Lead - Claims Examiner Astrana Health, Inc.Lead - Claims ExaminerMonterey Park, CA$27–$32 / hourWork closely with other Company departments and specifically, the Claims QA and Training Specialist to communicate findings of recovery audits and to facilitate accurate adjudication of claims. Ensures that all legal, regulatory and policy requirements are met by keeping informed of changes and by implementing necessary controls and/or programs to meet requirements.
Pharmacy Claims Analyst - Pharmacy Admin - FT Day Shift University of CaliforniaPharmacy Claims Analyst - Pharmacy Admin - FT Day ShiftIrvine, CA2025 University of California, Irvine, UCI Health, and UC Regents. Sign-up to be notified of hiring events, newly posted job opportunities, and much more.
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.
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.
Senior Claims Auditor (External Audit) Astrana Health, Inc.Senior Claims Auditor (External Audit)Monterey Park, CaliforniaRemote$70,308–$80,000 / yearKnowledge of medical terminology combined with detail knowledge and experience with CPT, HCPCS, DRG, REV, OPS, ASC, ICD10, CRVS, RBRVS, CMS, ICE for Health Plan, DMHC and DHS fee schedules and CMS Medicare regulatory agencies, COB and Third-Party Liability recovery. Detail knowledge and understanding of Industry pricing methodologies, such as Resources-Based Relative Value Scale (RBRVS), Medicare/Medi-Cal fee schedule, All Patient Refined Diagnosis Related Groups (AP-DRG), Ambulatory Payment Classifications (APC), etc.
NewAuto Liability Claim Rep TravelersAuto Liability Claim RepDiamond Bar, California$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. In this detail-oriented and customer focused role, you will work closely with insureds to ensure claims are resolved efficiently while maintaining a high level of professionalism, empathy, and service throughout the claims handling process What Will You Do? .
Workers Compensation Claim Representative Associate TravelersWorkers Compensation Claim Representative AssociateDiamond Bar, CaliforniaAs 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 TravelersProperty Outside Claim RepresentativeDiamond Bar, California$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.
EPL & D&O Liability Claim Counsel TravelersEPL & D&O Liability Claim CounselDiamond Bar, California$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 Operations Specialist TravelersClaim Operations SpecialistDiamond Bar, California$45,400–$74,900 / yearCLAIM OPERATIONAL SERVICE AND PARTNERSHIPS: Partners with claim professionals in multiple departments to assist with the timely resolution of claims, which may include: Properly documents claim files, including notes and diaries, Requests reports and records, and reviews medical bills, mail and wage statements. Designed as an entry point into the claims organization, this role gives individuals direct exposure to how claims are managed across multiple lines of business, including Auto, Property, General Liability, Construction, and Workers' Compensation.
Insurance & Risk Program Specialist IntelliPro Group Inc.Insurance & Risk Program SpecialistChino, CACommercial Auto Claims Adjuster• Fleet Insurance Specialist• Insurance Claims Specialist• Commercial Insurance Account Manager• Risk Management Coordinator• Claims Analyst• Insurance Compliance Specialist• Transportation Insurance Specialist• Commercial P&C Insurance Specialist• Workers’ Compensation / General Liability Claims Specialist. This role will help review insurance coverage, monitor compliance across delivery partners, support claims management, and work with internal teams, brokers, carriers, and external partners to reduce operational risk and improve insurance program efficiency.
Sleep Apnea Medical Biller Aava InternationalSleep Apnea Medical BillerIrvine, CAFull timeZapZzz is a specialized sleep apnea treatment program with a mission of improving patients’ overall health and quality of life by providing advanced, patient-centered solutions for sleep apnea. The Medical Biller will be responsible for accurately preparing, submitting, and managing insurance claims related to sleep apnea treatment and oral appliance therapy.
Bilingual Legal Assistant TORKLAWBilingual Legal AssistantIrvine, CA$47,000–$65,000 / yearThis is an opportunity to work alongside a collaborative and high-performing team while contributing to meaningful work that directly impacts the lives of our clients. TORKLAW is more than an award-winning personal injury law firm - we are a dedicated team committed to supporting people through some of the most challenging moments of their lives.
Senior Contracts Manager SCS EngineersSenior Contracts ManagerLong Beach, California$130,000–$200,000 / yearFull timeIn this high-impact role, you'll serve as a trusted advisor to executive leadership, project managers, finance, procurement, and legal stakeholders, guiding complex agreements from initial negotiations through final closeout. SCS is building a world where environmental systems and infrastructure strengthen the health, safety and resilience of communities — from reducing methane emissions at landfills to producing alternative energy, from repurposing contaminated properties to sequestering carbon.
Pharmacist Walgreen CoPharmacistFullerton, CA$67.35–$82.30 / hourWalgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Opportunities for growth - Many pharmacists advance quickly into leadership roles in pharmacy operations, retail management, multi-site leadership, and corporate support functions.
NewPharmacy Manager - $20,000 Sign-On & Relocation Walgreen CoPharmacy Manager - $20,000 Sign-On & RelocationLake Elsinore, CA$74.10–$90.55 / hourWalgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Models and shares customer service best practices with all team members to deliver a distinctive and joyful patient experience, including interpersonal habits that show care (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., demonstrating curiosity to identify needs and proactively helping, servicing until satisfied, championing empathy and inclusivity, etc.).
Optician PAUL S CRISMON OD INCOpticianNorwalk, CAFull timeThis position would involve scheduling appointments, performing pretesting for the doctor, frame styling, selling, dispensing and adjusting. Also contact lens training, collecting payments, verifying vision insurances, submitting vision insurance claims an answering phones.
Customer Service Representative - State Farm Agent Team Member Sylvia Nye - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberPlacentia, CAFull timeAs a Customer Service Representative - State Farm Agent Team Member with Sylvia Nye - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. With more than 20 years of experience, our agency is dedicated to building strong relationships, providing personalized insurance solutions, and helping customers protect what matters most.
Customer Service Representative - State Farm Agent Team Member David Misiego - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberNewport Beach, CAFull timeAs a Customer Service Representative - State Farm Agent Team Member with David Misiego - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Medical Billing Specialist American Family Care Ladera RanchMedical Billing SpecialistLadera Ranch, California$18–$23 / hourmagazine as one of the fastest-growing companies in the U.S., AFC's stated mission is to provide the best healthcare possible, in a kind and caring environment, while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient. Today, with more than 250 clinics and 800 in-network physicians caring for over 6 million patients a year, AFC is the nation's leading provider of urgent care, accessible primary care, and occupational medicine.