Claims Adjustment Specialist UCLA Health SystemClaims Adjustment SpecialistLos Angeles, CA$32.42–$64.51 / hourThe Claims Adjustment Specialist analyzes and processes medical claim adjustments related to overpayments, underpayments, provider corrected claims, and reimbursement discrepancies. As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
Claims Examiner - Workers Compensation (Hourly) ICONMA, LLCClaims Examiner - Workers Compensation (Hourly)Brea, CA$43–$48 / hourResponsibilities: 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. Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
Workers Compensation Claims Supervisor AVONRISKWorkers Compensation Claims SupervisorOrange, CATo be the leading third party administrator offering professional and technological resources through pro-active and aggressive claims and managed care solutions in support of our clients’ objectives. Competent and experienced individuals provide the human element needed to deliver good service and drives good outcomes.
Client Implementation Analyst - Healthcare Billing and Claims (Remote) Experian Information Solutions IncClient Implementation Analyst - Healthcare Billing and Claims (Remote)CARemoteExperian''s people first, inclusive and purpose driven culture is multi award-winning; World''s Best Workplaces 2025 (Fortune Global Top 25), Great Place To Work in 26 countries to name a few. Monitor accuracy and completeness of all assigned jobs· Provide technical support including testing, debugging, troubleshooting and implementing necessary program updates.
Outside Property Claim Representative The Travelers CompaniesOutside Property Claim RepresentativeEl Monte, CA$67,000–$110,600 / yearAs a Claim Rep, Outside Property, you will be responsible for managing, inspecting, evaluating, negotiating, and settling 1st party property claims in a timely and accurate manner which includes performing in-person inspections at customers' residences and properties to accurately assess damages. Ideal locations include El Monte, San Gabriel, Rosemead, West Covina, Covina, Glendora, Azusa, La Puente, East Los Angeles, Montebello, Burbank, Simi Valley, Santa Clarita, and surrounding areas.
Business Analyst III-Encounters & Claims Data L.A. Care Health PlanBusiness Analyst III-Encounters & Claims DataLos Angeles, CAThe Business Analyst III manages and coordinates the implementation and/or integration of products or new features for clients including client training and provides subject matter expertise (SME) and support of the departments inbound and outbound functions. Perform data analysis to support evaluation of system defects or to develop requirements for new functionality; assist in various system trouble shooting and balancing and correction efforts including analysis, verification and validation of issues and fixes.
NewLitigation Attorney Workers'''' Compensation (California) ICW GroupLitigation Attorney Workers'''' Compensation (California)CARemote$119,748.71–$201,947.98 / yearHeadquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for the twelfth consecutive year in a row and for the 20th time overall as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. Ability to respond to inquiries, issues, or questions from internal and external clients, businesses, and members of the State Bar or Judiciary, and regulatory agencies, including effectively responding to the most sensitive inquiries or concerns.
Director, Legal Affairs Natural History Museum of Los Angeles CountyDirector, Legal AffairsLos Angeles, CA$200,000–$250,000 / yearServing as a key organizational member and a trusted advisor, the incumbent provides legal support for contract negotiations, exempt organization law compliance, intellectual property, and matters concerning exhibitions, art acquisitions, dispositions, and loans. NHMLAC's values-adventurous, inclusive, authentic, and intentional-guide our work and visitor experience, committing us to foster a welcoming, safe and respectful workplace environment where innovation and collaboration thrive and every team member can contribute their unique perspectives to advance our mission.
Insurance Specialist (Remote) - Mountain and Pacific Time Zones MeduitInsurance Specialist (Remote) - Mountain and Pacific Time ZonesCaliforniaRemoteboth in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), determine financial responsibility and/or to identify sources of payment for services . You will utilize your expertise in patient billing, claims submission, and payer guidelines (Medicare, Medicaid, &, commercial insurers) to effectively work with insurance companies, resolve issues, and ensure accurate and timely payments.
Insurance Collections Specialist Your Behavioral HealthInsurance Collections SpecialistTorrance, CA$21–$24At YBH, we pride ourselves on being a centralized hub teeming with resources designed to aid clients and their families in pinpointing the optimal support tailored to their distinct needs and aspirations for well-being. Answering questions from patients, clerical staff and insurance companies, Compiling and tracking outstanding balances owed to our providers.
NewMedical Biller Premier Health GroupMedical BillerIrvine, CAYou will work closely with patients, insurance companies, and internal teams to resolve discrepancies and ensure timely payment of services. Collaborate with patients or customers, third-party institutions, and other team members to identify and resolve billing inconsistencies and errors.
Sr Medical Case Manager-CA Crawford & CoSr Medical Case Manager-CACalifornia, CATo determine the actual offer, Crawford considers a wide range of factors including the candidate's previous experience and education, market rates, minimum pay requirements for the applicable jurisdiction, business segment, supply/demand, and scheduled hours. Reviews case records and reports, collects and analyzes data, evaluates client''s medical and vocational status and defines needs and problems in order to provide proactive case management services.
Tax Senior - Credits & Incentives Deloitte Touche Tohmatsu LtdTax Senior - Credits & IncentivesLos Angeles, CA$78,675–$160,750 / yearDeloitte Tax LLP's Global Investment and Innovation Incentives (Gi3) practice helps organizations identify and pursue government credits and incentives tied to investment, innovation, sustainability, and community development. The team supports engagements involving the Research and Development credit, New Markets Tax Credit, Qualified Opportunity Zones, renewable energy incentives, and other federal programs, as well as incentives tied to research activities in other jurisdictions.
Assistant Director of People & Culture Accor SAAssistant Director of People & CultureLos Angeles, CA$115,000–$135,000 / yearFrom the beaches of Hawaii to the deserts of the United Arab Emirates to the heart of London, our hotels offer guests extraordinary places, created by combining unique architecture, expressive decor and artistry, and magnificent features. Administer or oversees the administration of P&C programs including, but not limited to, compensation, benefits, and leave; disciplinary matters; disputes and investigations; performance and talent management; productivity, recognition, and morale; occupational health and safety; and training and development.
Account Executive Crawford & CoAccount ExecutiveLos Angeles, CATo determine the actual offer, Crawford considers a wide range of factors including the candidate's previous experience and education, market rates, minimum pay requirements for the applicable jurisdiction, business segment, supply/demand, and scheduled hours. Manages assigned accounts by analyzing, directing and coordinating the service needs of these clients, including those related to claim handling loss data, and cost containment, and assists with billing and collections.
Billing Reimbursement Specialist II NeoGenomics IncBilling Reimbursement Specialist IICANow that you know what we're looking for in talent, let us tell you why you'd want to work at NeoGenomics: As an employer, we promise to provide you with a purpose driven mission in which you have the opportunity to save lives by improving patient care through the exceptional work you perform. They will work with Third Party insurance bills (HMO, PPO, IPA, TPA Indemnity, Medicare, and Government) responsible for processing independent laboratory claims and Patient Billing.
Accountant PCL Constructors IncAccountantLong Beach, CA$76,000–$102,500 / yearAt PCL Construction, Inc., part of the PCL Family of Companies (PCL), we don't just build projects-we build opportunities, careers and communities. We are 100% employee-owned, every employee has a stake in our success, and that shared commitment drives how we work, grow and lead in the construction industry.
Risk Manager - Search Firm CSU CareersRisk Manager - Search FirmLong Beach, CaliforniaLong Beach blends coastal relaxation with urban vibrancy, offering miles of beaches, year-round sunshine, a thriving arts and food scene, and convenient access to both Los Angeles and Orange County. Eligible employees may have access to a comprehensive benefits package that can include: Paid Time Off: Up to 24 vacation days per year (based on employee group and/or length of service), 14 paid holidays, and 12 sick days annually with unlimited accrual.
Claims Coordinator (Hybrid in CA) First American Financial CorpClaims Coordinator (Hybrid in CA)Santa Ana, CA$17.68–$23.56 / hourFirst American reasonably believes that a criminal history may have a direct, adverse and negative relationship with the following material job duties for this position potentially resulting in the withdrawal of the conditional offer of employment: handling of confidential, proprietary or trade secret information belonging to First American or its customers, administrating or facilitating financial transactions, and the ability to meet customer-imposed criminal history requirements. This is an excellent opportunity for a detail-oriented professional who enjoys researching and connecting information from multiple sources, uncovering critical transaction details, and working in a fast-paced, collaborative environment.
🟢 Green — Claims & Risk Data Analyst Funtonetwork🟢 Green — Claims & Risk Data AnalystLos Angeles, CaliforniaOnce you complete AI vetting and are approved, you will log in to the FuntoNetwork mobile app to track relevant opportunities, application status, contracts, earnings, payments, withdrawals, and related records. If selected, FuntoNetwork may ask you for your assigned part only, such as role-specific technical notes, work samples, estimates, availability, or other supporting materials connected to your consultant role.