Data Governance Analyst Alignment Healthcare IncData Governance AnalystCA$98,550–$147,825 / yearWorking alongside governance operations leaders, business data stewards, and technology teams, this role provides the analytical depth and hands-on execution that keeps governance processes running reliably and data assets well-documented. The Analyst plays a pivotal role in identifying, investigating, and resolving data quality issues that affect the accuracy of Medicare Advantage operations - from member eligibility and claims processing to provider data and risk adjustment reporting.
Personal Injury Case Manager Assistant L.A. Injury AttorneysPersonal Injury Case Manager AssistantBurbank, California$25–$30 / hourInjury Attorneys is one of the top rated personal injury law firms in California and belongs to the Million Dollar Advocates Forum and the Multi- Million Dollar Advocates forum which is exclusive to those law firms that have excelled in their profession and secured multi-million dollar settlements and verdicts for their clients. The Case Manager Assistant is expected to work in the office during regular business hours to answer client calls, support the immediate needs of the Case Manager, and greet clients.
Litigation Case Manager L.A. Injury AttorneysLitigation Case ManagerBurbank, CaliforniaCommunicate with providers and creditors to confirm lien amounts and negotiate liens · Maintain accurate and detailed records of all negotiations, agreements, and communications pertaining to lien resolution · Draft reduction letters to resolve and negotiate medical liens · Negotiate all medical liens, Medpay reimbursement claims, waivers, and attorney liens in settled personal injury cases. Injury Attorneys is one of the top rated personal injury law firms in California and belongs to the Million Dollar Advocates Forum and the Multi- Million Dollar Advocates forum which is exclusive to those law firms that have excelled in their profession and secured multi-million dollar settlements and verdicts for their clients.
Insurance Casualty Coverage Consultant- Complex Liability Marsh & McLennan Companies IncInsurance Casualty Coverage Consultant- Complex LiabilityLos Angeles, CA$115,000–$160,000 / yearThe Complex Liability Consulting (CLC) practice of Risk Consulting, Marsh offers unparalleled expertise across a broad spectrum of coverage challenges, including insurance archaeology, policy analysis and mapping, electronic database solutions, allocation modeling, insurer negotiations, and claims and payment tracking. Implement strategic plans and advanced technology to maximize clients' insurance recoveries for mass tort and complex claims such as toxic tort, asbestos, sexual assault, concussion, addiction, contamination, PFAS and other high-value claims.
Client Service Representative Venbrook Group LLCClient Service RepresentativeIrvine, CARisk Specialties & Services: Advisory, risk management, insurance brokers, accident & health insurance, property & casualty insurance, employee benefits, surety & title insurance, wholesale insurance, specialty programs, reinsurance, independent field adjusting, catastrophe services, and third-party claims administration. This role resolves routine issues, escalates complex matters following defined guidelines, and supports a consistent member experience while reducing service interruptions for Client Management teams.
Financial Specialist II (50520) Western GrowersFinancial Specialist II (50520)Irvine, CAReconcile and maintain accuracy of group ledger accounts by matching incoming payments to corresponding invoices, promptly investigating and resolving discrepancies, collaborating with internal teams and external partners to make adjustments, and maintaining thorough documentation to support audit trails. Knowledge 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), Cal-COBRA, Multiple Employer Welfare Arrangement (MEWA) and Employee Retirement Income Security Act (ERISA) regulations.
Plan Coder (50456) Western GrowersPlan Coder (50456)Irvine, CAThis position will ensure that all new and existing health (medical/dental/pharmacy) insurance plans underwritten by Western Growers Assurance Trust (WGAT) and those of Pinnacle Claims Management, Inc. (PCMI) are in compliance with the respective employers' summary plan descriptions. Maintain a HIPAA-compliant workstation and utilize appropriate security techniques to ensure HIPAA-required protection of all confidential/protected client data.
Implementation Auditor (50487) Western GrowersImplementation Auditor (50487)Irvine, CAUsing close and comprehensive analyses, verify new and existing plans loaded on the Company's claim management system against the appropriate Summary Plan Description to determine the accuracy of present and future claims payments. This position will ensure that all new and existing health (medical/dental) insurance plans underwritten by the Western Growers Assurance Trust (WGAT) and those of Pinnacle, Inc. (PCMI) are in compliance with the respective employers' summary plan descriptions.
Business Solution Architect University of CaliforniaBusiness Solution ArchitectLos Angeles, CA$95,400–$208,300 / yearThe Business Solutions Architect designs and delivers business intelligence and analytics solutions that support Managed Care related operational and strategic decision-making across UCLA Health's Faculty Practice Group. 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.
Account Manager II, Commercial Lines Hub International LtdAccount Manager II, Commercial LinesCulver City, CATHE OPPORTUNITY: HUB's Customer Service professionals provide critical support to our customers through account management, claims management, day-to-day client oversight, and underwriting services that make us a leading sales and service organization in the insurance industry. The expected salary range for this position is $100,000 - $115,000k depending on geographical location and will be impacted by factors such as the successful candidate's skills, experience and working location, as well as the specific position's business line, scope and level.
Personal Lines Account Manager (Japanese Practise) Humina ResourcePersonal Lines Account Manager (Japanese Practise)Cypress, CaliforniaThis role involves building and maintaining relationships with clients, ensuring their insurance needs are met, and providing excellent customer service. Primary Objective: The Personal Lines Account Manager is responsible for maintaining and servicing a portfolio of personal insurance accounts.
[Q & CC] Reverse Logistics Materials Planner TTE Technology Inc[Q & CC] Reverse Logistics Materials PlannerIrvine, CA$60,000–$80,000 / yearFull timePhysical and Work Environment Requirements:Primarily office-based work involving prolonged periods of computer use, including viewing computer screens and using a keyboard, mouse, and other office equipmentAbility to communicate effectively in person, by telephone, video conference, email, and other electronic communication platforms. This role serves as the primary owner of parts forecasting, supply planning, inventory governance, procurement coordination, and reverse logistics support between HQ China, repair centers, logistics partners, customers, finance, and regional leaderships.
(USA) Wholesale Trading TL Sam's West(USA) Wholesale Trading TLGardena, California$23.50–$31.50 / hour15100 S SAN PEDRO ST, GARDENA, CA 90248-2316, United States of AmericaWalmart and its subsidiaries are committed to maintaining a drug-free workplace and has a no tolerance policy regarding the use of illegal drugs and alcohol on the job. Programs range from high school completion to bachelor's degrees, including English Language Learning and short-form certificates.
NewData Governance Analyst Alignment Healthcare USA, LLCData Governance AnalystOrange, CAFull timeWorking alongside governance operations leaders, business data stewards, and technology teams, this role provides the analytical depth and hands-on execution that keeps governance processes running reliably and data assets well-documented. Analytical Reporting & Communication: Ability to synthesize data findings into clear governance status reports, quality dashboards, and issue summaries for both technical and business audiences; proficiency with Excel or BI tools (Power BI, Tableau).
Claims Supervisor Health Source MSOClaims SupervisorAlhambra, CAFull timeProviding expertise or general claims support to teams in reviewing, researching, investigating, negotiating, process, and adjusting claims. Responsibilities include, but not limited to: • Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including: Contractual agreement rates.
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.
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.
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.
Personal Auto Property Damage (PD) Claims Adjuster Hankey Group ExternalPersonal Auto Property Damage (PD) 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. 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.
Senior Claims Adjuster I | California Employers Holdings IncSenior Claims Adjuster I | CaliforniaCalifornia, CARemote$80,000–$105,000 / yearJoin EMPLOYERS as a Senior Claims Adjuster I and manage complex California workers'' compensation claims while making a meaningful impact for injured workers and policyholders. We offer a collaborative, growth-focused culture built on Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment.