Senior Geologist/Senior Environmental Scientist/Professional Engineer Hydro-Environmental TechnologiesSenior Geologist/Senior Environmental Scientist/Professional EngineerLos Angeles, CaliforniaRemoteThe tools of our trade are environmental site and indoor air quality assessments, risk characterizations, remediation technologies, emergency response services, occupational health and safety services, loss control surveys, risk management consulting, safety services, and litigation/expert witness support. The candidate should have experience managing consulting assignments, must work effectively in multi-disciplinary teams, is expected to be proficient in the analysis and communication of information, and must be able to work cooperatively with agencies, organizations, and individuals to guide decision-making.
NewRevenue Cycle Specialist TIS International (USA) IncRevenue Cycle SpecialistCARemote3+ years of revenue cycle experience covering at least two of the following: eligibility/benefits verification, demographic/registration data integrity, billing and claim edit resolution, AR follow-up, ordenial management. Many of ACS Clients accounts require team effort while other accounts may require independent workers to complete all aspects of the billing process.
Personal Injury Pre-Litigation Case Manager- Portguese Speaker EvenUp IncPersonal Injury Pre-Litigation Case Manager- Portguese SpeakerCARemoteWe only post open roles on our career page (evenuplaw.com/careers) or reputable job boards like our official LinkedIn or Indeed pages, and all official EvenUp recruitment emails will come from the domains @evenuplaw.com, @evenup.ai, You will also oversee demand preparation, resolve final liens, and manage cases through to completion, ensuring that attorneys have comprehensive, well-documented files to effectively build and negotiate each case.
Claims Examiner - Workers Compensation ObjectWin TechnologyClaims Examiner - Workers CompensationPasadena, CARemoteTo analyze complex or technically difficult 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. Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
Certified Industrial Hygienist EFI GlobalCertified Industrial HygienistPasadena, CARemote$130,000–$150,000 / yearOver the last four decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a recognized global leader in engineering failure analysis, origin-and-cause investigations, environmental consulting, laboratory testing and specialty consulting. 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.
Express Claims Advocate Next Insurance IncExpress Claims AdvocateCARemote$60,000–$80,000 / 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.
NewClaims 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.
Claims Litigation Specialist Next Insurance IncClaims Litigation SpecialistCARemote$106,000–$143,000 / yearThe candidate must be a highly skilled Claims Specialist who can handle a range of complex cases, including Bad Faith claims, documented cases of daycare abuse/molestation, fatalities involving coverage issues, and construction defect cases involving multiple parties and complex contractual issues. Previous experience in handling complex claims, particularly in the areas of Bad Faith, daycare abuse/molestation, fatalities with coverage issues, and construction defect cases involving multiple parties and complex contracts.
NewWorkers'' Compensation Claims Representative (California) biBerk Business Insurance IncWorkers'' Compensation Claims Representative (California)California, CARemote$90,000–$105,000 / yearbiBerk is where commercial insurance buyers can obtain coverage for their businesses from insurers of the Berkshire Hathaway group of Insurance Companies, one of the best capitalized insurance groups in the world. BHDIC and the team at biBerk are focused on helping small business owners quickly and easily buy affordable insurance directly from a financially strong insurance company they can trust.
Medical Billing & Coding Specialist CrewBloomMedical Billing & Coding SpecialistLos Angeles, CARemoteYou will work closely with healthcare practitioners in private practices and medical clinics to accurately review, assign, and manage medical codes, ensuring compliant billing, timely reimbursements, and efficient revenue cycle operations. While industry certifications are a plus, what matters most is hands-on experience with medical billing and coding, particularly a strong understanding of Eye Care Practice (ECP) coding guidelines and regulations.
Claims Examiner - Workers Compensation MindlanceClaims Examiner - Workers CompensationPasadena, CARemote$52.57–$53.57 / hourPRIMARY PURPOSE: To analyze complex or technically difficult 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. Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
NewClaims Counsel Cowbell Cyber IncClaims CounselCARemotePerform tasks such as coverage analysis and letter writing; investigation; incident response; evaluation; reserve adequacy and timeliness; diary maintenance; management of defense and coverage counsel; reinsurance reporting; and claim disposition. This salary range is an estimate, and the actual salary may vary based on Cowbell's compensation practices, job related skills, depth of experience, relevant certifications and trainings, in addition to geographic location.
CA - Claims Adjuster, Workers Compensation Pie Insurance Holdings IncCA - Claims Adjuster, Workers CompensationCalifornia, CARemote$80,000–$100,000 / yearThis role will work with internal and external partners to deliver best in class performance, identify and pursue claim mitigation opportunities and deliver favorable claim outcomes for Pie's customers. The Claims Adjuster will play a vital role in delivering quality claim file management and an industry-leading customer claims experience.
Claims Adjuster, Worker''s Compensation Pie Insurance Holdings IncClaims Adjuster, Worker''s CompensationCARemote$70,000–$90,000 / yearThis role will work with internal and external partners to deliver best in class performance, identify and pursue claim mitigation opportunities and deliver favorable claim outcomes for Pie's customers. The Claims Adjuster will play a vital role in delivering quality claim file management and an industry-leading customer claims experience.
CA - Senior Claims Adjuster, Worker''s Compensation Pie Insurance Holdings IncCA - Senior Claims Adjuster, Worker''s CompensationCalifornia, CARemote$95,000–$120,000 / yearThis role will work with internal and external partners to deliver best in class performance, identify and pursue claim mitigation opportunities and deliver favorable claim outcomes for Pie's customers. The Senior Claims Adjuster will play a critical role in delivering quality claim file management and an industry-leading customer claims experience.,
NewSenior Claims Adjuster, Workers Compensation Pie Insurance Holdings IncSenior Claims Adjuster, Workers CompensationCARemote$85,000–$110,000 / yearThis role will work with internal and external partners to deliver best in class performance, identify and pursue claim mitigation opportunities and deliver favorable claim outcomes for Pie's customers. The Senior Claims Adjuster will play a critical role in delivering quality claim file management and an industry-leading customer claims experience.,
Senior Claims Adjuster I | California Employers Holdings IncSenior Claims Adjuster I | CaliforniaCalifornia, CARemote$60,000–$106,000 / 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. Independently analyzes case facts to establish timely and accurate reserves using knowledge and experience with medical disabilities and related costs, as well as judgment of extent of disability.
Associate Claims Adjuster, Workers Compensation Liberty Mutual Holding Company IncAssociate Claims Adjuster, Workers CompensationLos Angeles, CARemoteAs an Associate Claims Adjuster, you will develop the knowledge and skills needed to conduct thorough investigations, make decisions about liability / compensability, evaluate losses, negotiate settlements and manage an inventory of commercial property/casualty and disability claims by participating in a comprehensive training program, one-on-one mentoring, and on-the-job training. Investigates new claims by reviewing first reports of loss and supporting materials, determines the best first point of contact (claimants, customers, witnesses, etc.) to gather information regarding injuries or loss refers tasks to auxiliary units as necessary and posts file accordingly.
Child and Adolescent Psychiatrist Sensible CareChild and Adolescent PsychiatristLos Angeles, CARemoteIf you are a passionate and dedicated Child and Adolescent Psychiatrist excited to make a difference in the lives of children, adolescents, and adults, we would love to talk to you! Sensible Care is committed to serving our clients and empowering our providers and the multitude of teams who support our providers.
Hospital Claims Examiner MedPOINT ManagementHospital Claims ExaminerSherman Oaks, CARemoteFull timeJoin MedPOINT Management as a Hospital Claims Examiner in Sherman Oaks, CA, where you'll play a crucial role in ensuring accurate and timely processing of hospital claims. Our commitment to quality and innovation has earned us a reputation for excellence, making us a preferred partner in the healthcare industry.