Claims Administrative Specialist The Doctors CompanyClaims Administrative SpecialistSherman Oaks, CA$46,436–$60,947 / yearYou will also provide clerical, administrative, and technical assistance to the assigned claims staff; maintain specific, timely, accurate coding and file updates to support data warehouse searches for claims processing and TDC research projects. Benefits: The Doctors Company offers competitive compensation, an incentive bonus plan, outstanding career opportunities, an exceptional work environment, and an impressive benefits package, which starts with medical, family and bereavement leave; same-sex domestic partner benefits; short- and long-term disability programs; and an employee assistance program.
Claims Advocate Next Insurance IncClaims AdvocateCARemote$60,000–$80,000 / yearCommunication and Negotiation Skills: Proven ability to communicate effectively and negotiate with a range of stakeholders, including third-party insurers and legal representatives. You can find additional information about this type of scam and report any fraudulent employment offers via the Federal Trade Commission''s website ( https://consumer.ftc.gov/articles/job-scams ), or you can contact your local law enforcement agency.
Sr. Claims Advocate Next Insurance IncSr. Claims AdvocateCARemote$80,000–$110,000 / yearYou can find additional information about this type of scam and report any fraudulent employment offers via the Federal Trade Commission''s website ( https://consumer.ftc.gov/articles/job-scams ), or you can contact your local law enforcement agency. At ERGO NEXT, we are dedicated to building a diverse, inclusive and respectful workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyways.
Express Claims Advocate Next Insurance IncExpress Claims AdvocateCARemote$55,000–$72,000 / yearYou will join a team of experienced claims professionals and will investigate and resolve general liability claims within your authority to provide the best possible claim outcome and employ best efforts to ensure that the customers' interests are protected while adhering to our claims philosophy and policies. Communicate with policyholders, witnesses, and claimants in order to gather information regarding claims, refer tasks to auxiliary resources as necessary, and advise as to proper course of action Respond to various written and telephone inquiries including status reports.
NewRevenue Cycle Manager Clear Behavioral HealthRevenue Cycle ManagerTorrance, CA$85,000–$95,000We provide a full continuum of services, including detox, dual diagnosis treatment, residential and outpatient programs, and specialized mental health services, all delivered by a multidisciplinary team of experienced clinicians and support professionals. The Revenue Cycle Manager will also manage and oversee the billing processes, including collections, appeals, and claim follow-ups, while ensuring that day-to-day billing and operational tasks run smoothly.
Collector, Management Services Organization/Centralized Billing Office - CBO - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaCollector, Management Services Organization/Centralized Billing Office - CBO - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Pasadena, California$26–$41.28 / hourResponsible for ensuring timely filing and guidelines are met; provided quality control checks on paper and electronic claims; process tracers, denial and related correspondence; initiate appeals; compose and submit appeal letters specific challengeable denial issues consistent with the most update American Medical Association Current Procedural Terminology. System Folder Notes / Account Documentation Documents claim bill date, billed amounts, billing address, billing attachments, invoice number, expected payment, contractual amount, received payments, actual transplant date(s), type of transplant, pre and post periods for transplant days, and all pertinent billing data relevant to billing the claim.
Cust Serv Rep I -Claims Alert Crawford & CoCust Serv Rep I -Claims AlertCARemoteAll 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. Provides excellent customer service to all internal team members and external customers.
Claims Quality Assurance Auditor PIH HealthClaims Quality Assurance AuditorWhittier, CA$23–$36.70Full timeThe fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology.
Starr Associates Program - Claims Starr International Co IncStarr Associates Program - ClaimsLos Angeles, CA$68,000–$78,000 / yearThe Associates Program complements your department work by offering professional development opportunities, including direct exposure to senior leadership, technical training, and a comprehensive understanding of key functions throughout the organization. The 2027-2028 Starr Global Associates Program is a dynamic, accelerated training program designed to identify, cultivate, and retain high-potential college graduates.
Senior Technical Claims Specialist Argo Group International Holdings IncSenior Technical Claims SpecialistLos Angeles, CA$173,706–$208,386 / yearEssential Responsibilities: Working with limited oversight under broad management direction, adjudicate highly complex claims and insurance coverage disputes mostly for our professional liability line of business, at the highest authority limits on assignments reflecting the highest degree of technical complexity and coordination in liability and litigated claims, potentially with major impact on departmental results. Qualifications / Experience Required: A deep knowledge of claims adjudication and focus on customer service typically achieved through: At least seven years' experience handling insurance coverage issues and disputes, with exposure of $100,000 or more, for Professional Liability claims.
Claims & Customer Service - Los Angeles Ca. Career StrategiesClaims & Customer Service - Los Angeles Ca.Los Angeles, CaliforniaThe Claims Specialist/Analyst will process health insurance claims and answers calls from the customer (participant members, providers, physicians, hospitals etc.) Adhere to eligibility, claims and call policies and procedures while making sound claim/call decisions. · Review and research incoming healthcare claims by navigating multiple computer systems and platforms and verify the data/information necessary for processing (e.g.
Senior Claims Account Manager Argo Group International Holdings Ltd.Senior Claims Account ManagerLos Angeles, CA$137,500–$167,000 / yearDeep workers' compensation technical expertise, including compensability, medical treatment, disability exposure, return-to-work, settlement valuation, Medicare considerations, litigation management, jurisdictional requirements, and claim resolution strategy and exception customer service focus typically obtained through: Bachelor's Degree from an accredited university. Support onboarding and oversight of additional runoff programs as Clearbrook acquires new companies, portfolios, or lines of business, including transition planning, TPA implementation, claim file transfer, authority protocols, reporting expectations, and governance routines.
Senior Claims Account Manager Argo Group International Holdings IncSenior Claims Account ManagerLos Angeles, CA$137,500–$167,000 / yearDeep workers' compensation technical expertise, including compensability, medical treatment, disability exposure, return-to-work, settlement valuation, Medicare considerations, litigation management, jurisdictional requirements, and claim resolution strategy and exception customer service focus typically obtained through: Bachelor's Degree from an accredited university. Support onboarding and oversight of additional runoff programs as Clearbrook acquires new companies, portfolios, or lines of business, including transition planning, TPA implementation, claim file transfer, authority protocols, reporting expectations, and governance routines.
NewClient Accounting Coordinator Davies Group LtdClient Accounting CoordinatorCalifornia, CARemote$45,000–$54,000 / yearThe coordinator partners closely with clients, claims management, banking partners, and internal teams to ensure loss fund activity is accurate, timely, well-documented, and aligned with client expectations, internal controls, and insurance claims processing requirements. Manage program accounting from cradle to grave, including coordinating new bank account openings, supporting program setup in the CRM, maintaining accurate client and program data, and ensuring required documentation is complete.
Project Manager Industrial Hygiene J.S. Held LLCProject Manager Industrial HygieneLos Angeles, CA$105,000–$130,000 / yearOur professionals serve as trusted advisors to organizations facing high stakes matters demanding urgent attention, staunch integrity, proven experience, clear-cut analysis, and an understanding of both tangible and intangible assets. You will deliver a broad range of industrial hygiene services, including lead, asbestos, mold and indoor air quality (IAQ) assessments, while also supporting emergency response and insurance-related engagements.
Operations Manager Santa Monica Bay DentalOperations ManagerSanta Monica, CaliforniaFull timeServe as a key liaison between the practice and the support center, ensuring clear, timely communication across all stakeholder groups to align priorities, resolve issues, and drive practice success. Qualifications: Proven experience as a Dental Office Manager or a similar healthcare leadership role with a demonstrated track record of driving growth for 3+ years .
NewContracts and Claims Specialist Luster NationalContracts and Claims SpecialistLos Angeles, CA$90,000–$155,000 / hourWe're seeking Contracts and Claims Specialists of various skill levels to support large, complex heavy civil infrastructure programs, including highways, roads, bridges, transit (bus and rail), aviation (international airports), and water/wastewater projects delivered through both traditional and alternative delivery methods. Luster provides the salary range that the company in good faith believes it might offer for this position based on the successful candidate's level and years of experience, knowledge, skills, abilities, education, certifications, licenses, geographic location, etc.
Operations Manager Imagen Dental Partners, LLCOperations ManagerSanta Monica, CAYour role: Strategic leadership: Serve as a key liaison between the practice and the support center, ensuring clear, timely communication across all stakeholder groups to align priorities, resolve issues, and drive practice success. Proven experience as a Dental Office Manager or a similar healthcare leadership role with a demonstrated track record of driving growth for 3+ years.
Witness Statement Representative USA Express Legal & Investigative ServiceWitness Statement RepresentativeWoodland Hills, CaliforniaAbout Us: USA Express Legal & Investigative Service Inc. is a trusted provider of legal support and investigative services, proudly serving attorneys, insurance companies, and legal professionals throughout California. Retired claims adjusters are strongly encouraged to apply, as their experience makes them an excellent fit for this role Responsibilities: Contact witnesses by phone to obtain detailed statements.
Medical Assistant/Cast Specialist - Manhattan Beach-BCO Ortho Clinic- Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaMedical Assistant/Cast Specialist - Manhattan Beach-BCO Ortho Clinic- Full Time 8 Hour Days (Non-Exempt) (Non-Union)Manhattan Beach, California$29–$45.20 / hourWhen extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations. Escorts patients to x-ray and exam rooms, monitors patient flow, assists physicians with minor clinical procedures including staple removal, suture removal, and wound care.