Claims Examiner- Workers Compensation | Brea, CA (Hybrid) Sedgwick Claims Management Services, Inc.Claims Examiner- Workers Compensation | Brea, CA (Hybrid)Brea, CARemote$85,000–$105,000 / 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. 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.
Claims Examiner - Workers Compensation (HYBRID- West Hills, CA/3 Days Remote) Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation (HYBRID- West Hills, CA/3 Days Remote)West Hills, CARemote$80,000–$90,000 / 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. PRIMARY PURPOSE OF THE ROLE: To analyze Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Property Claims Specialist Field II Mercury Insurance Services, LLCProperty Claims Specialist Field IILos Angeles, California$98,568–$120,473 / yearAs a Property Claims Field Adjuster 2, you will: • Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims. • Be able to seamlessly transition between various methods of inspection, including physical, video, or photo, to write a damage estimate: o May include climbing ladders to inspect roofing or attic space and inspection of crawl spaces.
Property Claims Specialist Field II Mercury Insurance CompanyProperty Claims Specialist Field IILos Angeles, CA$98,568–$120,473 / yearKnowledge and Skills: As a Property Claims Field Adjuster 2, you will: Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims. Be able to seamlessly transition between various methods of inspection, including physical, video, or photo, to write a damage estimate: o May include climbing ladders to inspect roofing or attic space and inspection of crawl spaces.
Property Claims Specialist Field I Mercury Insurance CompanyProperty Claims Specialist Field IBrea, CA$81,341–$99,416 / yearKnowledge and Skills: As a Property Claims Field Adjuster 1, you will: Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims. Be able to seamlessly transition between various methods of inspection, including physical, video, or photo, to write a damage estimate: o May include climbing ladders to inspect roofing or attic space and inspection of crawl spaces.
Property Claims Specialist Field I Mercury Insurance Services, LLCProperty Claims Specialist Field IBrea, California$81,341–$99,416 / yearAs a Property Claims Field Adjuster 1, you will: • Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims. • Be able to seamlessly transition between various methods of inspection, including physical, video, or photo, to write a damage estimate: o May include climbing ladders to inspect roofing or attic space and inspection of crawl spaces.
Cust Serv Rep I -Claims Alert Crawford & CoCust Serv Rep I -Claims AlertCARemoteAll resumes submitted by search firms to any employee at Crawford via-email, the Internet or in any form and/or method without a valid written Statement of Work in place for this position from Crawford HR/Recruitment will be deemed the sole property of Crawford. Provides excellent customer service to all internal team members and external customers.
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 Technical Claims Specialist Argo Group International Holdings IncSenior Technical Claims SpecialistLos Angeles, CA$173,706–$208,386 / yearEssential Responsibilities: Working with limited oversight under broad management direction, adjudicate highly complex claims and insurance coverage disputes mostly for our professional liability line of business, at the highest authority limits on assignments reflecting the highest degree of technical complexity and coordination in liability and litigated claims, potentially with major impact on departmental results. Qualifications / Experience Required: A deep knowledge of claims adjudication and focus on customer service typically achieved through: At least seven years' experience handling insurance coverage issues and disputes, with exposure of $100,000 or more, for Professional Liability claims.
NewWorkers Compensation Claims Specialist II Zurich Insurance Group LtdWorkers Compensation Claims Specialist IICARemoteThe Workers Compensation Claims Specialist will handle multi-party commercial line Workman's Compensation claims of moderate to high exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service. Proven experience managing litigated claims, including directing defense counsel, developing litigation strategy, participating in mediations and settlement conferences, and maintaining appropriate indemnity, medical, and expense reserves.
Claims Examiner - Workers Compensation -| Brea, CA Sedgwick Claims Management Services, Inc.Claims Examiner - Workers Compensation -| Brea, CABrea, CA$80,000–$100,000 / yearPRIMARY PURPOSE OF THE ROLE To analyze complex or technically difficult California 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. 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.
Starr Associates Program - Claims Starr International Co IncStarr Associates Program - ClaimsLos Angeles, CA$68,000–$78,000 / yearThe Associates Program complements your department work by offering professional development opportunities, including direct exposure to senior leadership, technical training, and a comprehensive understanding of key functions throughout the organization. The 2027-2028 Starr Global Associates Program is a dynamic, accelerated training program designed to identify, cultivate, and retain high-potential college graduates.
Surveillance Investigator Allied UniversalSurveillance InvestigatorSan Dimas, California$20–$24 / hourFull timeThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability.
Claims & Customer Service - Los Angeles Ca. Career StrategiesClaims & Customer Service - Los Angeles Ca.Los Angeles, California$56,000–$65,000 / yearThe Claims Specialist/Analyst will process health insurance claims and answers calls from the customer (participant members, providers, physicians, hospitals etc.) Adhere to eligibility, claims and call policies and procedures while making sound claim/call decisions. · Review and research incoming healthcare claims by navigating multiple computer systems and platforms and verify the data/information necessary for processing (e.g.
Client Accounting Coordinator Davies Group LtdClient Accounting CoordinatorCalifornia, CARemote$45,000–$54,000 / yearThe coordinator partners closely with clients, claims management, banking partners, and internal teams to ensure loss fund activity is accurate, timely, well-documented, and aligned with client expectations, internal controls, and insurance claims processing requirements. Manage program accounting from cradle to grave, including coordinating new bank account openings, supporting program setup in the CRM, maintaining accurate client and program data, and ensuring required documentation is complete.
(Hiring) Personal Injury (Settlement) Negotiators (Onsite) Viper Staffing Services(Hiring) Personal Injury (Settlement) Negotiators (Onsite)Los Angeles, California$25–$50 / hourIn this role, you will be responsible for managing and negotiating claims related to personal injury cases, ensuring fair and efficient resolution for clients and insurance providers. Communicate effectively with clients, legal representatives, and internal teams to provide updates and clarify claim details.
NewMedical Assistant/Cast Specialist - Manhattan Beach-BCO Ortho Clinic- Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaMedical Assistant/Cast Specialist - Manhattan Beach-BCO Ortho Clinic- Full Time 8 Hour Days (Non-Exempt) (Non-Union)Manhattan Beach, CA$29–$45.20 / hourWhen extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations. • Registered Orthopaedic Technologist (ROT) from American Society of Orthopedic Professional (ASOP) • Registered Orthopaedic Technologist (ROT) from National Board for Certification in the Orthopedic Specialties (NBCOS) • Orthopaedic Technologist Certification (OTC) from the National Board for Certification of Orthopaedic Technologists (NBCOT).
Dental Biller - Front Office A-Team Dental StaffingDental Biller - Front OfficeStudio City, CaliforniaThe Dental Insurance Biller / Patient Care Coordinator is responsible for managing insurance claims, accounts receivable, payment posting, insurance follow-up, and assisting patients with scheduling, answering incoming calls, and coordinating appointments. They are confident with insurance billing and accounts receivable, communicate professionally with patients and insurance companies, thrive in a fast-paced environment, and take pride in keeping both the schedule and collections running smoothly.
Practice Operations Administrator A-Team Dental StaffingPractice Operations AdministratorStudio City, CaliforniaThe Dental Insurance Biller / Patient Care Coordinator is responsible for managing insurance claims, accounts receivable, payment posting, insurance follow-up, and assisting patients with scheduling, answering incoming calls, and coordinating appointments. Strong working knowledge of dental billing and PPO dental insurance, including claims, EOBs, preauthorizations, insurance estimates, frequency limitations, downgrades, and patient financial responsibilities.
Customer Service Representative - State Farm Agent Team Member Shane Taylor - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberEncino, CAFull timeAs a Customer Service Representative - State Farm Agent Team Member with Shane Taylor - State Farm Agent, you will generate the kind of exceptional client experiences that reinforce the growth of a successful insurance agency. At Shane Taylor Insurance Agency, we’ve been proudly serving our community since 2018, combining 20 years of industry experience to deliver exceptional service and trusted advice.