Senior Data Science Engineer I, Claims TurquoiseSenior Data Science Engineer I, ClaimsSan Diego, CaliforniaRemoteYou'll join our Data Science Engineering team to own the data lifecycle of healthcare claims data including ELT/ETL, de-identification, PHI/PII reduction, data quality, observability, and integrations (e.g., APIs, web-optimized data stores). Experience with healthcare claims data, such as EDI 837/835 files, researcher datasets (CMS VRDC, CMS Limited Data Set), commercial claims (Komodo, MarketScan), or equivalents.
Claims Team Lead - Workers Compensation Sedgwick Claims Management Services, Inc.Claims Team Lead - Workers CompensationSan Diego, CARemote$100,000–$120,000 / yearMental: 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. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Senior Litigation Construction Liability Claims Representative The Travelers CompaniesSenior Litigation Construction Liability Claims RepresentativeSan Diego, CA$94,400–$155,800 / yearDirectly investigates each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Actively engages in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts.
Workers Compensation Claims Examiner | Dedicated Account | 3 Days Remote Sedgwick Claims Management Services, Inc.Workers Compensation Claims Examiner | Dedicated Account | 3 Days RemoteSan Diego, CARemote$80,000–$100,000 / yearPRIMARY 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. Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
Workers Compensation Claims Examiner Sedgwick Claims Management Services, Inc.Workers Compensation Claims ExaminerSan Diego, CARemote$80,000–$100,000 / yearPRIMARY 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. Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
Claims Service Specialist Geico InsuranceClaims Service SpecialistPoway, CA$22.90–$35.10 / hourCustomer Interaction: Manage incoming calls, collect accident facts, investigate claim details, collect statements from involved parties, and assist in the process of getting our customers back on the road. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate's work experience, education and training, the work location as well as market and business considerations.
Epic Certified PB / PB Claims Analyst Waterfall Technology Consulting PartnersEpic Certified PB / PB Claims AnalystSan Diego, CaliforniaThe ideal candidate will bring strong technical expertise, revenue cycle application knowledge, and hands-on experience supporting professional billing and claims workflows. This role is critical in ensuring seamless functionality of Epic's PB and Claims modules, supporting both break/fix issues and application enhancements.
Epic Certified PB / PB Claims Analyst - Remote - San Diego, CA Waterfall Technology Consulting PartnersEpic Certified PB / PB Claims Analyst - Remote - San Diego, CASan Diego, CaliforniaRemoteThe ideal candidate will bring strong technical expertise, revenue cycle application knowledge, and hands-on experience supporting professional billing and claims workflows. This role is critical in ensuring seamless functionality of Epic's PB and Claims modules, supporting both break/fix issues and application enhancements.
Manager, Intellectual Property - Disputes, Claims & Investigations Stout Risius RossManager, Intellectual Property - Disputes, Claims & InvestigationsSan Diego, California$87,000–$195,000 / yearApproach engagements with intellectual curiosity and rigor — asking thoughtful questions, thinking critically about the data and assumptions behind our analysis, and applying attention to detail so our work product is accurate, thorough, and well-reasoned. Strong analytical and technical skills in finance, economics, and/or accounting with the ability to critically analyze financial statements, accounting records, tax returns, and other financial documents.
General Liability Claims Specialist - Bodily Injury Ultimate Staffing ServicesGeneral Liability Claims Specialist - Bodily InjurySan Diego, California$35–$40 / hourWe're seeking a General Liability Claims Specialist with experience in bodily injury to manage complex General Liability claims, including litigated matters, high-exposure BI losses, mediations, and settlement negotiations. This is a hands-on opportunity to work directly with defense counsel and clients while handling challenging claims from investigation through resolution.
Remote Claims Representative 597004 Metro Public AdjustmentRemote Claims Representative 597004San Diego, CARemote$35,000–$150,000 / yearConduct a virtual walk-through inspection of the property, take some pictures, and fill out about 5 minutes worth of paper work. Benefit from our 32 years of experience in business: We have an AWESOME training program and it's FREE!
Claims Specialist 1 Public Consulting GroupClaims Specialist 1Chula Vista, CaliforniaMonitors workloads, meets productivity goals, participates in trainings and team activities, communicates regularly with supervisors, and collaborates with team members and community partners to ensure efficient service delivery and positive client outcomes. At PCG, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications.
Manager, Intellectual Property - Disputes, Claims & Investigations StoutManager, Intellectual Property - Disputes, Claims & InvestigationsSan Diego, CaliforniaApproach engagements with intellectual curiosity and rigor — asking thoughtful questions, thinking critically about the data and assumptions behind our analysis, and applying attention to detail so our work product is accurate, thorough, and well-reasoned. Strong analytical and technical skills in finance, economics, and/or accounting with the ability to critically analyze financial statements, accounting records, tax returns, and other financial documents.
Auto Liability Claim Rep The Travelers CompaniesAuto Liability Claim RepSan Diego, CA$67,000–$110,600 / yearOne-year bodily injury liability claim handling experience or comparable liability claim handling experience, or successful completion of Travelers Claim Representative training program is required. The actual salary 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.
Specialized Sr Workers' Compensation Claim Representative The Travelers CompaniesSpecialized Sr Workers' Compensation Claim RepresentativeSan Diego, CA$73,900–$122,000 / yearAs a Specialized Senior Claim Rep, you will be responsible for investigating, evaluating, reserving, negotiating, and resolving Workers Compensation claims from Travelers Single Adjuster Model including Constitution State Services (CSS) and Custom Comp claims, which will be the majority of the claims handled, and other Travelers Workers Compensation claims. By providing assurance to our customers during life's rainy days, the Travelers Workers Compensation Claim team is committed to partnering with our business insurance customers to help their injured employees return to work as soon as medically appropriate.
EPL & D&O Liability Claim Counsel The Travelers CompaniesEPL & D&O Liability Claim CounselSan Diego, CA$111,600–$184,200 / yearTravelers' Private/Non-Profit Team provides executive and organizational management liability coverage to privately held companies and non-profit entities of all types and sizes as well as certain governmental public entities. Prepare and present reports for management that accurately reflect loss development, potential/actual financial exposure, reserve adjustments, coverage issues, and claim and recovery strategies.
Claim Specialist - Property Field Inspection State FarmClaim Specialist - Property Field InspectionSan Diego, California$69,398.62–$104,056 / yearFull timeCompetitive candidates should reside within one of the listed zip codes and will service this same territory: 91902, 91905, 91906, 91910, 91911, 91913, 91914, 91915, 91917, 91932, 91934, 91935, 91941, 91945, 91950, 91963, 91977, 91978, 91980. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
Senior Workers Compensation Claim Representative The Travelers CompaniesSenior Workers Compensation Claim RepresentativeSan Diego, CA$70,400–$116,200 / yearEducation/Course of Study: Work Experience: Analytical Thinking: Identifies current or future problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support sound decision-making. Independently handles assigned claims of low to moderate complexity where Wage loss and the expectation is a return to work to modified or full duty or obtain MMI with no RTW.
Field Auto Adjuster AllstateField Auto AdjusterLa Mesa, CaliforniaThis 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.
Assistant Manager (Multi-Family) Sudberry Properties, IncAssistant Manager (Multi-Family)San Diego, CAFull timeEDUCATION AND EXPERIENCE:Required:High school diploma or equivalent Preferred:Bachelors or Associates degree Yardi experience Minimum of 3 years previous experience in property management at a 400+ unit building Prior office experience in residential or retailMust have at least 3 years of managerial experience Experience in a conventional/Market Rate PropertyRESPONSIBILITIES:Tasks listed are a description of the way this job is currently performed and are not an exhaustive list of all the tasks that may be required for each physical demand. Adhere to company best practices and federal Fair Housing requirements during all phases of the prospect/resident lifecycle, from initial prospect inquiry to resident move out (i.e. touring, application processing, security deposits, rental rates, lease administration, resident complaints, legal processes, renewals, etc.)Manage online reviews, monitor/update social media accounts.