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.
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.
Claims Examiner - Workers Compensation -| Brea, CA Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation -| Brea, CABrea, CA$80,000–$100,000 / yearPRIMARY PURPOSE OF THE ROLE To analyze complex or technically difficult California 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. Mental: 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.
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 .
RISK MANAGER City of Huntington Beach, CARISK MANAGERHuntington Beach, CA$10,471.07–$14,733.33 / yearManages all City-wide services and activities of the Risk Management Division, including comprehensive risk management, workplace safety and industrial hygiene, third-party loss prevention, self insured, self-administered liability claims, self-insured, self-administered workers compensation, risk financing, and safety officer industrial disability retirement programs. A new member is defined as a new hire who is brought into CalPERS membership for the first time on or after 1/1/13 and has no prior membership in a California public retirement system; is not eligible for reciprocity with another California public retirement system; or is rehired by a different CalPERS employer after a break in service of greater than six (6) months.
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, CaliforniaWhen 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. • Registered Orthopaedic Technologist (ROT) from American Society of Orthopedic Professional (ASOP) • Registered Orthopaedic Technologist (ROT) from National Board for Certification in the Orthopedic Specialties (NBCOS) • Orthopaedic Technologist Certification (OTC) from the National Board for Certification of Orthopaedic Technologists (NBCOT).
Claims Assistant MSIG HoldingsClaims AssistantLos Angeles, CaliforniaThe Claims Assistant provides administrative and operational support to the Claims team, ensuring timely and accurate processing of claim-related documentation, regulatory notices, and correspondence. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business’s unique risks.
Claims Specialist, Workers Compensation - West Region Liberty Mutual Holding Company IncClaims Specialist, Workers Compensation - West RegionGlendale, CARemoteResponsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages. As a Workers Compensation Claims Specialist, you will work within a Claims Team, using the latest technology to review, analyze, and process claims that are routinely characterized as moderately complex to complex within assigned authority limits.
Customer Service Specialist Easy RecruiterCustomer Service SpecialistLos Angeles, CaliforniaYou'll be gotten in touch with to investigation complex problems concerning member prescribed as well as/ or even drug store benefits across a number of data banks which demands eloquence in personal computer navigation and toggling while with confidence as well as compassionately enlisting along with the customer. Need to live in a place that may acquire a UnitedHealth Team accepted high-speed web link or take advantage of an existing high-speed web solution.
Senior Claims Examiner P&C - Public Entities Athens AdministratorsSenior Claims Examiner P&C - Public EntitiesOrange, CaliforniaAdditional duties may be assigned: Advanced knowledge in the following areas: 1) claims handling concepts, practices, and techniques specific to the California government code and regulations 2) functional knowledge of CA law and insurance regulations 3) demonstrated advanced verbal and written communications skills 4) demonstrated advanced analytical, decision making and negotiation skills Must have the experience and ability to organize and effectively manage a caseload of general liability claims and new loss assignments venued in California. ATHENS POSITION DETAILS Position Title: Senior Claims Examiner Department: Property & Casualty Reports To: Claims Supervisor FLSA Status: Exempt – CJPIA account Job Grade: 13 Career Ladder: Next step in progression could include Complex Claims Examiner ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976.
Associate Collector Accendra Health IncAssociate CollectorAnaheim, CA$24–$26 / hourSummary: The representative is to service the needs of our customers by accurately billing customer accounts, assuring timely remittance, and taking immediate action on issues that involve account integrity. With deep expertise promoting health outside the hospital and a presence in communities nationwide through our Apria and Byram Healthcare brands, Accendra Health does more than just deliver the essentials.
Associate Collector Byram Healthcare CentersAssociate CollectorAnaheim, CaliforniaThe representative is to service the needs of our customers by accurately billing customer accounts, assuring timely remittance, and taking immediate action on issues that involve account integrity. With deep expertise promoting health outside the hospital and a presence in communities nationwide through our Apria and Byram Healthcare brands, Accendra Health does more than just deliver the essentials.