Claims Examiner Sr, Covered California CalOptimaClaims Examiner Sr, Covered CaliforniaOrange, CA$51,744–$72,441 / yearWe are hoping you will join us as a Claims Examiner Sr, Covered California and help shape the future of healthcare where you'll be an integral part of our Claims Administration team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet.
Claims Examiner Sr CalOptimaClaims Examiner SrOrange, CA$51,744–$72,441 / yearWe are hoping you will join us as a Claims Examiner Sr and help shape the future of healthcare where you'll be an integral part of our Claims Administration team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet.
Client Implementation Analyst - Healthcare Billing and Claims (Remote) Experian Information Solutions IncClient Implementation Analyst - Healthcare Billing and Claims (Remote)CARemoteExperian''s people first, inclusive and purpose driven culture is multi award-winning; World''s Best Workplaces 2025 (Fortune Global Top 25), Great Place To Work in 26 countries to name a few. Monitor accuracy and completeness of all assigned jobs· Provide technical support including testing, debugging, troubleshooting and implementing necessary program updates.
Outside Property Claim Representative TravelersOutside Property Claim RepresentativeDiamond Bar, California$67,000–$110,600 / yearAs a Claim Rep, Outside Property, you will be responsible for managing, inspecting, evaluating, negotiating, and settling 1st party property claims in a timely and accurate manner which includes performing in-person inspections at customers' residences and properties to accurately assess damages. Ideal locations include El Monte, San Gabriel, Rosemead, West Covina, Covina, Glendora, Azusa, La Puente, East Los Angeles, Montebello, Burbank, Simi Valley, Santa Clarita, and surrounding areas.
Senior Claim Examiner I, CA AmTrust Financial Services, Inc.Senior Claim Examiner I, CATBD, California$49–$54 / hourFull timeSalaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations . Your ability to effectively interact with insureds, claimants, and their legal representatives will be essential in driving timely settlements while adhering to AmTrust’s mission, vision, and values.
Senior Claim Representative - Workers Compensation Florida Or California - (Hybrid) Intact InsuranceSenior Claim Representative - Workers Compensation Florida Or California - (Hybrid)Irvine, CA$88,000–$92,000 / yearSome of the Senior Claim Representative responsibilities include but are not limited to: Makes timely and appropriate contacts, determines and completes appropriate level of investigation to make determination of coverage, assess liability and determine damages. Determines whether additional evidence is required including but not limited to accident reports, accident scene reconstructions, witness statements, police reports, expert opinion, etc.
NewClaim Representative, Medical Only CCMSIClaim Representative, Medical OnlyIrvine, California$45,000–$55,000 / hourNice to Have: • Knowledge of medical terminology • Prior experience in claims, insurance, or medical administrative support • Past experience supporting trucking/PEO clients • Experience supporting a single client or program environment • Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required. Responsibilities: When we hire claim reps at CCMSI, we look for detail oriented professionals who understand that every task supports a real person’s claim experience, value accuracy and responsiveness, and contribute to the team’s success through organization, collaboration, and a strong commitment to service.
Workers’ Compensation Claim Representative II CCMSIWorkers’ Compensation Claim Representative IIIrvine, CaliforniaRemote$60,000–$80,000 / yearResponsibilities: When we hire Workers’ Compensation Adjusters at CCMSI, we look for detail‑driven problem‑solvers who balance empathy with sound judgment, navigate complex regulations with confidence, and deliver fair, timely outcomes that support injured workers and strengthen client trust. At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.
Workers' Compensation Claim Consultant CCMSIWorkers' Compensation Claim ConsultantIrvine, CaliforniaRemote$80,000–$95,000 / yearResponsibilities: When we hire Workers’ Compensation Adjusters at CCMSI, we look for detail‑driven problem‑solvers who balance empathy with sound judgment, navigate complex regulations with confidence, and deliver fair, timely outcomes that support injured workers and strengthen client trust. At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.
Claim Assistant CCMSIClaim AssistantIrvine, California$19–$22 / hourAt CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. As the largest privately-owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations.
NewClaim Professional Development Program Internship (CPDP Intern) TravelersClaim Professional Development Program Internship (CPDP Intern)Diamond Bar, California$25–$26 / hourThe Travelers Claim Intern program provides qualified candidates an excellent opportunity to gain first-hand business experience, receive valuable on-the-job training, contact clients, determine coverage, scoping of losses and completing damage estimates. The actual hourly rate for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
Claim Representative - Accident And Health (Hybrid) Intact InsuranceClaim Representative - Accident And Health (Hybrid)Anaheim, CA$79,000–$91,000 / yearWe currently have an opportunity for a Claim Representative to join our Claims Accident and Health based in our Plymouth, MN; Canton, MA; New York City, NY; Chicago, IL; Naperville, IL; Barrington, IL; Alpharetta, GA; Anaheim, CA; Irvine, CA; Southfield, MI; Mt Juliet, TN on a hybrid schedule. Some of the Claim Representative responsibilities include but are not limited to: Makes timely and appropriate contacts, determines and completes appropriate level of investigation to make determination of coverage, assess liability and determine damages.
Claim Representative - Accident and Health (Hybrid) Onebeacon Professional Insurance IncClaim Representative - Accident and Health (Hybrid)Anaheim, CA$79,000–$91,000 / yearWe currently have an opportunity for a Claim Representative to join our Claims Accident and Health based in our Plymouth, MN; Canton, MA; New York City, NY; Chicago, IL; Naperville, IL; Barrington, IL; Alpharetta, GA; Anaheim, CA; Irvine, CA; Southfield, MI; Mt Juliet, TN on a hybrid schedule. Some of the Claim Representative responsibilities include but are not limited to: Makes timely and appropriate contacts, determines and completes appropriate level of investigation to make determination of coverage, assess liability and determine damages.
Claim Supervisor - Auto Physical Damage (Hybrid) Intact InsuranceClaim Supervisor - Auto Physical Damage (Hybrid)Irvine, CA$113,000–$132,000 / yearWe currently have an opportunity for a Claim Supervisor to join our Specialty Auto Physical Damage team based in our Plymouth, MN; Denver, CO; Canton, MA; New York City, NY; Chicago, IL; Alpharetta, GA; Irvine, CA; Southfield, MI, Boston, MA offices on a hybrid schedule. Manages unit staffing issues; including ensuring appropriateness of staffing levels, creating, implementing and monitoring of performance management activities for direct reports.
Regional Claim Owner II Farmers Group, Inc.Regional Claim Owner IILos Angeles, CARemote$27.73–$47.07 / hourProactively investigates and determines coverage for Auto policy claims with coverage issues requiring in-depth investigation including but not limited to if the policy out of force for the date of loss, unlisted or permissive drivers, excluded drivers, vehicle not on the policy, rideshare involvement, material misrepresentation issues, and new business investigations. Applies fully proficient knowledge and skills to proactively investigate, confirm coverage, determine liability, establish damages, and negotiate settlements of auto physical damage claims.
Workers' Compensation Claim Supervisor CCMSIWorkers' Compensation Claim SupervisorIrvine, California$98,000–$108,000 / yearResponsibilities: When we hire supervisors at CCMSI, we look for people-leaders who recognize that every claim impacts a real person’s livelihood, hold themselves and their teams accountable for results, and approach challenges as opportunities to develop others and drive excellence. At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.
AVP Claim Manager Chubb LtdAVP Claim ManagerLos Angeles, CA$121,100–$205,800 / yearThe Brandywine Assistant Vice President Manager is responsible for managing a team of claim professionals handling a blend of complex asbestos, long term exposure and environmental claims to ensure that core claim handling objectives are achieved. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
Analyst, Configuration Oversight COB (Edit Reviews)/Claims/QNXT/ Root Cause analysis Molina Healthcare IncAnalyst, Configuration Oversight COB (Edit Reviews)/Claims/QNXT/ Root Cause analysisCAThis includes but not limited to; deep dive contract review and targeted claim audits related to accurate and timely implementation and maintenance of critical information on all claims and provider databases, validate data housed on databases and ensure adherence to business and system requirements of stakeholders as it pertains to provider contracting, network management, credentialing, benefits, prior authorizations, fee schedules, and other business requirements critical to claim accuracy. Experience independently reviewing and processing simple to moderately complex High dollar claims and knowledge of all claim types of reimbursements not limited to payment methodologies such Stoploss, DRG, APC, RBRVS, FFS applicable for HD Inpatient, Outpatient and Professional claims.
Worker Compensation Adjuster -Glendale, CA AVONRISKWorker Compensation Adjuster -Glendale, CAGlendale, CAOur Mission:To be the leading third party administrator offering professional and technological resources through pro-active and aggressive claims and managed care solutions in support of our clients’ objectives. Our Goal:To be recognized as the most trusted and innovative partner in providing Claims and Managed Care solutions that are tailored to the specific needs of our clients.
Technical Claim Manager-Design Professionals/Construction RLI CorpTechnical Claim Manager-Design Professionals/ConstructionLos Angeles, CA$115,778–$168,746 / yearThis approach rises from and is supported by our talented, ethical and smart team of employee owners united around a single purpose: to work alongside our customers and partners when they need us, in unexpected ways, with exceptional results. Our goal is to attract, develop, and retain the best employee talent from diverse backgrounds while promoting an environment where all viewpoints are valued and individuals feel respected, are treated fairly, and have an opportunity to excel in their chosen careers.