Production Risk Manager, Studios Risk Management, Studios Risk Management Amazon.com IncProduction Risk Manager, Studios Risk Management, Studios Risk ManagementCulver City, CAAmazon MGM Studios is looking for a Production Risk Manager to join the Amazon MGM Studios Risk Management team and contribute to Amazon MGM Studios' insurance placement, advisement, contract review and claims management for all productions. The Amazon MGM Studios Risk Management team supports global production for all genres of production including Movies, Scripted Series, and Unscripted Series.
Applied AI Engineer/Full stack App Development Engineer Farmers Group, Inc.Applied AI Engineer/Full stack App Development EngineerWoodland Hills, CA$102,450–$174,240 / yearAgile Dev Team Member IV designs and delivers full-stack solutions for personal lines insurance business systems, leveraging modern technology including generative AI integration, cloud architectures, and enterprise applications. Preferred: Experience in insurance or financial services; prior work developing systems for scale or performance-critical applications; exposure to mature engineering practices (observability, monitoring, documentation).
Applied AI Engineer/Full Stack App Development Engineer Farmers Insurance GroupApplied AI Engineer/Full Stack App Development EngineerWoodland Hills, CA$102,450–$174,240 / yearAgile Dev Team Member IV designs and delivers full-stack solutions for personal lines insurance business systems, leveraging modern technology including generative AI integration, cloud architectures, and enterprise applications. Preferred: Experience in insurance or financial services; prior work developing systems for scale or performance-critical applications; exposure to mature engineering practices (observability, monitoring, documentation).
Subrogation Attorney (Hybrid) Intact InsuranceSubrogation Attorney (Hybrid)Anaheim, CA$159,000–$186,000 / yearWorks with Lead Attorney on all aspects of pre-suit and litigated files including retaining experts, sending pre-suit notice letters, coordinating joint inspections and exams, initiating litigation and conducting all phases of litigation through trial. Some of the Subrogation Attorney responsibilities include but are not limited to: Handles a consistent workload of subrogation files representing Intact's subrogation interests in property, maritime, financial and cyber matters.
Senior Trial Attorney -Subrogation (Hybrid) Onebeacon Professional Insurance IncSenior Trial Attorney -Subrogation (Hybrid)Anaheim, CA$159,000–$186,000 / yearWorks with Lead Attorney on all aspects of pre-suit and litigated files including retaining experts, sending pre-suit notice letters, coordinating joint inspections and exams, initiating litigation and conducting all phases of litigation through trial. Some of the Senior Trial Attorney responsibilities include but are not limited to: Handles a consistent workload of subrogation files representing Intact's subrogation interests in property, maritime, financial and cyber matters.
CCSB Eligibility Specialist I Western GrowersCCSB Eligibility Specialist ICA$35,288.33–$45,874.31 / yearKnowledge of generally accepted health care eligibility and billing procedures as well as Health Insurance Portability and Accountability Act (HIPAA), Consolidated Omnibus Budget Reconciliation Act (COBRA), California Continuation Benefits Replacement Act (Cal-COBRA) and Employee Retirement Income Security Act (ERISA) legislation. Assist in reviewing and processing all manual and/or Electronic Data Interchange (EDI) enrollment transactions (adds, changes, terminations) in the system of record as received from the client or internal sources in accordance with Participation Agreements, Employer Policy Statement, Eligibility Guidelines and/or Summary Plan Descriptions.
Call Center Representative I (California Only) Western GrowersCall Center Representative I (California Only)Irvine, CARemote$38,625.60–$50,874.31 / yearAt Pinnacle Claims Management, we are an innovative third-party administrator (TPA) that provides a full-suite of comprehensive and customized health benefits administration services for self-funded companies, including health management and wellness solutions, and pharmacy benefit management. The Call Center Representative I will play a crucial role in assisting clients over the phone and electronically, making a real difference in their experience with the Health Benefits Exchange (HBEX).
NewClaims Adjustment Specialist University of CaliforniaClaims 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.
AI Automation Engineer Alignment Healthcare IncAI Automation EngineerCA$130,332–$195,498 / yearThe Artificial Intelligence & Automation Engineer is a hands-on technical contributor on the Data & Technology Solutions team, responsible for designing, building, and deploying intelligent AI systems and automated workflows that drive operational efficiency and elevate the quality of care for our Medicare Advantage members. You will partner closely with AI Scientists, Data Engineers, Product Managers, Clinical Operations, and Application Engineering teams to translate complex business problems - from claims processing and prior authorization to member communication and revenue integrity - into scalable, production-grade solutions.
Property Adjuster - Field Estimating (Trainee) Los Angeles, CA Allstate Insurance CompanyProperty Adjuster - Field Estimating (Trainee) Los Angeles, CALos Angeles, CA$55,000–$85,000 / yearYou'll wear a few hats that will require a level of experience: The Customer Service Expert -you'll live into Allstate's Claims Culture by caring, empowering, and restoring, and you will accomplish that by being compassionate, clear, and a committed partner in each claim. Active Listening, Communication, Cost Estimates, Critical Thinking, Customer Service, Damage Assessment, Empathy, Estimatics, Fraud Investigations, Multitasking, Time Management, Working Independently.
Account Manager - PCMI (50870) Western GrowersAccount Manager - PCMI (50870)Irvine, CAThis position reports to the Director, Account Management for Pinnacle Claims Management (PCMI) and is responsible for managing customer accounts during and following the sale of employer benefit programs and services including Pinnacle third party administration (TPA), Pinnacle Rx Solutions (PRxS), Pinnacle Health Management (PHM), and complete ancillary benefits offered by PCMI vendor partners including the Western Growers Insurance Services (WGIS) employer benefit programs. Do everything possible to help members succeed by being curious and striving to understand what others are trying to achieve, planning and executing work in a helpful and collaborative manner, being willing to adjust efforts to ensure that work and attitude are helpful to others, being self-accountable, creating positive impact, and being diligent in delivering results.
Commercial Insurance Analyst - Remote CSAA Insurance GroupCommercial Insurance Analyst - RemoteCARemote$122,850–$136,500 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers, Nebraska - Home Teleworkers {+ 20 more}. Pursuit or completion of industry-relevant continuing education, including graduate degrees, MBS, risk and insurance designations from The Institutes (AINS, AIC, ARM, CPCU, etc.), or actuarial exams and designations (ACAS, FCAS, CERA).
Senior Counsel, KPMG Law Staffing KPMG International CooperativeSenior Counsel, KPMG Law StaffingIrvine, CA$209,400–$359,000 / yearSupport legal managed services engagements which may include high volume contract review and / or contract data extraction; contract lifecycle management (all or some processes); claims support and management; provide legal guidance to internal and external stakeholders in relation to technology and managed services contracts; and contribution of knowledge to legal drafting and negotiation playbooks. Adept at integrating diverse viewpoints across teams and multiple stakeholders to drive collaborative, inclusive, and high-quality outcomes; demonstrate exceptional clarity and impact in communication-translating complex ideas into actionable insights that drive performance, foster collaboration, and reinforce KPMGs high-performance culture.
Senior AI Automation Engineer Alignment Healthcare IncSenior AI Automation EngineerCA$172,364–$258,547 / yearThe Senior AI & Automation Engineer is a senior individual contributor and technical leader on the Data & Technology Solutions team, responsible for architecting, building, and scaling intelligent AI systems and enterprise automation solutions that directly improve care quality and operational performance across our Medicare Advantage business. You will serve as a go-to technical expert for AI Scientists, Data Engineers, Product Managers, Clinical Operations, and Application Engineering teams - driving end-to-end delivery of production AI systems that span claims processing, risk adjustment, prior authorization, revenue integrity, and member engagement.
Dental Front Office Receptionist A R BAKER DDSDental Front Office ReceptionistSan Fernando, CA$23–$26 / hourFull timeWe believe in developing long-term team members who are committed to professional growth, exceptional patient care, and creating an outstanding patient experience. A R Baker DDS is a trusted dental practice serving the San Fernando, CA community with a commitment to high-quality, compassionate dental care.
Provider Network Specialist Independent Living Systems LLCProvider Network SpecialistGlendale, CABuilds and maintains positive, professional relationships with contracted and subcontracted providers by supporting provider engagement initiatives, serving as a trusted liaison, addressing provider concerns, and promoting provider satisfaction through responsive and collaborative service. Collaborates effectively with Operations, Clinical, Quality, Compliance, Credentialing, Care Management, Claims, Provider Network, and other cross-functional teams to support organizational objectives, provider success, and high-quality member care.
Installation Auditor (50574) Western GrowersInstallation Auditor (50574)Irvine, CADo everything possible to help members succeed by being curious and striving to understand what others are trying to achieve, planning and executing work in a helpful and collaborative manner, being willing to adjust efforts to ensure that work and attitude are helpful to others, being self-accountable, creating positive impact, and being diligent in delivering results. The Installation Auditor ensures accurate setup of new and renewing health benefit plans by auditing documentation for compliance with Western Growers Assurance Trust (WGAT) and Pinnacle Claims Management, Inc (PCMI).
Mgr, Plan Partnerships Pacific Dental Services IncMgr, Plan PartnershipsIrvine, CA$103,000–$133,000 / yearThe Mgr, Plan Partnership manages strategic relationships with dental and medical insurance payors to support reimbursement performance, operational efficiency, provider experience, and patient access. This role partners closely with internal teams and health plan contacts to resolve issues, support contract initiatives, and advance overall payer strategy.
Specialist, Accounts Receivable Lundbeck LLCSpecialist, Accounts ReceivableCARemoteWorking with Ovation Healthcare you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork. Documents client's host system utilizing the 5 W's framework and related policies/procedures to ensure accurate and complete documentation and then copies account notes into Amplify's workflow tool.
Auto Field Adjuster - San Fernando, CA Allstate Insurance CompanyAuto Field Adjuster - San Fernando, CASan Fernando, CA$28.03–$39.42 / hourIf you have strong auto estimating experience, enjoy working independently in the field, and take pride in delivering fair and timely claim outcomes, this is a great opportunity to grow your career with National General, an Allstate company. 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.