Senior Claims Auditor Astrana Health IncSenior Claims AuditorMonterey Park, CAThis role will report to the Director - Claims and enable us to continue to scale in the healthcare industry. About the Role: We are currently seeking a highly motivated Senior Claims Auditor.
Technical Claims Specialist, Workers Compensation - West Region Liberty Mutual Holding Company IncTechnical Claims Specialist, Workers Compensation - West RegionOrange, CAHas developed high level of knowledge of Workers Compensation claims handling techniques, a full knowledge of LMG claims procedures and is cognizant of new industry trends and claim handling techniques Uses available data to track claims trends and other claim related metrics. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role.
Assistant Director, Claims Operations Impresiv HealthAssistant Director, Claims OperationsHuntington Beach, CA$95,000–$120,000 / yearThe Assistant Director will provide operational, analytical, administrative, and project support across claims processing, 837 file oversight, payment integrity, issue resolution, provider and IPA coordination, reporting, audit readiness, system initiatives, and process improvement. Track, document, escalate, and help resolve complex claims issues involving providers, IPAs, delegated entities, vendors, and internal departments.
Litigation & Claims Manager Brookfield Residential Properties ULCLitigation & Claims ManagerCosta Mesa, CA$115,000–$145,000 / yearAs part of Brookfield - one of the largest alternative asset managers in the world - we harness our resources to bring a fresh approach, unparalleled creativity, relentless innovation, and sound Sustainability practices to the planning, development, and management of buildings everywhere. The Manager will participate in mediations, arbitrations, and trials as a company representative, oversee the collection and production of documentation for litigation and discovery, maintain comprehensive litigation files, and manage related invoices, settlements, and expenses.
Claims Examiner - Workers Compensation (Hourly) Apidel TechnologiesClaims Examiner - Workers Compensation (Hourly)Brea, CAContractorTo 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.
Healthcare Claims Examiner Ultimate Staffing ServicesHealthcare Claims ExaminerEl Monte, California$25–$28 / hourResearch and resolve claim discrepancies, including making payment corrections, recovering overpayments, and reprocessing claims as needed. Evaluate claims for potential fraud, waste, abuse, Workers' Compensation, hospital-acquired conditions, and third-party liability; escalate issues appropriately.
NewOperations Analyst - National Claims (Hybrid in CA) First AmericanOperations Analyst - National Claims (Hybrid in CA)Santa Ana, CaliforniaFirst American reasonably believes that a criminal history may have a direct, adverse and negative relationship with the following material job duties for this position potentially resulting in the withdrawal of the conditional offer of employment: handling of confidential, proprietary or trade secret information belonging to First American or its customers, administrating or facilitating financial transactions, and the ability to meet customer-imposed criminal history requirements. This position supports title claims and claims-adjacent intake operations across multiple locations and serves as a key partner to senior leadership by providing operational support, audit coordination, advanced reporting, and systems optimization.
WC Claim Associate I LevelUP CCMSIWC Claim Associate I LevelUPIrvine, CaliforniaRemoteIn simple terms: you’ll learn how to help employees who are injured at work navigate the claim process, communicate with people involved, gather information, document decisions, and keep things moving forward—accurately, timely, and with care. 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.
NewClaim 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.
Senior Claim Examiner I AmTrust Financial Services, Inc.Senior Claim Examiner IIrvine, 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.
NewWorkers' Compensation Claim Supervisor CCMSIWorkers' Compensation Claim SupervisorIrvine, CaliforniaRemote$90,000–$105,000 / yearThe California Workers' Compensation Claim Supervisor oversees the investigation, adjustment, and supervision of assigned claims while leading a team responsible for multiple client accounts, including photography, PEO, tree trimming, and extermination industries . Responsibilities: At CCMSI, we seek supervisors who are strong people leaders, understand the impact every claim has on an individual's livelihood, hold themselves and their teams accountable, and view challenges as opportunities to develop talent and drive excellence.
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.
NewSr Claim Examiner- WC Paladin Consulting, Inc.Sr Claim Examiner- WCBrea, CARemote$37.27 / hourEstablish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements. Duties: Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
Workers Compensation Claim Representative Associate The Travelers Companies IncWorkers Compensation Claim Representative AssociateDiamond Bar, CA$52,600–$86,800 / yearAs an Associate Claim Rep, Workers Compensation, you will receive comprehensive training in claim handling, customer service, and policy interpretation while working alongside experienced claim professionals. 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.
Property Outside Claim Representative The Travelers Companies IncProperty Outside Claim RepresentativeDiamond Bar, CA$67,000–$110,600 / yearDetermines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters. Investigates and evaluates all relevant facts to determine coverage, damages and liability of first-party property damage claims (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first-party property claims under a variety of policies.
Specialized Sr Workers' Compensation Claim Representative The Travelers CompaniesSpecialized Sr Workers' Compensation Claim RepresentativeIrvine, 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.
Account Manager (3396) Word & Brown Insurance Administrators IncAccount Manager (3396)Orange, CAUse Subject Matter Expert knowledge of benefits technologies and critical thinking skills to accurately respond to internal and external customer inquiries. Onboard new groups to Eligibility service model including reviewing Ease, Employee Navigator, updating Salesforce, and updating internal tracking guides.
Business Analysis Associate II Quest Diagnostics IncBusiness Analysis Associate IISan Juan Capistrano, CAStakeholder Collaboration Partner with the Specialty Testing and PODSS teams to align client expectations, facilitate resolutions, and escalate complex account matters when necessaryEducation & Communication Develop training materials and conduct educational sessions for internal teams and external payers regarding new billing processes, regulatory changes, or system enhancements. Quest believes that conviction records may have a direct, adverse, and negative relationship to the following job duties: accessing company property, information, assets, and products including sensitive information; accessing customer data or confidential information, and partnering and regularly working with or supervising other Quest employees and interacting with Quest customers.65313Quest
Specialized Sr Workers'''' Compensation Claim Representative The Travelers Companies IncSpecialized Sr Workers'''' Compensation Claim RepresentativeIrvine, 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 Companies IncEPL & D&O Liability Claim CounselDiamond Bar, 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.