Medical Claims Resolution Specialist Kinetic Personnel GroupMedical Claims Resolution SpecialistOrange, CA$25–$31 / hourTemporaryA full time permanent position includes a pay raise, telecommute options, a CalPERS Pension and excellent government benefits including generous holiday, PTO and sick pay days off, year one! 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.
Labor and Employment Attorney JobotLabor and Employment AttorneyBurbank, CA$160,000–$220,000 / yearInformation 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.
NewAttorney---Orange, CA---Construction Litigation---$130k-$200k JobotAttorney---Orange, CA---Construction Litigation---$130k-$200kOrange, CA$130,000–$200,000 / yearInformation 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 construction law practice represents owners, developers, design professionals, general contractors, subcontractors, suppliers, and other industry stakeholders in a broad range of construction-related disputes.
Business Litigation Attorney JobotBusiness Litigation AttorneyRiverside, CARemote$170,000–$250,000 / yearInformation 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.
NewLitigation Attorney (Remote) JobotLitigation Attorney (Remote)Irvine, CARemote$170,000–$180,000 / yearInformation 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. A well-established law firm specializing in complex construction, business, and employment litigation, handling multi-million dollar projects, personal injury defense, environmental claims, and product liability matters.
Litigation Legal Secretary JobotLitigation Legal SecretaryIrvine, CA$90,000–$100,000 / yearInformation 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. The firm offers a professional yet collegial Irvine office environment, meaningful day-to-day involvement in complex matters, and the long-term stability of a full-service firm with deep roots in the community.
NewGeneral Liability Attorney (Fully Remote Available!) JobotGeneral Liability Attorney (Fully Remote Available!)Orange, CARemote$135,000–$210,000 / yearInformation 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.
Public Agency Litigation Attorney JobotPublic Agency Litigation AttorneyIrvine, CARemote$170,000–$265,000 / yearInformation 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 position offers the opportunity to handle complex litigation matters on behalf of public entities, appear regularly in court, and work directly with clients in a collaborative and well-established practice group.
Civil Litigation Attorney (Low Billables) JobotCivil Litigation Attorney (Low Billables)Irvine, CA$160,000–$230,000 / yearInformation 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 boutique legal client in Irvine, CA represents businesses, property owners, nonprofit organizations, religious institutions, insurers, and other clients throughout California.
Municipal Law Associate JobotMunicipal Law AssociateOntario, CA$130,000–$190,000 / yearInformation 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. An established and nationally respected law firm with over a century of legal service is seeking a Health Care Litigation Attorney with a minimum of 3 years of litigation experience to join its growing Health Care Practice Group.
Senior Employment Law Attorney JobotSenior Employment Law AttorneyBeverly Hills, CA$200,000–$500,000 / yearInformation 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 attorney will lead complex employment litigation matters involving individual, class action, and representative claims under California and federal employment laws, including the California Labor Code, FEHA, FLSA, and the Private Attorneys General Act (PAGA).
Plaintiff-Side Insurance Bad Faith Attorney JobotPlaintiff-Side Insurance Bad Faith AttorneyClaremont, CA$150,000–$225,000 / yearInformation 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 are a leading California plaintiff-side litigation firm that represents individuals and businesses in high-stakes disputes against insurance carriers and negligent insurance brokers.
Lateral Partner - book of business required JobotLateral Partner - book of business requiredNewport Beach, CA$250,000–$450,000 / yearInformation 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. As part of our long-term succession planning, several senior partners are approaching retirement, creating an exceptional opportunity for an accomplished litigator to step into a leadership role, expand their practice, and help shape the next generation of the firm.
Insurance Defense Attorney | Fully Remote JobotInsurance Defense Attorney | Fully RemoteIrvine, CARemote$150,000–$225,000 / yearInformation 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 are seeking a fully remote Litigation Attorney to handle construction defect and general liability matters while managing a consistent 160 monthly billable target.
Habitability Attorney JobotHabitability AttorneyTorrance, CARemote$170,000–$220,000 / yearInformation 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 are looking for an individual who is passionate about advocating for clients in the complex world of insurance defense and has a proven track record of success in this area.
Project Accountant JobotProject AccountantIrvine, CA$65,000–$90,000 / yearInformation 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.
NewAR Supervisor JobotAR SupervisorSan Clemente, CA$38–$42 / hourInformation 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 individual will play a key role in stabilizing processes, managing customer accounts, and driving collections performance while working closely with internal teams and external customers.
NewAR Manager JobotAR ManagerSan Clemente, CA$100,000–$120,000 / yearInformation 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 individual will play a key leadership role in managing risk, improving cash flow, and driving effective collections strategies while partnering closely with cross-functional teams.
Associate Attorney JobotAssociate AttorneyIrvine, CA$150,000–$250,000 / yearInformation 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. The firm’s practice is concentrated in complex, high-exposure catastrophic personal injury defense matters for sophisticated corporate clients, including companies with substantial self-insured retentions and deductibles.
NewAssociate - Trial & Defense (Los Angeles, CA) Pernini Recruiting CompanyAssociate - Trial & Defense (Los Angeles, CA)Los Angeles, CA$155,000–$175,000 / yearComprehensive Benefits Package : Includes medical, dental, and vision coverage; retirement plan with immediate vesting; performance-based bonuses; student loan repayment assistance; generous paid time off; hybrid work flexibility; wellness stipend and dedicated wellbeing day; inclusive parental leave; professional development and mentorship programs; referral bonuses; and additional lifestyle and wellbeing benefits. Litigation & Dispute Resolution Practice Group Location: California - Los Angeles HYBRID Our client, a leading international law firm , is seeking a skilled Litigation Associate Attorney to join its dynamic Trial & Defense Practice Group .
NewGuest Relations Manager Marriott Vacations WorldwideGuest Relations ManagerNewport Coast, CAUtilizes interpersonal and communication skills to lead, influence, and encourage others; advocates sound financial/business decision making; demonstrates honesty/integrity; leads by example. Maintains a bold working relationship with all departments to support property operations and goals and to expedite the resolution of any problems that may arise through the general operation of the property.
NewReal Estate Attorney Boardwalk IG Management LLCReal Estate AttorneyCosta Mesa, CA$285,000–$300,000 / yearThe Firm currently manages a commercial real estate portfolio comprised of retail, mixed-use, office and multifamily assets located primarily in Orange County, California and is led by a seasoned management team with over 50 years of commercial real estate experience. The Real Estate Attorney partners closely with executive leadership, finance, development, and operations teams to deliver timely legal guidance, efficiently manage real estate legal matters, and support the organization’s overall business and investment objectives.
NewProperty Manager ( Multifamily-Apartments) JobotProperty Manager ( Multifamily-Apartments)Downey, CA$85,000–$105,000 / yearFor a high-performing manager, the bonus structure adds substantial earning potential: Leasing & Renewal Incentives (Paid Monthly): Earn $175 per new lease and $350 for every 12-month lease renewal completed. The Area Manager is a "boots-on-the-ground," multi-site Property Manager responsible for the daily operational success, leasing, and physical upkeep of a local cluster of 3 to 6 small buildings, totaling approximately 150 to 200 units.
Associate Attorney-Public Agency Litigation JobotAssociate Attorney-Public Agency LitigationBrea, CA$165,000–$200,000 / yearInformation 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. Managing a diverse caseload of public agency litigation matters, including but not limited to, municipal law, civil litigation, California Environmental Quality Act (CEQA), construction defect, and construction cases.
Construction Project Manger JobotConstruction Project MangerPasadena, CA$110,000–$150,000 / yearInformation 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 are an established general contractor specializing in multifamily and mixed-use developments throughout California with a strong reputation for delivering high-quality projects and building long-term client relationships.
Project Executive - Commercial/TI Construction Michael Page USAProject Executive - Commercial/TI ConstructionCosta Mesa, CA$200,000–$230,000 / yearFull timeWorking knowledge of skilled trades including carpentry, masonry, concrete work, site excavation and grading, plumbing, fire protection, HVAC, and electrical. Directs and supervises work of project administration staff and construction engineers, as well as works in partnership with project superintendents to establish operational priorities.
Project Executive - Commercial Construction Michael Page USAProject Executive - Commercial ConstructionCosta Mesa, CA$180,000–$240,000 / yearFull timeWorking knowledge of skilled trades including carpentry, masonry, concrete work, site excavation and grading, plumbing, fire protection, HVAC, and electrical. Directs and supervises work of project administration staff and construction engineers, as well as works in partnership with project superintendents to establish operational priorities.
Litigation Attorney JobotLitigation AttorneyCulver City, CA$100,000–$200,000 / yearInformation 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.
NewLicensed Vocational Nurse (LVN) Needed Aveanna HealthcareLicensed Vocational Nurse (LVN) NeededCulver City, CA$27–$32 / hourOur homecare is always delivered from a place of heartfelt compassion and empathy, and every one of our Licensed Practical / Vocational Nurses (LPN/LVN)s works together to make sure we achieve outstanding clinical outcomes. See Aveanna Healthcare Terms & Conditions at https://www.aveanna.com/privacypolicy.html and Privacy Policy at https://www.aveanna.com/privacypolicy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
NewLicensed Vocational Nurses (LVN's) Needed Aveanna HealthcareLicensed Vocational Nurses (LVN's) NeededLong Beach, CA$28–$32 / hourOur homecare is always delivered from a place of heartfelt compassion and empathy, and every one of our Licensed Practical / Vocational Nurses (LPN/LVN)s works together to make sure we achieve outstanding clinical outcomes. See Aveanna Healthcare Terms & Conditions at https://www.aveanna.com/privacypolicy.html and Privacy Policy at https://www.aveanna.com/privacypolicy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
NewSpecial Education Teacher→ $2,000 Annual Education Stipend! Spectrum Center Schools and ProgramsSpecial Education Teacher→ $2,000 Annual Education Stipend!Orange, CA$70,306–$75,000 / yearStarting Salary: $70,306 - $75,000 /year based on experience PLUS $2,000 Annual Education Stipend Environment: Special Education Program, Elementary School Spectrum Center Schools and Programs , a growing, dynamic organization with a social mission to offer hope, is seeking a Special Education Teacher to join our award-winning team and perform meaningful work in a culture that welcomes innovation, encourages creative expression and offers limitless potential for personal and professional satisfaction! If you're passionate about empowering students with diverse learning needs, thrive in a collaborative and dynamic educational environment, and bring creativity, patience, a solution-focused mindset, a sense of humor, and an unwavering commitment to student growth — We Should Talk!
NewCase Manager Utilization RN-Per Diem Day Kaiser PermanenteCase Manager Utilization RN-Per Diem DayRiverside, CA$77.69Reviews, analyses and identifies utilization patterns and trends, problems or inappropriate utilization of resources and participates in the collection and analysis of data for special studies, projects, planning, or for routine utilization monitoring activities. Coordinates the interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning, and obtaining all authorizations/approvals as needed for outside services for patients/families.
NewED Case Management Utilization RN, Per Diem Night 10/hr Shift Kaiser PermanenteED Case Management Utilization RN, Per Diem Night 10/hr ShiftDowney, CA$77.69Reviews, analyses and identifies utilization patterns and trends, problems or inappropriate utilization of resources and participates in the collection and analysis of data for special studies, projects, planning, or for routine utilization monitoring activities. Coordinates the interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning, and obtaining all authorizations/approvals as needed for outside services for patients/families.
Construction Project Manager - Education/Public Projects Michael Page USAConstruction Project Manager - Education/Public ProjectsAnaheim, CA$145,000–$190,000 / yearFull timeWork closely with the client, architect and engineers to control and manage any change in scope and provide all impacts and documentation of such to allow for a timely decision to be made, such as cost, schedule and quality implications and obtain the Owner's approval. Provide monthly invoices and oversee all documentation and approvals needed to ensure timely funding for the project and subsequent payment to trade partners and vendors.
Superintendent - Healthcare/HCAi Construction Michael Page USASuperintendent - Healthcare/HCAi ConstructionOrange, CA$130,000–$190,000 / yearFull timeWork closely with the client, architect and engineers to control and manage any change in scope and provide all impacts and documentation of such to allow for a timely decision to be made, such as cost, schedule and quality implications and obtain the Owner's approval. Provide monthly invoices and oversee all documentation and approvals needed to ensure timely funding for the project and subsequent payment to trade partners and vendors.
NewED Case Management Utilization RN, Per Diem Night Kaiser PermanenteED Case Management Utilization RN, Per Diem NightDowney, CA$77.69Reviews, analyses and identifies utilization patterns and trends, problems or inappropriate utilization of resources and participates in the collection and analysis of data for special studies, projects, planning, or for routine utilization monitoring activities. Coordinates the interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning, and obtaining all authorizations/approvals as needed for outside services for patients/families.
Registered Nurse (RN) - Neurosurgery - Temecula Advocate AuroraRegistered Nurse (RN) - Neurosurgery - TemeculaRiverside, CAMust demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation .
NewCase Manager Utilization RN - Pipeline Variable Shifts and Schedules Kaiser PermanenteCase Manager Utilization RN - Pipeline Variable Shifts and SchedulesRiverside, CAReviews, analyses and identifies utilization patterns and trends, problems or inappropriate utilization of resources and participates in the collection and analysis of data for special studies, projects, planning, or for routine utilization monitoring activities. Coordinates the interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning, and obtaining all authorizations/approvals as needed for outside services for patients/families.
Sr. Real Estate Legal Ops & Dispute Resolution Supervising Attorney (P1-6017610-1) Panda Restaurant Group IncSr. Real Estate Legal Ops & Dispute Resolution Supervising Attorney (P1-6017610-1)Rosemead, CA$194,000–$207,000 / yearReviews, drafts miscellaneous legal agreements, such as: Exclusive Waivers, Signage Agreements, Consent/Amendments for CCRs, Easement Agreements, Non-Renewal Amendments, Settlement Agreements, any legal documents from Property Management that involve REA approval. Provides consultation on dispute resolution and litigation, drafts complaints and respondents, conducts lease legal revie and legal risk analysis, and drafts legal responses to landlords to mitigate exposure.
NewProject Manager - LAUSD/DSA Construction Michael Page USAProject Manager - LAUSD/DSA ConstructionLong Beach, CA$150,000–$190,000 / yearFull timeWork closely with the client, architect and engineers to control and manage any change in scope and provide all impacts and documentation of such to allow for a timely decision to be made, such as cost, schedule and quality implications and obtain the Owner's approval. Provide monthly invoices and oversee all documentation and approvals needed to ensure timely funding for the project and subsequent payment to trade partners and vendors.
Senior Director, Construction Disputes & Advisory (PLDC): Architect Ankura Consulting Group LLCSenior Director, Construction Disputes & Advisory (PLDC): ArchitectCalifornia, CA$110,000–$240,000 / yearValue Proposition: This role offers the opportunity to establish your legacy as a definitive testifying expert, lead high-performing teams, and directly impact multi-million-dollar dispute resolutions by providing objective, credible, and defensible conclusions in court, arbitration panels, and dispute resolution boards. This compensation range is specific to the said markets and takes into account a broad range of factors, including but not limited to skill sets, experience and training, licensure and certifications, and other business and organizational needs.
Litigation Associate (5+ Years) | Professional Sports, Business Disputes Crew Connectors, LLCLitigation Associate (5+ Years) | Professional Sports, Business DisputesTorrance, CACrew is hiring a Mid-to-Senior Litigation Associate for a growing boutique litigation firm representing businesses, professionals, and other high-profile clients, including organizations in professional sports, in complex civil disputes. This opportunity is ideal for an attorney with at least five years of litigation experience who enjoys taking ownership of cases, handling substantive litigation work independently, and serving as a trusted advisor to clients.
Junior Litigation Associate | Professional Sports, Business Disputes Crew Connectors, LLCJunior Litigation Associate | Professional Sports, Business DisputesTorrance, CACrew is hiring a Junior Litigation Associate for a growing boutique litigation firm representing businesses, professionals, and other high-profile clients, including organizations in professional sports, in complex civil disputes. The firm is seeking someone who is eager to take on meaningful responsibility, work closely with senior attorneys on strategy, and gain hands-on experience managing matters from inception through resolution.
Claims Resolution Specialist Edison InternationalClaims Resolution SpecialistRosemead, CACommunicates with policyholders, witnesses, and claimants in order to gather information regarding claims, refers tasks to auxiliary resources as necessary, and advises as to proper course of action. Once hired, the candidate must complete specified training prior to gaining un-escorted access to assigned work location and performing necessary job duties.
Grievance Resolution Specialist Kinetic Personnel Group, Inc.Grievance Resolution SpecialistOrange, CA$25–$37 / hourGathers pertinent information regarding the grievances and appeals received, including, but not limited to, member or provider concerns, supporting information related to initial decision-making, new information supporting the grievance or appeal, or supplemental information required to evaluate grievances and appeals within regulatory requirements. The Grievance Resolution Specialist coordinates the Grievance and Appeal resolution process, responds to verbal and written Grievances and Appeals from members and/or providers relating to member eligibility and benefits, contract administration, claims processing, utilization management decisions, and pharmacy and vision decisions.
Grievance & Appeals Resolution Specialist Clever Care Health Plan IncGrievance & Appeals Resolution SpecialistHuntington Beach, CA$26–$32 / hourThe Resolution Specialist is accountable for meeting CMS turnaround time requirements, maintaining audit-ready documentation, supporting CMS Complaints Tracking Module (CTM) activities, and contributing to quality improvement and Star Ratings performance through effective trend identification and member-centered communication. This role independently manages assigned cases within established guidelines, applies sound analytical judgment to resolve non-clinical matters, collaborates with clinical and operational partners, and ensures timely, accurate, and compliant case resolution.
Grievance & Appeals Resolution Specialist Clever Care Health PlanGrievance & Appeals Resolution SpecialistHuntington Beach, CAThe Resolution Specialist is accountable for meeting CMS turnaround time requirements, maintaining audit-ready documentation, supporting CMS Complaints Tracking Module (CTM) activities, and contributing to quality improvement and Star Ratings performance through effective trend identification and member-centered communication. This role independently manages assigned cases within established guidelines, applies sound analytical judgment to resolve non-clinical matters, collaborates with clinical and operational partners, and ensures timely, accurate, and compliant case resolution.
Claims Resolution Specialist Southern California EdisonClaims Resolution SpecialistRosemead, CAVisit our Candidate Resource (https://www.edisoncareers.com/page/show/candidate-resources) page to get meaningful information related to benefits, perks, resources, testing information, hiring process, and more! + Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims, refers tasks to auxiliary resources as necessary, and advises as to proper course of action.
Head of Disputes Operations Collectors Holdings, Inc.Head of Disputes OperationsSanta Ana, CA$110,891–$170,035 / yearThis role owns the full dispute lifecycle - payment chargebacks and representment, buyer/seller and fulfillment disputes, and the regulatory error-resolution obligations of the lending business - maximizing recovery and win rates while keeping the company within card-network thresholds, meeting regulatory timeframes, and protecting customer trust. Monitor and manage card-network monitoring programs (e.g., Visa and Mastercard excessive-chargeback / acquirer-monitoring programs) to keep the business safely below ratio thresholds.
Head Of Disputes Operations Collectors Universe, Inc.Head Of Disputes OperationsSanta Ana, CA$110,891–$170,035 / yearThis role owns the full dispute lifecycle - payment chargebacks and representment, buyer/seller and fulfillment disputes, and the regulatory error-resolution obligations of the lending business - maximizing recovery and win rates while keeping the company within card-network thresholds, meeting regulatory timeframes, and protecting customer trust. Monitor and manage card-network monitoring programs (e.g., Visa and Mastercard excessive-chargeback / acquirer-monitoring programs) to keep the business safely below ratio thresholds.