exposure, return-to-work, settlement valuation, Medicare considerations, litigation management, jurisdictional requirements, and claim resolution strategy and exception customer service focus typically obtained through: Bachelor's Degree from an accredited university. Support onboarding and oversight of additional runoff programs as Clearbrook acquires new companies, portfolios, or lines of business, including transition planning, TPA implementation, claim file transfer, authority protocols, reporting expectations, and governance routines.
Medical Assistant/Cast Specialist - Manhattan Beach-BCO Ortho Clinic- Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaMedical Assistant/Cast Specialist - Manhattan Beach-BCO Ortho Clinic- Full Time 8 Hour Days (Non-Exempt) (Non-Union)Manhattan Beach, CaliforniaWhen extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations. • Registered Orthopaedic Technologist (ROT) from American Society of Orthopedic Professional (ASOP) • Registered Orthopaedic Technologist (ROT) from National Board for Certification in the Orthopedic Specialties (NBCOS) • Orthopaedic Technologist Certification (OTC) from the National Board for Certification of Orthopaedic Technologists (NBCOT).
NewSenior Agent Product Manager CleraSenior Agent Product ManagerLos Angeles, CaliforniaWe're a fast-growing, Series A-backed AI platform company focused on automating complex customer operations for financial services institutions — think lending, disputes, KYC, collections, insurance claims, and more. As a Senior Agent Product Manager , you'll sit at the intersection of product, engineering, and customer success — owning the full lifecycle of enterprise AI deployments from pre-sales through live implementation.
GLOVIS: Analyst, Operations Administration Claims Temp Elevated ResourcesGLOVIS: Analyst, Operations Administration Claims TempIrvine, CaliforniaHandle and process insurance claims on behalf of customers on force majeure/act of god related incidents: • Collect incident report. To handle and resolve claims issues and disputes from dealers and transportation vendors.
Senior Claims Specialist, Workers Compensation Tokio Marine GroupSenior Claims Specialist, Workers CompensationPasadena, CaliforniaWe provide unique insurance and risk management tools from our experienced staff of account executives, underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team of claim professionals. Tokio Marine has been conducting business in the U.S. market for over a century and we are licensed in all states, Puerto Rico and the District of Columbia, and write all major lines of Commercial Property and Casualty Insurance.
Sleep Apnea Medical Biller Aava InternationalSleep Apnea Medical BillerIrvine, CAFull timeZapZzz is a specialized sleep apnea treatment program with a mission of improving patients’ overall health and quality of life by providing advanced, patient-centered solutions for sleep apnea. The Medical Biller will be responsible for accurately preparing, submitting, and managing insurance claims related to sleep apnea treatment and oral appliance therapy.
Customer Service Representative - State Farm Agent Team Member Jeff Lowe - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberTorrance, CAFull timeAs a Customer Service Representative - State Farm Agent Team Member with Jeff Lowe - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Workers Compensation Large Loss Claims Director CNA Financial Corp.Workers Compensation Large Loss Claims DirectorBrea, CA$97,000–$189,000 / yearWorking closely with claims leadership, disposition consultants, legal services, customers, brokers, and business partners, the Large Loss Director drives superior claim outcomes, technical excellence, operational effectiveness, and profitable growth while serving as a mentor and resource to claims professionals across the organization. This individual contributor role provides company-wide influence and leadership in the interpretation of complex policy coverages, litigation management, reserving, claim resolution strategies, regulatory compliance, and large loss methodologies.
Customer Service Representative - State Farm Agent Team Member Beth Bettger - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberCerritos, CAFull timeAs a Customer Service Representative - State Farm Agent Team Member with Beth Bettger - State Farm Agent, you will generate the kind of exceptional client experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Shelter Program Manager (On-Site) COALITION TO ABOLISH SLAVERY AND TRAFFICKINGShelter Program Manager (On-Site)Los Angeles, CAFull timeESSENTIAL DUTIES Program Coordination/Development: Assist in coordinating and overseeing the Transitional Shelter Program and ensure results are adequately captured• Ensure quality and performance of all shelter programming; • Coordinate and oversee day-to-day operations at shelter to ensure optimal results and compliance with strategy and deliverables; • Oversee intake and exiting of clients from the program, including assessing appropriateness for intake and readiness for transitional housing program, or other longer-term housing; • Oversee development of individualized service plans and responsibilities for each client and monitor/work with Shelter Case Manager and Assistant Case Manager to ensure that plans are followed and adjusted as needed; • Provide crisis intervention and conflict resolution to clients and as support to shelter staff; • Develop and manage specialized services and workshops, house meetings, or other life skills development activities; • Oversee daily hotline services at the shelter programs. • Assist Associate Director of Equitable Housing develop, implement and lead a vision for the housing program that is culturally sensitive, holistic and rooted in the principles of trauma informed care • Assist Associate Director of Equitable Housing Identify Opportunities for growth, which will include housing support, vocational training and supplemental support for survivors within all the Housing ProgramsREQUIREMENTS Individual must be organized, flexible, capable of multi-tasking, and able to identify and respond to shifting priorities.
Estimator CARSTAR Franchising IncEstimatorLos Angeles, CAInforms customers about CARSTAR's repair process, including insurance claims processing, payment procedures, repair techniques, repair needs and expected delivery date of repair. Inspects all completed repairs before delivering customer vehicles, explains CARSTAR's warranty and Quality Control process with all customers.
Risk Manager MV Transportation IncRisk ManagerEl Monte, CA$97,000–$114,000 / yearThis role is exclusively assigned to the potential contract and plays a crucial role in mitigating risk exposure, supporting safe operations, and driving continuous improvement in loss prevention efforts. The Risk Manager will serve as the primary point of contact for all Agency-related risk management matters and must be available and responsive at all times via mobile phone, email, or text message.
Coordinator Scheduling - Beverly Hills - IM Endo Cl - Full Time 8 Hour Days (Non-Exempt) (Union) University of Southern CaliforniaCoordinator Scheduling - Beverly Hills - IM Endo Cl - Full Time 8 Hour Days (Non-Exempt) (Union)Los Angeles, CaliforniaHe/She closely monitors patients throughout various phases to assure completion of required testing and services, validating financial clearance for services being scheduled, providing stellar customer service when interfacing with patients in person and over the phone to establish appointments, alerting clinicians when patient testing is complete or when patients are non-compliant in completing medical services, coordinating collection of testing results and provider notes, coordinating care with ancillary departments as needed. 3. Process new referrals in a timely manner; this includes obtaining required outside medical records, entering demographic information into computer systems, provides medical records to physician / multidisciplinary team for review, provides insurance information to financial counselor for patient to be financially cleared, and schedule patient in clinic.
Family Care Coordinator - LAFCCFT Ronald McDonald House Charities of Southern CaliforniaFamily Care Coordinator - LAFCCFTLos Angeles, CAEnsure food safety, cleanliness, and readiness across meal spaces, including proper food handling and storage, support with basic food preparation when trained and comfortable, daily monitoring of Help Yourself Refrigerators, pantry restocking as assigned, and inventory support for food orders and donations. Assist the Family Care Manager with administrative support for third-party insurance claims and California Children's Services (CCS) reimbursement, including processing documentation, tracking required information, and supporting timely submission in accordance with established procedures.
Customer Service Representative - State Farm Agent Team Member Brian Stephens - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberSanta Clarita, CAFull timeAs a Customer Service Representative - State Farm Agent Team Member with Brian Stephens - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Customer Service Representative - State Farm Agent Team Member Darin Tsukashima - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberValencia, CAFull timeAs a Customer Service Representative - State Farm Agent Team Member with Darin Tsukashima - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. ABOUT OUR AGENCY: I opened my State Farm agency in 2001 and currently lead a dedicated team of seven professionals who take pride in helping our community protect what matters most.
Customer Service Representative - State Farm Agent Team Member Jimmy Ramirez - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberSan Pedro, CAFull timeAs a Customer Service Representative - State Farm Agent Team Member with Jimmy Ramirez - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. Our office also uses a rotating Saturday schedule—team members work one Saturday a month and receive a half day or early release during the week to make up for it.