Medical Claims Review Medical Director - Surgeon - Remote UnitedHealth Group Inc.Medical Claims Review Medical Director - Surgeon - RemoteSan Jose, CARemote$248,500–$373,000 / yearThe Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on post-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members.
MSO Claims Manager North East Medical ServiceMSO Claims ManagerBurlingame, CAThis role provides guidance on healthcare claims adjudication and payment processing for Medi-Cal, Medicare, PACE, and other lines of business based on member Evidence of Coverages (EOC) and CMS/DHCS guidelines, ensures that claims are processed accurately, timely, and in compliance with regulatory requirements and contractual obligations. Responsibilities include interviewing and hiring of employees; planning, assigning, scheduling, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Regulatory Claims Substantiation Scientist Nordic NaturalsRegulatory Claims Substantiation ScientistWatsonville, CaliforniaRemote$103,000–$120,000 / yearWorks simultaneously on multiple projects, independently setting work priorities to meet changing. both independently and collaboratively with members of the Regulatory, Research, Product Development (PD), Marketing, and Education teams.
Fremont Michigan Claim Support Assistant I AAA Southern New EnglandFremont Michigan Claim Support Assistant IFremont, CABy continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals.
Michigan APD Claim Representative II - Fremont AAA Southern New EnglandMichigan APD Claim Representative II - FremontFremont, CABy continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals.
Claim Specialist - Property Field Inspection State FarmClaim Specialist - Property Field InspectionUnion City, CA$78,862.06–$118,245 / yearWith the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you! Additional Details: Employees must successfully complete all required training, including applicable proficiency, licensing exam(s), Motor Vehicle Record (MVR) checks, and background checks required of various state(s).
Insurance Administrative Clerk Ursus, Inc.Insurance Administrative ClerkSan Jose, CA$30–$35 / hourCompensation details listed in this posting reflect the base hourly rate or annual salary only, unless otherwise stated. Ensuring complete and correct data is being transmitted to insurer or third party administrator (TPA).
Administrative/Legal Assistant NOT REMOTE Rad Law Group A Professional Law CoAdministrative/Legal Assistant NOT REMOTESan Jose, CaliforniaRemote$20–$25 / hourCompensation range: $25-$32 ( three to five years of experience) Salary will be commensurate with experience and skills Benefits Offered: Dental, Vision, Medical; Paid legal holidays, PTO, Paid Sick Leave NOT REMOTE Rad Law Group, APLC940 Saratoga AvenueSuite 260San Jose, CA 95129 Only applicants with experience will be considered Please submit RESUME and COVER LETTER including desired salary Compensation: $20.00 - $25.00 per hour Our law firm holds the philosophy of excellence as our guiding principle. NOT REMOTE The boutique and well established law firm of Rad Law Group, A Professional Law Corporation seeks a self-motivated experienced Administrative/Legal Assistant with at least three to five years of experience to join our team at our San Jose office.
Dental Office Receptionist All Care DentalDental Office ReceptionistFremont, California$22–$29Knowledgeable about dental insurance billing, insurance aging, patient aging reports, and can manage A/R for the office. Knowledge of centric ascend is a big plus and inputting patient data on computer is necessary.
NewBilingual Spanish | California Personal Injury Pre-Litigation Case Manager EvenUp IncBilingual Spanish | California Personal Injury Pre-Litigation Case ManagerSan Jose, CARemoteYou will also oversee demand preparation, resolve final liens, and manage cases through to completion, ensuring that attorneys have comprehensive, well-documented files to effectively build and negotiate each case. Our products enable law firms to secure faster settlements, higher payouts, and better outcomes for victims injured through no fault of their own in vehicle collisions, accidents, natural disasters, and more.
NewEpidemiology programmer K3 InnovationsEpidemiology programmerSouth San Francisco, CARemoteContribute to the design of observational studies, including registries, providing critical appraisal of observational study protocols through participation in inter-departmental and cross-functional committees as needed. Required to draw upon their experience to develop data/statistical analysis plans and execute data analysis with minimal technical oversight.
Surveillance Investigator - Peninsula Allied UniversalSurveillance Investigator - PeninsulaRedwood City, California$20–$24 / hourThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .
Surveillance Investigator - South Bay Allied UniversalSurveillance Investigator - South BaySan Jose, California$20–$24 / hourThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .
Priority Responder - Fire & Water ServproPriority Responder - Fire & WaterMilpitas, CaliforniaWe're seeking self-motivated, proactive, responsible, and service-oriented teammates to join us in our mission of helping customers in their greatest moments of need by repairing and restoring homes and businesses with an industry-leading level of service. We’re seeking self-motivated, proactive, responsible, and service-oriented teammates to join us in our mission of helping customers in their greatest moments of need by repairing and restoring homes and businesses with an industry-leading level of service.
Senior Full Stack .NET Developer Glint Tech Solutions LLCSenior Full Stack .NET DeveloperFremont, CAThe client's Insurance Claims Application team is seeking a Backend/Full Stack Software Engineer to contribute to the development of their Web App, part of advanced platforms managing service workflows for Vehicle, Insurance Claims, and Energy products. Collaborate with cross-functional teams including product managers and service engineers to define and implement features enhancing operational efficiency.
Principal Product Marketing Manager AssuredPrincipal Product Marketing ManagerPalo Alto, CaliforniaThe challenges we face are deep and diverse, from creating digital experiences that provide comfort and clarity to claimants at their most stressed and vulnerable to orchestrating large-scale ML-driven decision-making on billions of dollars of claims payments, life at Assured is dynamic, collaborative, and rewarding. We are looking for a founding Principal Product Marketing Manager – a senior individual contributor who owns the core narrative, use cases, and enablement assets that win and grow our largest accounts.
Senior/Principal Engagement Manager AssuredSenior/Principal Engagement ManagerPalo Alto, CaliforniaThe challenges we face are deep and diverse, from creating digital experiences that provide comfort and clarity to claimants at their most stressed and vulnerable to orchestrating large-scale ML-driven decision-making on billions of dollars of claims payments, life at Assured is dynamic, collaborative, and rewarding. We’re especially excited about candidates who bring experience working in or alongside the P&C insurance industry — whether through insurtech, carrier partnerships, claims technology, or prior insurance operations experience — and can combine strong customer engagement skills with industry credibility.
Senior Copywriter, AI & Category Narrative AssuredSenior Copywriter, AI & Category NarrativePalo Alto, CaliforniaYou will turn complex technical capability – how agents reason, what "agentic" actually means in a claims workflow, where frontier models help and where they don't – into thought leadership, explainers, web and product copy, social, and the ghostwritten point of view that builds our category. We are looking for a Senior Copywriter, AI & Category Narrative – a writer who is genuinely expert in AI and can make agentic AI, frontier models, and LLM-powered systems legible, credible, and compelling to the people who run claims at the largest US carriers.
VP, Product Marketing AssuredVP, Product MarketingPalo Alto, CaliforniaThe challenges we face are deep and diverse, from creating digital experiences that provide comfort and clarity to claimants at their most stressed and vulnerable to orchestrating large-scale ML-driven decision-making on billions of dollars of claims payments, life at Assured is dynamic, collaborative, and rewarding. 10+ years in product marketing, with senior leadership experience and a track record of defining category-level positioning and leading GTM in a technical, AI-driven domain.
Staff Cloud Infrastructure Engineer AssuredStaff Cloud Infrastructure EngineerPalo Alto, CaliforniaThe challenges we face are deep and diverse, from creating digital experiences that provide comfort and clarity to claimants at their most stressed and vulnerable to orchestrating large-scale ML-driven decision-making on billions of dollars of claims payments, life at Assured is dynamic, collaborative, and rewarding. We’re looking for a Staff Cloud Infrastructure Engineer who’s passionate about automation, reliability, and empowering developers through world-class platform engineering.