Claims (Billing) Specialist / Patient Account Representative - Healthcare Guidehouse IncClaims (Billing) Specialist / Patient Account Representative - HealthcareEl Segundo, CA$38,000–$64,000 / yearRepresentatives are responsible for maintaining knowledge, skills, and abilities that contribute to various accounting/administrative tasks involved in preparing billing data for agencies Guidehouse works with. Compensation 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.
Workers Compensation Claims Examiner | Ontario, California Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | Ontario, CaliforniaOntario, CA$80,000–$98,000 / yearPRIMARY PURPOSE OF THE ROLE: To analyze workers' compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
NewClerical Pool Assistant Trean Insurance Group IncClerical Pool AssistantOntario, CA$18–$20 / hourPOSITION SUMMARY: The Clerical Pool Assistant works under the supervision of the Clerical Pool Supervisor providing support to the claims staff for all centralized tasks accurately and timely. KEY RESPONSIBILITIES AND ESSENTIAL FUNCTIONS: Phone Duties: Operates multiline telephone system to answer incoming calls and directs callers to appropriate personnel.
Medical Billing Clerk Ultimate Staffing ServicesMedical Billing ClerkPasadena, California$23–$27 / hourThe ideal candidate will be responsible for submitting and following up on insurance claims, ensuring accurate billing, and supporting revenue cycle operations. Communicate with insurance providers, patients, and internal teams regarding billing inquiries.
Workers Compensation Claims Examiner | HYBRID | Orange, CA Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | HYBRID | Orange, CAOrange, CA$80,000–$100,000 / 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. PRIMARY PURPOSE OF THE ROLE: To analyze workers' compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Workers Compensation Claims Representative | Ontario, CA (In-Office) Sedgwick Claims Management Services, Inc.Workers Compensation Claims Representative | Ontario, CA (In-Office)Ontario, 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.
Senior Claims Examiner, Workers' Compensation GallagherSenior Claims Examiner, Workers' CompensationAnaheim, CaliforniaRemoteFull 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.
Early Stage Collector Kawasaki Motors Corp USAEarly Stage CollectorFoothill Ranch, CA$21–$27 / hourIdentify and Escalate Specialized Issues: Accurately recognize and route sensitive account matters, including insurance claims, bankruptcy filings, title questions, suspected fraud, payment research, cease and desist request to the appropriate teams for resolution. Key Responsibilities: Engage Customers with Empathy & Purpose: Proactively reach out to customers through phone, email, text, and other approved communication channels to address early-stage delinquency and always delivering a positive experience.
CA Claims Specialist - Bilingual (Spanish) CorVel CorpCA Claims Specialist - Bilingual (Spanish)Rancho Cucamonga, CARemote$25.48–$41.09 / hourThe Workers' Compensation Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Pharmacy Technician Non-Certified Costco Wholesale CorpPharmacy Technician Non-CertifiedNorwalk, CAAssists Pharmacists in filling prescriptions by bringing stock bottles, counting, pouring, re-stocking, labeling, and pricing prescriptions under direct Pharmacist's supervision. Answers phones and provides prompt and courteous member service including answering questions at pharmacy windows, directing members to product location.
Construction Safety Manager (Testifying Expert) Pete Fowler Construction ServicesConstruction Safety Manager (Testifying Expert)San Juan Capistrano, CaliforniaThe Expert has extensive experience in some aspect of construction or buildings (general contractor, trade contractor, architect, engineer, cost estimator, scheduler, etc.), as well as proven experience serving as the designated expert for lawsuits and/or insurance claims. Document Analysis Review, analyze, summarize, and demonstrate understanding of: Construction documents (proposals, architectural drawings, contracts / subcontracts, schedules, change orders, daily logs, etc.).
General Contractor Expert Pete Fowler Construction ServicesGeneral Contractor ExpertSan Juan Capistrano, CaliforniaThe General Contractor Expert has extensive experience in some aspect of construction or buildings (general contractor, trade contractor, architect, engineer, cost estimator, scheduler, etc.), as well as proven experience serving as the designated expert for lawsuits and/or insurance claims. Document Analysis Review, analyze, summarize, and demonstrate understanding of: Construction documents (proposals, architectural drawings, contracts / subcontracts, schedules, change orders, daily logs, etc.).
NewClaims Examiner - Workers Compensation IconmaClaims Examiner - Workers CompensationRancho Cucamonga, CA$45–$50 / hourResponsibilities: 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.
NewProfessional Liability Claims Advisor Sedgwick Claims Management Services, Inc.Professional Liability Claims AdvisorCARemote$100,000–$145,000 / 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. Analyzes and processes complex or technically difficult liability 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.
NewLiability Claims Examiner Sedgwick Claims Management Services, Inc.Liability Claims ExaminerOrange, CA$85,000–$105,000 / 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. PRIMARY PURPOSE: To address and handle high end General Liability cases with serious injuries, complex coverage scenarios and legal inquiries or disputes; to develop a strategy to bring a case to satisfactory resolution.
Patient Account Representative - Medicare, Medicaid, Commercial Claims Guidehouse IncPatient Account Representative - Medicare, Medicaid, Commercial ClaimsEl Segundo, CA$34,000–$56,000 / yearWhat Would Be Nice To Have: • Previous experience working in insurance portals • PC skills in a Windows environment • Knowledge and utilization of desktop applications to include Word and Excel is essential • Ability to initiate and follow through on projects and work independently with minimal supervision. Compensation 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.
NewSenior Claims Auditor Astrana Health IncSenior Claims AuditorMonterey Park, CAThis role will report to the Director - Claims and enable us to continue to scale in the healthcare industry. About the Role: We are currently seeking a highly motivated Senior Claims Auditor.
Senior Claims Specialist Macpower Digital Assets Edge Private LimitedSenior Claims SpecialistOrange, CA$110,000–$130,000 / yearJob Summary: Seeking a Senior Claims Specialist to manage a complex caseload of medical malpractice claims, supervise junior claims specialists, and contribute to ongoing training efforts. Key Responsibilities: Manage medical malpractice claims , including assigning and directing defense counsel, following Claims Technical Manual, Defense Attorney Guidelines, and MPT Agreement.
Assistant Director, Claims Operations Impresiv HealthAssistant Director, Claims OperationsHuntington Beach, CA$95,000–$120,000 / yearThe Assistant Director will provide operational, analytical, administrative, and project support across claims processing, 837 file oversight, payment integrity, issue resolution, provider and IPA coordination, reporting, audit readiness, system initiatives, and process improvement. Track, document, escalate, and help resolve complex claims issues involving providers, IPAs, delegated entities, vendors, and internal departments.
Construction Site Safety Expert (Testifying Expert) Pete Fowler Construction ServicesConstruction Site Safety Expert (Testifying Expert)San Juan Capistrano, CaliforniaThe Construction Site Safety Expert has extensive experience in some aspect of construction or buildings (general contractor, trade contractor, architect, engineer, cost estimator, scheduler, etc.), as well as proven experience serving as the designated expert for lawsuits and/or insurance claims. Document Analysis Review, analyze, summarize, and demonstrate understanding of: Construction documents (proposals, architectural drawings, contracts / subcontracts, schedules, change orders, daily logs, etc.).