Claims Auto Adjuster AAAClaims Auto AdjusterEscondido, CaliforniaThis 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.
Senior Claims Adjuster Workers Compensation GallagherSenior Claims Adjuster Workers CompensationSan Diego, CaliforniaRemoteFull timeAs a key member of our experienced Claims Adjuster team, you will: Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution. How you'll make an impact : Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims.
Workers Compensation Claims Adjuster (California Experience Required) CBCSWorkers Compensation Claims Adjuster (California Experience Required)San Diego, CARemote$60,000–$100,000 / yearThis is a fully remote position, and prior workers' compensation adjusting experience is required (including taking statements, issuing lost wage payments, completing state filings, denying claims, handling subrogation, managing litigation, etc.). Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve.
Insurance Claims Specialist Columbia Banking System, Inc.Insurance Claims SpecialistSan Diego, CA$19–$24 / hourStaffing and recruiting agencies are not authorized to submit profiles, applications, or resumes to this site or to any Columbia Bank employee and any such submissions will be considered unsolicited unless requested directly by a member of the Talent Acquisition team. About the Role: The Insurance Claims Specialist is responsible for communicating effectively and professionally while handling incoming calls and written communication from/to customers.
Property & Casualty Insurance Claims Operations Consultant, Manager PwCProperty & Casualty Insurance Claims Operations Consultant, ManagerSan Diego, CA$99,000–$232,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . You will analyze client needs, implement solutions, and provide training and support to validate seamless integration and utilization of business applications, enabling clients to achieve their strategic objectives.
Insurance Claims Manager Whiteboard Risk & Insurance SolutionsInsurance Claims ManagerSan Diego, CARemote$55,000–$65,000 / yearCompensation $55,000 - $65,000 yearly About Whiteboard Risk & Insurance Solutions We are a modern commercial insurance agency with a very unique platform of services that helps businesses that struggle with workers ' compensation injuries. Analyze client claims data and overall claim histories to identify patterns, trends, and optimal strategies, leveraging basic mathematical and analytical skills to support decision-making.
Manager Claims Admin - Revenue Cycle Claims Processing - Sharp Corporate - Day Shift - Full Time Sharp HealthCareManager Claims Admin - Revenue Cycle Claims Processing - Sharp Corporate - Day Shift - Full TimeSan Diego, CaliforniaDemonstrate safe work practices by identifying and reporting potential safety hazards to appropriate personnel, including but not limited to the following: Assuring staff’s appropriate chair height, keyboard and screen placement, securing of electrical wiring, use of proper body mechanics, etc. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.
(Remote) Claims Assistant Military, Veterans and Diverse Job Seekers(Remote) Claims AssistantSan Diego, CaliforniaRemoteOne (1) year customer service experience or equivalent combination of education and experience preferred. Tracks time and log file notes for daily field activity.
Claims Representative (Iap) - Workers Compensation Training Program | San Diego, CA Sedgwick Claims Management Services, Inc.Claims Representative (Iap) - Workers Compensation Training Program | San Diego, CASan Diego, CAMental: 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. Adjusting various levels of workers' compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim.
NewSenior Epic Analyst I - Professional Billing & Claims San Ysidro Health CenterSenior Epic Analyst I - Professional Billing & ClaimsSan Diego, CAVerbal and Written Skills Required to perform the Job: Strong written and verbal communication skillsStrong facilitation and presentation skillsThink abstractly beyond basic data requirementCommunicate in a clear and concise manner, verbally and in writingCommunicate effectively and partner with senior level staff to determine business goals and objectives, and ways to partner in order to achieve those objectivesExercise strong planning, organizing, and communication skillsWork independently and as a teamWork on multiple projects concurrently and meet deadlinesWork outside normal business hours as necessary to support production-sensitive projects. Working Conditions and Physical Requirements: This hybrid position is intended to be primarily remote, with expectation for occasional on-site presence based on business need (Quarterly Town Halls; Go-Live Events; etc.)To be considered for this role, candidates must either currently live in California or demonstrate a willingness to relocate prior to employmentFlexibility in schedule to meet project deadlinesSitting for extended periods of timeSufficient dexterity to effectively operate a computer keyboard and other related peripherals.
Senior Data Science Engineer I, Claims TurquoiseSenior Data Science Engineer I, ClaimsSan Diego, CaliforniaRemoteYou'll join our Data Science Engineering team to own the data lifecycle of healthcare claims data including ELT/ETL, de-identification, PHI/PII reduction, data quality, observability, and integrations (e.g., APIs, web-optimized data stores). Experience with healthcare claims data, such as EDI 837/835 files, researcher datasets (CMS VRDC, CMS Limited Data Set), commercial claims (Komodo, MarketScan), or equivalents.
Claims Team Lead - Workers Compensation Sedgwick Claims Management Services, Inc.Claims Team Lead - Workers CompensationSan Diego, CARemote$100,000–$120,000 / yearMental: 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. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Workers Compensation Claims Examiner Sedgwick Claims Management Services, Inc.Workers Compensation Claims ExaminerSan Diego, CARemote$80,000–$100,000 / yearPRIMARY 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.
Workers Compensation Claims Examiner | Dedicated Account | 3 Days Remote Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | Dedicated Account | 3 Days RemoteSan Diego, CARemote$80,000–$100,000 / yearPRIMARY 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.
Senior Litigation Construction Liability Claims Representative The Travelers CompaniesSenior Litigation Construction Liability Claims RepresentativeSan Diego, CA$94,400–$155,800 / yearDirectly investigates each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Actively engages in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts.
Claims Service Specialist Geico InsuranceClaims Service SpecialistPoway, CA$22.90–$35.10 / hourCustomer Interaction: Manage incoming calls, collect accident facts, investigate claim details, collect statements from involved parties, and assist in the process of getting our customers back on the road. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate's work experience, education and training, the work location as well as market and business considerations.
Epic Certified PB / PB Claims Analyst Waterfall Technology Consulting PartnersEpic Certified PB / PB Claims AnalystSan Diego, CaliforniaThe ideal candidate will bring strong technical expertise, revenue cycle application knowledge, and hands-on experience supporting professional billing and claims workflows. This role is critical in ensuring seamless functionality of Epic's PB and Claims modules, supporting both break/fix issues and application enhancements.
Epic Certified PB / PB Claims Analyst - Remote - San Diego, CA Waterfall Technology Consulting PartnersEpic Certified PB / PB Claims Analyst - Remote - San Diego, CASan Diego, CaliforniaRemoteThe ideal candidate will bring strong technical expertise, revenue cycle application knowledge, and hands-on experience supporting professional billing and claims workflows. This role is critical in ensuring seamless functionality of Epic's PB and Claims modules, supporting both break/fix issues and application enhancements.
Remote Claims Representative 597004 Metro Public AdjustmentRemote Claims Representative 597004San Diego, CARemote$35,000–$150,000 / yearConduct a virtual walk-through inspection of the property, take some pictures, and fill out about 5 minutes worth of paper work. Benefit from our 32 years of experience in business: We have an AWESOME training program and it's FREE!
Manager, Intellectual Property - Disputes, Claims & Investigations Stout Risius RossManager, Intellectual Property - Disputes, Claims & InvestigationsSan Diego, California$87,000–$195,000 / yearApproach engagements with intellectual curiosity and rigor — asking thoughtful questions, thinking critically about the data and assumptions behind our analysis, and applying attention to detail so our work product is accurate, thorough, and well-reasoned. Strong analytical and technical skills in finance, economics, and/or accounting with the ability to critically analyze financial statements, accounting records, tax returns, and other financial documents.