Medical Biller - Healthcare Claims Guidehouse IncMedical Biller - Healthcare ClaimsEl Segundo, CA$38,000–$63,000 / yearCompensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. Demonstrates an ability to find solutions to problems and keeps management informed of patterns regarding billing edits, compliance issues, payments and or other issues with specific payers.
Commercial Auto & General Liability Claims Consultant CNA Financial CorpCommercial Auto & General Liability Claims ConsultantCA$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages highly complex investigations of claims, including coverage issues, liability, compensability and damages. Negotiates highly complex settlement packages, and authorizes payment within scope of authority, settling claims in most cost effective manner and ensuring timely issuance of disbursements.
Blended Claims Consultant, Construction CNA Financial Corp.Blended Claims Consultant, ConstructionBrea, CA$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages highly complex investigations of claims, including coverage issues, liability, compensability and damages. Negotiates highly complex settlement packages, and authorizes payment within scope of authority, settling claims in most cost effective manner and ensuring timely issuance of disbursements.
Claims Consultant Tata Consultancy Services LtdClaims ConsultantLa Puente, CA$48,000–$55,000 / yearResponsibilities: To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments. Determines benefits due, makes timely claims payments/approvals and adjustments for Workers Compensation, State Short Term Disability, and other disability offsets.
Associate Bond Claims Attorney HCC Service CompanyAssociate Bond Claims AttorneySanta Ana, CaliforniaAs an insurance company, however, we must comply with certain Federal and state laws such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e)), which limits our ability to employ individuals with certain types of criminal convictions. After making a conditional offer and running a background check, if the Company is concerned about a conviction that is directly related to the job, you will be given the chance to explain the circumstances surrounding the conviction or challenge the accuracy of the background report.
Claims Representative Mercury Insurance CompanyClaims RepresentativeCA$32,363–$56,701 / yearThe Claims Representative will handle a high volume of calls and make regular contact with customers on multiple platforms, collaborating cohesively with other team members to achieve department goals. Sets reserves for anticipated losses, arranges vehicle inspections and rental authorizations, and makes referrals to specialty teams as warranted.
Claims Representative Mercury Insurance Services, LLCClaims RepresentativeCalifornia$32,363–$56,701 / yearThe Claims Representative will handle a high volume of calls and make regular contact with customers on multiple platforms, collaborating cohesively with other team members to achieve department goals. • Sets reserves for anticipated losses, arranges vehicle inspections and rental authorizations, and makes referrals to specialty teams as warranted.
Claims Specialist II Mercury Insurance CompanyClaims Specialist IICA$44,466–$77,881 / yearBodily Injury Claims Management: Analyze medical records to evaluate, negotiate, and settle moderate bodily injury claims with legal counsel for represented claimants and unrepresented parties. If you're passionate about helping people restore their lives when the unexpected happens, and providing high-quality customer experiences, then our Mercury Insurance Claims team could be the place for you!
Claims Field Senior Property Adjuster AAAClaims Field Senior Property AdjusterCarson, CaliforniaWith 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. Travel Requirements Claims field duties may involve company car usage and local travel to inspect accident scenes or first-party homeowner losses.
Sr. Medical Claims Processor Ultimate Staffing ServicesSr. Medical Claims ProcessorPasadena, California$24–$29 / hourEnsure accuracy of claim details, including patient information, coding (ICD-10, CPT, HCPCS), and billing data prior to submission. Investigate and resolve denied, rejected, or pending claims by working with providers, payers, and internal departments.
Medical Claims Examiner Ultimate Staffing ServicesMedical Claims ExaminerPasadena, California$26–$29 / hourWe are seeking an experienced Medical Claims Examiner to review, analyze, and adjudicate medical claims for accuracy, compliance, and medical necessity. Identify coding discrepancies, overpayments, and potential fraud or abuse.
VP, Claims Technical Lead, Workers Comp Sompo International Holdings LimitedVP, Claims Technical Lead, Workers CompLos Angeles, CA$170,000–$225,000 / yearThe successful candidate will supervise the internal Sompo TPA oversight claims team, manage TPAs who handle claims on Sompo's behalf, and work closely with internal and external business partners. Below is a summary of our current comprehensive U.S. benefit programs: Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution.
Claims Property Adjuster AAAClaims Property AdjusterCosta Mesa, CaliforniaWith 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. Claims Property Adjuster This position supports the Property Claims operation by handling claims reported on Homeowner policies written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements.
VP, Claims Technical Lead, Workers Comp Sompo InternationalVP, Claims Technical Lead, Workers CompLos Angeles, CA$170,000–$225,000 / yearThe successful candidate will supervise the internal Sompo TPA oversight claims team, manage TPAs who handle claims on Sompo's behalf, and work closely with internal and external business partners. Below is a summary of our current comprehensive U.S. benefit programs: Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution.
NewClaims Service Representative - Total Loss AAAClaims Service Representative - Total LossCarson, CaliforniaThis entry level position supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of material damage, property 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.
Non-Attorney Represented Bodily Injury Claims Adjuster - PST/MST (Remote) Allstate Insurance CompanyNon-Attorney Represented Bodily Injury Claims Adjuster - PST/MST (Remote)CARemote$47,500–$61,600 / yearCase Management, Claims Administration, Claims Resolution, Claims Review, Customer Centricity, Customer Service, Digital Literacy, Inclusive Leadership, Insurance Claims Investigations, Learning Agility, Personal Injury Claims, Problem Solving, Results-Oriented, Time Management, Written Communication. As a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment.
Associate Claims Counsel (Hybrid) First AmericanAssociate Claims Counsel (Hybrid)Santa Ana, CaliforniaFirst 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. If you are an independent and self-motivated worker who appreciates the opportunity to engage in complex legal analysis and craft creative solutions to difficult problems in a supportive team-oriented environment, then the Associate Claims Counsel position with First American Title Insurance Company provides an excellent opportunity for you.
Claims Manager - Technical Standards and Compliance | Brea, CA Sedgwick Claims Management Services, Inc.Claims Manager - Technical Standards and Compliance | Brea, CABrea, CA$110,000–$127,000 / yearLeads projects focused on large process, procedural and /or compliance changes/updates; communicates changes/updates to field offices, IT, Legal and other applicable business units regarding regulatory requirements and changes. Serves as subject matter expert responsible for the training of technical processes and requirements; leads training initiatives for colleagues, supervisors/managers and clients as needed.
Claims Counsel Capital Insurance GroupClaims CounselLos Angeles, CARemote$114,364–$190,607 / yearResponsible for consultation with claims staff in a variety of claims issues, including but not limited to, coverage, indemnification, policy limit demand reviews, indemnity agreement review, release language review. Under general supervision, this position will be part of the Claims Legal team, which will provide settlement authority and general strategic support for claims/exposures that exceed the line unit’s authority.
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.
Claims Field Property Adjuster AAAClaims Field Property AdjusterLos Angeles, CaliforniaThis Claims Property Field Adjuster supports the Property Claims Operation by providing service pursuant to the Property policy by handling claims of property damage 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.
Claims Counsel, Financial Lines & Cyber MSIG HoldingsClaims Counsel, Financial Lines & CyberLos Angeles, CaliforniaThe Claims Attorney will be responsible for handling complex matters, including high severity claims and class actions, from inception through resolution for Financial Lines and Cyber products with an emphasis on Directors & Officers (D&O), Financial Institutions Professional Liability (E&O), Pension Trust (Fiduciary), Employment Practices Liability, and Fidelity policies. You will work closely with internal and external customers and stakeholders, deliver excellent customer service, analyze coverage, draft coverage letters, evaluate liability, make claim presentations, set judgmental reserves, and formulate and execute resolution strategies.
Front Office Clerk JWCH Institute IncFront Office ClerkLos Angeles, CAThe Front Office Clerk is responsible for the financial screening of all clients for state certification of eligibility, reception area duties, responding to client questions, and providing directions to clients. Handle incoming calls and emails, providing assistance, scheduling appointments, and directing inquiries to appropriate personnel.
NewRevenue Cycle Specialist Behavioral Health ServicesRevenue Cycle SpecialistGardena, CA$24–$28 / hourJob Details Level: ExperiencedLocation: Gardena, CA 90249Position Type: Full TimeEducation Level: 4 Year DegreeSalary Range: $24.00 - $28.00 HourlyJob Shift: DayJob Category: AccountingJob Summary Research and follow up on billing and payment Denials, Helds and other irregularities in a Behavioral Health SettingDuties & Responsibilities Ongoing process improvement analysis and implementation of system improvements. Collaborate closely with other departments to contribute to cash reconciliation activities and to assist in the assessment of accounts receivable collectability and validation, including the writing off of bad debts.
PI Case Manager- Bilingual CASEPEER Experience Preferred Trauma Law PCPI Case Manager- Bilingual CASEPEER Experience PreferredTorrance, CADay to day tasks include frequent client contact, medical records collection, review, and analysis, assisting clients with medical providers, appointments, liability investigations, insurance claims processing, resolving property damage and loss of use, preparing files to submit to our demand department, and providing superior client service. A fantastic and rare opportunity to be an integral part of a reputable, and rapidly growing law firm that handles significant TBI and catastrophic cases in a positive team focused environment while working along side two "superstars" in the personal injury field.
Casualty Claims Quality Assurance Consultant EMC Insurance Group Inc.Casualty Claims Quality Assurance ConsultantCA$85,799–$118,545 / yearYou'll partner closely with Casualty, Complex, and Specialty teams to review claim files, evaluate performance against best practices and KPIs, and identify opportunities to improve outcomes. Through targeted audits and broader claims reviews, you'll uncover trends, provide actionable insights, and help drive accountability and continuous improvement.
Assistant Claims Adjuster GpacAssistant Claims AdjusterSanta Ana, CA50000–70000Instead, the Assistant Claims Adjuster serves as a liaison between the insured, insurance carriers, and claims adjusters to ensure clear communication, timely follow-up, and exceptional client service throughout the life of each claim. We are seeking a detail-oriented and customer-focused Assistant Claims Adjuster to support the management of Workers' Compensation claims for a select group of commercial clients.
Claims Auto Adjuster AAAClaims Auto AdjusterCosta Mesa, 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.
SIU Investigator - Fast Team Kemper CorpSIU Investigator - Fast TeamGlendale, CAWe believe a high-performing culture, valuable opportunities for personal development and professional challenge, and a healthy work-life balance can be highly motivating and productive. The Special Investigator 1 will complete field and desk assignments that support insurance claims referred to and accepted for investigation by the Special Investigative Unit.
Claims Supervisor Hankey Group ExternalClaims SupervisorLos Angeles, CaliforniaThe exact starting compensation to be offered will be determined at the time of selecting an applicant for hire and will be dependent on a wide range of factors, including but not limited to geographic location, skill set, experience, education, credentials, and licensure when applicable. We are looking for a candidate with a minimum of 8 years of experience in claims who can bring leadership, expertise, and dedication to our team.
Claims Examiner I HCC Service CompanyClaims Examiner IEncino, CaliforniaThe Company will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e))(the “VCCLEA”), which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. As an insurance company, we comply with certain federal, state and local laws such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e)), which restricts our ability to employ individuals with certain types of criminal convictions.
Large Loss Property Field Claims Adjuster (San Diego, CA) American Family Insurance GroupLarge Loss Property Field Claims Adjuster (San Diego, CA)Los Angeles, CARemote$99,000–$163,000 / yearInvestigates origin and cause of high exposure claims by contacting the appropriate parties including insureds, claimants, agents, attorneys, contractors, experts, special investigation unit, other adjusters, public personnel, etc. Conducts on-site inspections when needed, evaluates damages and handles claim negotiations with insureds, claimants, attorneys, public adjusters.
Medical Biller - Healthcare Claims GuidehouseMedical Biller - Healthcare ClaimsEl Segundo, CA$38,000–$63,000 / yearCompensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. Demonstrates an ability to find solutions to problems and keeps management informed of patterns regarding billing edits, compliance issues, payments and or other issues with specific payers.
VP, Claims Technical Lead, Workers Comp Endurance Services LimitedVP, Claims Technical Lead, Workers CompIrvine, North Carolina$170,000–$225,000 / yearThe successful candidate will supervise the internal Sompo TPA oversight claims team, manage TPAs who handle claims on Sompo’s behalf, and work closely with internal and external business partners. Below is a summary of our current comprehensive U.S. benefit programs: Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution.
Pharmacy Technician Full Time Advantage Healthcare ServicesPharmacy Technician Full TimeNorthridge, CABy strengthening connections between patients, care teams, and support systems, we make it possible for people living with behavioral health challenges to achieve stability and long-term success. If you want your work to directly improve lives, strengthen healthcare systems, and bring hope to people and families facing behavioral health challenges, Advantage is the place to make an impact.
Pharmacy Technician (Part-Time) Advantage Healthcare ServicesPharmacy Technician (Part-Time)Northridge, CABy strengthening connections between patients, care teams, and support systems, we make it possible for people living with behavioral health challenges to achieve stability and long-term success. If you want your work to directly improve lives, strengthen healthcare systems, and bring hope to people and families facing behavioral health challenges, Advantage is the place to make an impact.
Pharmacy Technician Advantage Healthcare ServicesPharmacy TechnicianNewhall, CABy strengthening connections between patients, care teams, and support systems, we make it possible for people living with behavioral health challenges to achieve stability and long-term success. If you want your work to directly improve lives, strengthen healthcare systems, and bring hope to people and families facing behavioral health challenges, Advantage is the place to make an impact.
Workers Compensation Claims Manager, West CNA Financial CorpWorkers Compensation Claims Manager, WestBrea, CA$72,000–$141,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Oversees the work activities of a team of claims professionals and has full management responsibility by setting and communicating expectations, providing direction and coaching, facilitating training and development, managing employee performance, and contributing to employee engagement. Builds and maintains collaborative relationships with internal and external work partners by participating in round table discussions, working with claims operations and coverage resources, providing insights to underwriters, partnering with SIU and Recovery Services and interacting with external customers, brokers and vendors as appropriate.
Senior Claims Counsel - Financial Institutions/Public D&O CNA Financial CorpSenior Claims Counsel - Financial Institutions/Public D&OBrea, CA$97,000–$189,000 / yearThe position requires the ability to independently evaluate liability and coverage; proactively formulate and execute claim resolution strategies; and, without the assistance of counsel, attend mediations, navigate complex settlement dynamics and drive and influence best possible claim outcomes. The individual in this position will primarily focus on high severity D&O and E&O claims under policies issued to Public Companies as well as Financial Institutions such as large depository institutions, insurance companies, asset managers, private equity and venture capital firms and REITs.
Multi Location Beauty and Wellness Sales Consultant Palm Beach TanMulti Location Beauty and Wellness Sales ConsultantBeverly Hills, CaliforniaWalk customers to their rooms and teach them how to use the tanning equipment when they have questions or are first time users. Fun goal related contests to make your workdays more fun and competitive.
Multi Location Retail Sales Associate Palm Beach TanMulti Location Retail Sales AssociateSherman Oaks, CaliforniaWalk customers to their rooms and teach them how to use the tanning equipment when they have questions or are first time users. Fun goal related contests to make your workdays more fun and competitive.
Retail Sales Associate Full Time Palm Beach TanRetail Sales Associate Full TimeLos Angeles, CaliforniaWalk customers to their rooms and teach them how to use the tanning equipment when they have questions or are first time users. Fun goal related contests to make your workdays more fun and competitive.
Beauty and Wellness Sales Representative FT Palm Beach TanBeauty and Wellness Sales Representative FTCosta Mesa, CaliforniaWalk customers to their rooms and teach them how to use the tanning equipment when they have questions or are first time users. Fun goal related contests to make your workdays more fun and competitive.
Patient Account Collector - Fertility Claims 26-00156 Alura Workforce SolutionsPatient Account Collector - Fertility Claims 26-00156Pasadena, CAWith multiple locations across Los Angeles, Orange County, and the Inland Empire, their board-certified physicians and clinical teams have helped thousands of individuals and couples build families through personalized treatment and advanced technology. Committed to innovation, inclusivity, and patient-centered care, our client remains a trusted leader in reproductive medicine and family-building care.
Patient Account Collector - Fertility Claims 26-00057 Alura Workforce SolutionsPatient Account Collector - Fertility Claims 26-00057Pasadena, CAWith multiple locations across Los Angeles, Orange County, and the Inland Empire, their board-certified physicians and clinical teams have helped thousands of individuals and couples build families through personalized treatment and advanced technology. Committed to innovation, inclusivity, and patient-centered care, our client remains a trusted leader in reproductive medicine and family-building care.
Patient Account Collector - Fertility Claims Alura Workforce SolutionsPatient Account Collector - Fertility ClaimsPasadena, CAWith multiple locations across Los Angeles, Orange County, and the Inland Empire, their board-certified physicians and clinical teams have helped thousands of individuals and couples build families through personalized treatment and advanced technology. Committed to innovation, inclusivity, and patient-centered care, our client remains a trusted leader in reproductive medicine and family-building care.
Patient Account Collector - Fertility Claims 26-00195 Alura Workforce SolutionsPatient Account Collector - Fertility Claims 26-00195Pasadena, CAWith multiple locations across Los Angeles, Orange County, and the Inland Empire, their board-certified physicians and clinical teams have helped thousands of individuals and couples build families through personalized treatment and advanced technology. Committed to innovation, inclusivity, and patient-centered care, our client remains a trusted leader in reproductive medicine and family-building care.
SIU Investigator Allied UniversalSIU InvestigatorLos Angeles, California$30–$38 / hourAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance . High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud .
Multi Location Retail Sales Associate Palm Beach Tan - West Coast Tanning, Inc.Multi Location Retail Sales AssociateSherman Oaks, CAFun goal related contests to make your workdays more fun and competitive. Walk customers to their rooms and teach them how to use the tanning equipment when they have questions or are first time users.
Retail Sales Associate Full Time Palm Beach Tan - West Coast Tanning, Inc.Retail Sales Associate Full TimeCosta Mesa, CAFun goal related contests to make your workdays more fun and competitive . Walk customers to their rooms and teach them how to use the tanning equipment when they have questions or are first time users.