NewClaims Specialist Next Insurance IncClaims SpecialistCARemote$100,000–$130,000 / yearLeverage a working knowledge of insurance contracts, Unfair Claims Settlement Practices, insurance codes, civil codes, vehicle codes, arbitration rules and regulations, tort law, claims best practices handling and management as part of your ongoing adjudication of claims. High degree of comfort with navigating sometimes ambiguous environments and a willingness to dive in and assist coworkers with workloads or contribute to organizational needs/projects when needed.
Analyst, Configuration Oversight COB (Edit Reviews)/Claims/QNXT/ Root Cause analysis Molina Healthcare IncAnalyst, Configuration Oversight COB (Edit Reviews)/Claims/QNXT/ Root Cause analysisCAThis includes but not limited to; deep dive contract review and targeted claim audits related to accurate and timely implementation and maintenance of critical information on all claims and provider databases, validate data housed on databases and ensure adherence to business and system requirements of stakeholders as it pertains to provider contracting, network management, credentialing, benefits, prior authorizations, fee schedules, and other business requirements critical to claim accuracy. Experience independently reviewing and processing simple to moderately complex High dollar claims and knowledge of all claim types of reimbursements not limited to payment methodologies such Stoploss, DRG, APC, RBRVS, FFS applicable for HD Inpatient, Outpatient and Professional claims.
NewSenior Claims Examiner, Complex Liability GallagherSenior Claims Examiner, Complex LiabilityTorrance, CaliforniaFull timeBehaviors: Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges. Introduction : At Gallagher, we help clients face risk with confidence because we believe that when businesses are protected, they’re free to grow, lead, and innovate.
Cust Serv Rep I -Claims Alert Crawford & CoCust Serv Rep I -Claims AlertCARemoteAll resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. Provides excellent customer service to all internal team members and external customers.
Sr Claim Examiner- WC TPI Global (formerly Tech Providers, Inc.)Sr Claim Examiner- WCBrea, CAEstablish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost-effective manner and ensuring timely issuance of disbursements. Duties: Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
NewSr Claim Examiner- WC GEE Group, IncSr Claim Examiner- WCbrea, CARemote$39.48 / hourEstablish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements. Duties: Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
ESIS ProClaim Manager Chubb LtdESIS ProClaim ManagerIrvine, CA$86,000–$136,400 / yearThe company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. With more than 70 years of experience, and offerings in both the U.S. and globally, ESIS provides one of the industry's broadest selections of risk management solutions covering both pre- and post-loss services.
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.
Property Damage Case Manager L.A. Injury AttorneysProperty Damage Case ManagerBurbank, CaliforniaInjury Attorneys is one of the top rated personal injury law firms in California and belongs to the Million Dollar Advocates Forum and the Multi- Million Dollar Advocates forum which is exclusive to those law firms that have excelled in their profession and secured multi-million dollar settlements and verdicts for their clients. In this role, you will be responsible for the initial investigative work necessary to establish/clear liability on all types of cases, including government claims, motor vehicle accidents, slip and falls, and dog bites.
NewSr Claim Examiner- WC Abacus Service CorporationSr Claim Examiner- WCBrea, CARemoteLocation Client Location Country: United States State/Province: California City: Brea Address: 675 Placentia Avenue, Suite 350, CA0001 POSTAL CODE: 92821 Work Location Same as Client Location Other Client Location Work Completed Offsite Country: United States State/Province: California City: brea Street Address: Street Address 2: POSTAL CODE: 92821 Schedule Start Date: 09/28/2026 Hours Per Week: 40.00 Est. Department: 06311 | SRMS | R0036 | BUS: BP WC Brea - 06311 Job Category: Claims Job Code: Sr Claim Examiner- WC:BS0160 Job Title: Sr Claim Examiner- WC Keywords: Number of Positions: 2 Remaining Positions: 2 Duties: Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
Workers’ Compensation Claim Representative II CCMSIWorkers’ Compensation Claim Representative IIIrvine, CaliforniaRemote$60,000–$80,000 / yearResponsibilities: When we hire Workers’ Compensation Adjusters at CCMSI, we look for detail‑driven problem‑solvers who balance empathy with sound judgment, navigate complex regulations with confidence, and deliver fair, timely outcomes that support injured workers and strengthen client trust. At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.
Workers' Compensation Claim Consultant CCMSIWorkers' Compensation Claim ConsultantIrvine, CaliforniaRemote$80,000–$95,000 / yearResponsibilities: When we hire Workers’ Compensation Adjusters at CCMSI, we look for detail‑driven problem‑solvers who balance empathy with sound judgment, navigate complex regulations with confidence, and deliver fair, timely outcomes that support injured workers and strengthen client trust. At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.
Outside Property Claim Representative TravelersOutside Property Claim RepresentativeDiamond Bar, California$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.
Personal Injury Case Manager Assistant L.A. Injury AttorneysPersonal Injury Case Manager AssistantBurbank, California$25–$30 / hourInjury Attorneys is one of the top rated personal injury law firms in California and belongs to the Million Dollar Advocates Forum and the Multi- Million Dollar Advocates forum which is exclusive to those law firms that have excelled in their profession and secured multi-million dollar settlements and verdicts for their clients. The Case Manager Assistant is expected to work in the office during regular business hours to answer client calls, support the immediate needs of the Case Manager, and greet clients.
Litigation Case Manager L.A. Injury AttorneysLitigation Case ManagerBurbank, CaliforniaCommunicate with providers and creditors to confirm lien amounts and negotiate liens · Maintain accurate and detailed records of all negotiations, agreements, and communications pertaining to lien resolution · Draft reduction letters to resolve and negotiate medical liens · Negotiate all medical liens, Medpay reimbursement claims, waivers, and attorney liens in settled personal injury cases. Injury Attorneys is one of the top rated personal injury law firms in California and belongs to the Million Dollar Advocates Forum and the Multi- Million Dollar Advocates forum which is exclusive to those law firms that have excelled in their profession and secured multi-million dollar settlements and verdicts for their clients.
NewAuto Damage Claim Representative The Travelers Companies IncAuto Damage Claim RepresentativeDiamond Bar, CA$55,200–$91,100 / yearLeverage all internal and external resources to conduct thorough investigations to gather all relevant facts accurately document findings in the claim management system and maintain accurate records of claim activity in claim management systems. Manage auto physical damage claims from first notice of loss through resolution and settlement, handling low to moderate complexity cases, including total loss evaluations and vehicle repair oversight.
Sr Claim Examiner-WC (CA) Crawford & CoSr Claim Examiner-WC (CA)Brea, CARemoteTo 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. Work within established authority on moderate-to-difficult claims, reviewing coverages, determining liability/compensability, collecting statements and essential information, and settling claims using best practices.
Legal Counsel ReservLegal CounselCAThis is a unique opportunity to join a fast-moving, venture-backed insurtech at an exciting stage of growth - and to gain broad, hands-on experience across transactional, commercial, and operational legal matters. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022.
NewAuto Damage Claim Representative TravelersAuto Damage Claim RepresentativeDiamond Bar, CaliforniaLeverage all internal and external resources to conduct thorough investigations to gather all relevant facts accurately document findings in the claim management system and maintain accurate records of claim activity in claim management systems. Manage auto physical damage claims from first notice of loss through resolution and settlement, handling low to moderate complexity cases, including total loss evaluations and vehicle repair oversight.
Case Manager Morgan & Morgan, P.A.Case ManagerIrvine, CaliforniaThis employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. From attorneys in all 50 states, to client support staff, creative marketing to operations teams, every member of our firm has a key role to play in the winning fight for consumer rights.