Medical Case Manager- CA Crawford & CoMedical Case Manager- CASan Diego, CA$25.32–$46.29 / hourReviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual''s medical status, identifies needs and obstacles to medical case resolution and RTW by providing proactive case management services. General working knowledge of case management practices and ability to quickly learn and apply workers compensation/case management products and services.
NewEnterprise Risk Manager North County Transit DistrictEnterprise Risk ManagerOceanside, CA$122,073.10–$195,312.53 / yearThe Enterprise Risk Manager will be responsible for performing inspections and preparing, adjusting, and investigating claims, and determining final disposition of claims, preparing risk reports and filings, procuring various insurance coverages, coordinating with claims adjusters, District contractors and staff, and other typical risk management activities, as well as providing support to the Office of Chief General Counsel. Collaborate and coordinate with stakeholders throughout NCTD, including but not limited to Safety Department staff, Senior Legal Counsel - Regulatory Compliance and Senior Legal Counsel - Employment & Civil Rights, regarding risk management and mitigation for both general operational and situational specific matters.
["Enterprise Risk Manager","Enterprise Risk Manager"] GovernmentJobs.com["Enterprise Risk Manager","Enterprise Risk Manager"]OceansideThe Enterprise Risk Manager will be responsible for performing inspections and preparing, adjusting, and investigating claims, and determining final disposition of claims, preparing risk reports and filings, procuring various insurance coverages, coordinating with claims adjusters, District contractors and staff, and other typical risk management activities, as well as providing support to the Office of Chief General Counsel. Collaborate and coordinate with stakeholders throughout NCTD, including but not limited to Safety Department staff, Senior Legal Counsel – Regulatory Compliance and Senior Legal Counsel – Employment & Civil Rights, regarding risk management and mitigation for both general operational and situational specific matters.
Field Auto Adjuster Allstate Insurance CompanyField Auto AdjusterSan Diego, CA$26.49–$40.99 / hourThis is a remote, territory-based role that handles claims both virtually and in the field throughout the South San Diego area, including Mission Beach, Ocean Beach, La Mesa, Spring Valley, Lemon Grove, National City, Imperial Beach, and surrounding areas. The ideal candidate will have experience managing a variety of auto claims, conducting vehicle inspections, and using CCC ONE estimating software to prepare accurate damage estimates while working closely with repair facilities and customers.
Subrogation Adjuster Tesla IncSubrogation AdjusterSan Diego, CA$76,000–$114,000 / yearMaintain accurate subrogation files and diaries across multiple Tesla Insurance Claims systems while responding to routine and complex subrogation inquiries via telephone and email in accordance with company guidelines and regulations. Property and Casualty (P&C) adjuster's license in the state of domicile, plus non-resident adjuster's licenses in all other states where required-or the ability to obtain them within 60 days of starting.
Risk & Insurance Analyst Vuori IncRisk & Insurance AnalystCarlsbad, CA$74,900–$96,285 / yearDamages analysis, litigation and settlement modeling to quantify damages exposure or potential recoveries to evaluate and document loss and gain contingencies including probability assessments and range estimates (or potential recoveries) for pending and threatened litigation, regulatory matters, insurable claims and other exposures. This role manages day-to-day claims activity across the company''s property, stock throughput, and workers'' compensation programs while providing critical support for insurance and outside legal spend budgeting, forecasting, and invoice management.
SIU Investigator Allied UniversalSIU InvestigatorSan Diego, California$30–$38 / hourFull timeAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance . High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud .
General Manager for Property Management Company ATG EQUITY SALES & MANAGEMENTGeneral Manager for Property Management CompanySan Diego, CA$80,000–$100,000 / yearFull timeWe are seeking a hands-on, detail-oriented General Manager who takes ownership, anticipates needs, and solves problems independently. This role requires someone who can think ahead, manage multiple moving parts, and ensure that every task gets completed—not just assigned.
Reimbursement Specialist Veracyte IncReimbursement SpecialistSan Diego, CARemote$24–$33.50 / hourOur Veracyte Diagnostics Platform delivers high-performing cancer tests that are fueled by broad genomic and clinical data, deep bioinformatic and AI capabilities, and a powerful evidence-generation engine, which ultimately drives durable reimbursement and guideline inclusion for our tests, along with new insights to support continued innovation and pipeline development. Your primary role will be to take part in the day-to-day operations of the insurance billing life cycle to facilitate a smooth reimbursement process (i.e., verifying patient insurance coverage and benefits, ensuring timely insurance claim submissions, payment posting, performing A/R Follow-Up, sending appeals et al.).
Reimbursement Specialist PST Time Zone Veracyte IncReimbursement Specialist PST Time ZoneSan Diego, CARemote$25–$31 / hourOur Veracyte Diagnostics Platform delivers high-performing cancer tests that are fueled by broad genomic and clinical data, deep bioinformatic and AI capabilities, and a powerful evidence-generation engine, which ultimately drives durable reimbursement and guideline inclusion for our tests, along with new insights to support continued innovation and pipeline development. Your primary role will be to take part in the day-to-day operations of the insurance billing life cycle to facilitate a smooth reimbursement process (i.e., verifying patient insurance coverage and benefits, ensuring timely insurance claim submissions, payment posting, performing A/R Follow-Up, sending appeals et al.).
NewHuman Resources Director Associated Students, San Diego State UniversityHuman Resources DirectorSan Diego, CA$145,000–$155,000 / yearFull timeESSENTIAL DUTIES & RESPONSIBILITIESPrimary FunctionsOversees Human Resources Department including all human resources and payroll staff and processesServes as a member of Senior StaffMonitors and implements corporate-wide changes, new programs, practices or initiatives as assigned in collaboration with the Associate Executive DirectorEnsures that the organization seeks, attracts, hires and retains highly proficient staffOversees the organizational recruitment and onboarding processes for full- and part-time staff Sees that there is effective, on-going training and professional development of staff at all levels of the organization Oversees a strong program of evaluation of employee performanceEnsures bi-weekly payroll completion for all A.S. Compensation: $145,000 - $155,000 Annually RELATIONSHIPSInside the Organization:Reports to Associate Executive DirectorSupervisesAssociate Director of Human ResourcesHuman Resources ManagerPayroll ManagerProvides direction to full-time and part-time HR staffWorks closely and collaborates with Business Services staffWorks closely with Senior Staff and departmental ManagersWorks closely with Office Coordinators/Payroll LiaisonsInteracts with student leaders including A.S.
CA Workers Compensation Adjuster Canon Recruiting GroupCA Workers Compensation AdjusterSan Diego, CARemoteBy promoting inclusion with the same enthusiasm, we devote to quality and competency, and using the experience from a diverse assortment of backgrounds and experiences, Canon is able to improve the services and value we deliver to clients, employees, and customers. Our remote claims team collaborates cross-functionally to support injured workers, carriers, and medical partners while maintaining compliance with CA regulations and best-in-class customer service.
Biller / Dermatology / Part-Time (589) Sharp Community Medical GroupBiller / Dermatology / Part-Time (589)San Diego, CaliforniaRemote$25–$35 / hourPosition at Maven Dermatology Position Title: Biller Location: Remote Schedule: Flexible Employment Type: Part-Time Salary Range: $25-35 About Us: Located in the heart of Kearny Mesa, Maven Dermatology is a patient-centered dermatology practice serving individuals and families of all ages. From pediatric rashes to complex skin cancers and advanced aesthetic treatments, our experienced team provides high-quality, compassionate care in a welcoming environment.
Medical Biller - Hospital - Commercial Biller Guidehouse IncMedical Biller - Hospital - Commercial BillerSan Marcos, CA$38,000–$63,000 / yearCompensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. Demonstrates an ability to find solutions to problems and keeps management informed of patterns regarding billing edits, compliance issues, payments and or other issues with specific payers.
NewAssociate General Counsel McCoy's Building SupplyAssociate General CounselSan Marcos, CAManages, tracks and monitors potential exposure and resolution of auto and property claims in conjunction with McCoy's safety team including investigation, fact gathering, and reporting of all incidents to the appropriate parties while proactively administering the claim adjudication and resolution process with the carrier and outside counsel in conjunction with the SVP/General Counsel. This role will require direct management in the day-to-day management of McCoy's insurance programs, providing insurance support and advice to operational and support teams and ensuring that McCoy's responsibly manages business and operational risk through effective claims prevention, investigation, management, and resolution.
["Hospital Billing & Follow Up Rep - Remote","Hospital Billing & Follow Up Rep - Remote"] University of California["Hospital Billing & Follow Up Rep - Remote","Hospital Billing & Follow Up Rep - Remote"]San DiegoRemote$61,116–$75,982 / yearThis role responds to billing inquiries from patients, insurance companies and internal department team members; identifies and resolves account adjustments, resolves billing edits and processes account credit balances and insurance refund requests. Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs.
Field Case Manager Full-Time San Diego, CA Charles Taylor LtdField Case Manager Full-Time San Diego, CASan Diego, CA$115,000–$125,000 / yearMaintains a working a knowledge of up-to-date medical information including but not limited to medications, procedures, equipment, therapies, treatments, their uses, contraindications, side effects, etc. and provides research information to adjusters to assist with determinations of medical necessity and appropriateness. The Field Case Manager position is responsible for assessing and analyzing information pertinent to injured employees to evaluate the medical and vocational needs required to facilitate the patient's rehabilitation in order to promote appropriate and timely return to work.
Surveillance Investigator Allied UniversalSurveillance InvestigatorSan Clemente, California$20–$24 / hourFull timeThe 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 .
EDI Administrator ICW GroupEDI AdministratorSan Diego, CA$22.54–$35.54 / hourHeadquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for ten consecutive years as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. Stays updated on industry communications and changes in legislation to support changes regarding Medicare and other regulatory changes to communicate information to stakeholders and support changes.
Data Scientist III - Temporary Veracyte IncData Scientist III - TemporarySan Diego, CARemote$63–$72 / hourOur Veracyte Diagnostics Platform delivers high-performing cancer tests that are fueled by broad genomic and clinical data, deep bioinformatic and AI capabilities, and a powerful evidence-generation engine, which ultimately drives durable reimbursement and guideline inclusion for our tests, along with new insights to support continued innovation and pipeline development. This position offers a unique opportunity to work with experienced professionals to carry out AI/ML modelling and analysis of the world's largest database of cancer patients, encompassing multi-platform digital pathology, genomic and clinical outcome data.