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.
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.
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.
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.
Legal Claims Analyst (Los Angeles, CA area) MorleyLegal Claims Analyst (Los Angeles, CA area)Los Angeles, CaliforniaRemote$65,000–$77,000 / yearFull timeOffer timely and accurate solutions through inbound and outbound conversations (including phone calls, chats, emails and other communications as needed) while keeping a positive and upbeat attitude. As a Legal Claims Analyst at Morley, you'll play a key role in managing small automotive claims cases, collaborating closely with the General Counsel of a Fortune 500 automaker.
Claims Follow-Up Lead-CA WellPsycheClaims Follow-Up Lead-CALos Angeles, CARemote$25–$30 / hourWe are a lean and fast-growing organization , which means every team member plays a meaningful role in improving operations, strengthening revenue cycle performance, and supporting our mission to help patients become the best version of themselves. The Claims Follow-Up Lead is a senior, hands-on revenue cycle professional responsible for resolving complex denials, accelerating accounts receivable, and supporting daily claims workflow execution.
Claims Adjuster Senior GallagherClaims Adjuster SeniorTorrance, CaliforniaRemoteFull timeThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Behaviors: Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.
Claims Auditor Cohere Health Technologies LLCClaims AuditorCARemote$72,000–$82,000 / yearBacked by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes. By unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.
Claims Supervisor - Worker Compensation StratAcuity Staffing Partners IncClaims Supervisor - Worker CompensationCARemote$95,000–$110,000 / yearIn terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts.
Senior Fire Investigator , IAAI-CFI EFI Global IncSenior Fire Investigator , IAAI-CFIPasadena, CARemote$85,000–$95,000 / 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. PRIMARY PURPOSE: To independently conduct extensive and detailed investigations to determine origin & cause of fires and explosions, primarily involving structures and determining the cause of fires in commercial buildings or residences.
Enterprise Architect (Lead Data Integration & Streaming Architect) Farmers Group, Inc.Enterprise Architect (Lead Data Integration & Streaming Architect)Los Angeles, CARemote$166,725–$283,250 / yearProven experience leading and delivering enterprise-wide architectural initiatives that resulted in measurable business outcomes (example, cost savings, improved agility, reduced risk) required. Possesses adequate hearing, with or without correction, to communicate with co-workers, respond promptly to auditory signals or alarms, and discern sounds essential for maintaining safety and productivity in the workplace.