Claims Team Manager - Auto Early Response AAAClaims Team Manager - Auto Early ResponseCosta Mesa, California$92,600–$123,600 / yearWith 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. The starting pay range for this position is: $92,600.00 - $123,600.00 Additionally, for full time positions, you will be eligible to participate in our incentive program based upon the achievement of organization, team and personal performance.
Auto Claims Support Specialist FlexcarAuto Claims Support SpecialistEl Monte, CA$27–$29.50 / hourBy combining operational expertise with technology, data, and AI, we’re transforming every aspect of the customer journey and delivering a more affordable, flexible, and hassle-free alternative to buying or leasing About the Role: As a Flexcar Auto Claims Support Specialist, you'll act as the primary liaison between our members and our internal/external claims and incident partners. You'll provide world class member service while managing the entire damage recovery process, including reviewing past, current, and future incident reports to ensure member incident reports are processed efficiently with an eye toward improving damage fee recovery.
Claims Examiner Tokio Marine HCCClaims ExaminerLos Angeles, CaliforniaTokio Marine HCC – Surety Group, a member of the Tokio Marine Group of Companies, has an exciting opportunity for an Associate Claims Examiner position on-site at our office in Los Angeles, California. We are looking for motivated individuals to join our team of highly skilled claims examiners who are part of a successful division that specializes in surety bond business.
Medical Claims Resolution Specialist Kinetic Personnel GroupMedical Claims Resolution SpecialistOrange, CA$25–$31 / hourTemporaryA full time permanent position includes a pay raise, telecommute options, a CalPERS Pension and excellent government benefits including generous holiday, PTO and sick pay days off, year one! Job duties: Addresses provider inquiries, questions, and concerns in all areas including enrollment, claims submission and payment, benefit interpretation, and referrals/authorizations for medical care.
Sr. Claims Counsel Sompo InternationalSr. Claims CounselLos Angeles, CA$125,000–$175,000 / yearOur business, your impact, our opportunity: What you'll be doing: Direct handle primary & excess Casualty claims involving emerging risks, potential long-term exposure, or significant coverage issues. 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 Specialist Elite SourcingClaims SpecialistCosta Mesa, CaliforniaYou will be responsible for investigating and evaluating property damage claims arising from automobile accidents, working closely with the demands team and clients to ensure fair compensation for damages. Investigate property damage claims involving auto accidents, including reviewing police reports, witness statements, and damage assessments.
NewClaims Solutions Partner ClaimSorted IncClaims Solutions PartnerCAYoull partner with sales to diagnose prospects operational gaps, answer the hard technical questions, provide the expertise behind our RFP and RFI responses, run deep analyses of partner portfolios to surface where we add value, and then ensure a clean technical handoff to account management as new partners onboard. Were looking for a Claims Solutions Partner - the claims-operations expert who sits inside our sales cycle and makes technically complex deals winnable.
Senior Claims Adjuster II | California Employers Holdings IncSenior Claims Adjuster II | CaliforniaCalifornia, CARemote$80,000–$120,000 / yearCompletes detailed settlement analysis and recommends appropriate settlement value, utilizing in-depth knowledge of appropriate workers' compensation insurance principles and laws, subrogation recoveries, offsets and deductions, claim and disability duration, cost containment principles; including medical management practices and Social Security and Medicare application procedure as applicable. With minimal oversight, the Senior Workers Compensation Claims Adjuster II is responsible for timely and accurate management of workers' compensation claims with high or catastrophic medical and indemnity benefits, involving litigation and complex issues and exposures.
Complex Claims Consultant - Private & NFP D&O CNA Financial CorpComplex Claims Consultant - Private & NFP D&OLos Angeles, CA$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex Financial Lines claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
Data Analyst Claims Mercury Insurance CompanyData Analyst ClaimsCA$76,829–$142,213 / yearCoordinates and executes reporting; directs and supports underwriting users/leaders in identifying data needed for reporting using Guidewire Database, NextGen Database, and Enterprise Data Warehouse. Position Summary: The primary job function, under general supervision, is interpreting complex data sets related to various operations of the Claims Department and provide data-driven analysis.
Business Technology Strategy Lead - Claims, Finance, HR, Legal & Compliance L.A. Care Health PlanBusiness Technology Strategy Lead - Claims, Finance, HR, Legal & ComplianceLos Angeles, CAThe TPM II applies functional healthcare systems knowledge to ensure solutions meet business intent and regulatory requirements, leverages data to measure outcomes and validate hypotheses, and promotes disciplined product management practices within the domain. Collaborates with IT and business partners to ensure solutions within the domain comply with Health Insurance Portability and Accountability Act (HIPAA), Centers for Medicare and Medicaid Services (CMS), Department of Health Care Services (DHCS), and other relevant regulatory requirements.
Senior Commercial Auto Claims Adjuster Hankey Group ExternalSenior Commercial Auto Claims AdjusterLos 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. The ideal candidate has strong analytical skills, sound judgment, and the ability to manage claims with efficiency, accuracy, and professionalism.
Quality Claims Administrator Assistant Bentley Mills IncQuality Claims Administrator AssistantCABentley Mills reserves the right to pay outside of the given range based on a variety of factors including but not limited to: candidate skills and experience, complexity of the job, budgetary factors, and local/geography. Skills: The Quality Claims Administrator Assistant uses strong organizational skills daily to manage multiple claims efficiently and ensure accurate documentation.
Senior Major Loss Claims Manager Kemper CorpSenior Major Loss Claims ManagerCerritos, CA$99,000–$164,800 / yearWe 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 Claims Manager will provide technical expertise, staff development and guidance on California claims handling practices/procedures and provide training as appropriate and necessary.
NewSenior Contracts Manager, Construction Claims Parsons Commercial Technology Group Inc.Senior Contracts Manager, Construction ClaimsLos Angeles, CA$134,100–$241,400 / yearWe take special pride in projects and solutions that improve communities as well as people's quality of life by promoting economic growth, enhancing mobility, and increasing sustainability and resiliency. What Required Skills You'll Bring: Bachelor's degree in Construction Management, Engineering, Business, Contract Management, or related field preferred.
Claims Adjuster II (Workers'' Compensation)| California Employers Holdings IncClaims Adjuster II (Workers'' Compensation)| CaliforniaCalifornia, CARemote$60,000–$92,000 / yearWe're seeking an experienced Workers' Compensation Claims Adjuster II to manage moderate‑complexity claims-including medical, indemnity, and litigation-while delivering exceptional service. Our core values-Integrity, Collaboration, Customer Focus, Innovation, Accountability, Initiative, and Personal Fulfillment-guide everything we do.
Sr Claims Clerk Crawford & CoSr Claims ClerkCATo 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. All 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.
Financial Compliance Auditor III Claims L.A. Care Health PlanFinancial Compliance Auditor III ClaimsLos Angeles, CARequired: At least 4 years of experience performing claims audits or claims processing related to Medi-Cal, Medicare, and/or other managed care product lines similar to L.A. Care's mission is to provide access to quality health care for Los Angeles Countys vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.
Workers Compensation Claims Consultant CNAWorkers Compensation Claims ConsultantPlacentia, CaliforniaPerforms 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.
Personal Auto Property Damage (PD) Claims Adjuster Hankey Group ExternalPersonal Auto Property Damage (PD) Claims AdjusterLos Angeles, California$55,000–$65,000 / yearThe 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. Following successful completion of training and demonstrated performance, employees may be eligible for up to one work-from-home day per week, subject to business needs and manager approval.