Fulltime Opportunity (Remote)//Trial Attorney TPI Global SolutionsFulltime Opportunity (Remote)//Trial AttorneyGlendale, CARemote$122,000–$184,000 / yearFull timeCommunication: Knowledge and ability to deliberately and precisely exchange thoughts, legal theories, and opinions; must effectively translate complex legal language and ideas into layman's terms for clients and claims professionals. Legal Research: Proven capability to locate relevant cases, treaties, codified laws, and statutes aimed at the discovery and interpretation of law, drawing accurate, reasonable conclusions and rendering clear legal opinions.
Fulltime Opportunity (Remote)//Trial Attorney TPI Global (formerly Tech Providers, Inc.)Fulltime Opportunity (Remote)//Trial AttorneyGlendale, CARemoteCommunication: Knowledge and ability to deliberately and precisely exchange thoughts, legal theories, and opinions;must effectively translate complex legal language and ideas into layman's terms for clients and claims professionals. Legal Research: Proven capability to locate relevant cases, treaties, codified laws, and statutes aimed at the discovery and interpretation of law, drawing accurate, reasonable conclusions and rendering clear legal opinions.
NewFinance Manager / Managed Care Financial Analyst Nutex Health IncFinance Manager / Managed Care Financial AnalystCAThe purpose of the Finance Manager / Managed Care Financial Analyst is to support the financial operations of the IPA/MSO by managing capitation reconciliations, IBNR analysis, claims payment oversight, utilization financial reporting, and risk-based healthcare financial operations. This position is responsible for monitoring financial performance across health plans, providers, and delegated arrangements while ensuring accurate reporting, payment processing, and analysis related to managed care operations, risk pools, and healthcare expenditures.
Administrative Assistant / Collections Ultimate Staffing ServicesAdministrative Assistant / CollectionsPasadena, California$22–$30 / hourWe are seeking a detail-oriented Administrative Assistant / Collections Coordinator to support our office operations and accounts receivable process. This role requires prior experience in restoration or construction, as well as strong organizational, communication, and follow-up skills.
Claims Quality Auditor University of CaliforniaClaims Quality AuditorLos Angeles, CA$31.51–$62.64 / hourAs a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer. You will review claims (paid, pending, and denied) for accuracy, appropriate application of benefits, authorization for services, contract interpretation, Division of Financial Responsibility (DOFR), and application/compliance with policies and procedures.
Sr. Manager - Claims Delegation Audit Astrana Health, Inc.Sr. Manager - Claims Delegation AuditMonterey Park, California$125,000–$140,000 / yearThe position alongside the leadership team will contribute to driving strategic planning, operational excellence, and accuracy of the claims process and ensure compliance with regulations and contract requirements for Medicare, Commercial Exchange, and Medicaid service lines. External Audit planning, execution & support Own the end‑to‑end strategy and execution of all external audits (e.g., CMS, DMHC, health plan audits), ensuring readiness, successful delivery, and continuous score improvement.
Patient Account Representative - Commercial Claims GuidehousePatient Account Representative - Commercial ClaimsEl Segundo, CA$38,000–$64,000 / yearCompensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com.
Sr. Benefits Analyst (Workers' Compensation) SpaceXSr. Benefits Analyst (Workers' Compensation)Hawthorne, CATo conform to U.S. Government export regulations, applicant must be a (i) U.S. citizen or national, (ii) U.S. lawful, permanent resident (aka green card holder), (iii) Refugee under 8 U.S.C. § 1157, or (iv) Asylee under 8 U.S.C. § 1158, or be eligible to obtain the required authorizations from the U.S. Department of State. Coordinate and facilitate claims process by acting as a liaison between the injured employee, employee’s leadership team, insurance third party administrator, medical provider, and consultant.
Sr. Benefits Analyst (Workers' Compensation) Space Exploration TechnologiesSr. Benefits Analyst (Workers' Compensation)Hawthorne, CAITAR REQUIREMENTS: To conform to U.S. Government export regulations, applicant must be a (i) U.S. citizen or national, (ii) U.S. lawful, permanent resident (aka green card holder), (iii) Refugee under 8 U.S.C. § 1157, or (iv) Asylee under 8 U.S.C. § 1158, or be eligible to obtain the required authorizations from the U.S. Department of State. Coordinate and facilitate claims process by acting as a liaison between the injured employee, employee's leadership team, insurance third party administrator, medical provider, and consultant.
Patient Biller 3 University of CaliforniaPatient Biller 3Los Angeles, CA$30.49–$40.20 / hourWe're seeking detail-oriented, self-directed professional with: Required - Minimum two years of recent medical billing experience in physicians' office or clinic with Medi-Cal, Medicare, Managed Care, and PPO insurances. As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
Claims Processer Iconma LLCClaims ProcesserCAOur Client, an IT Services and Consultant company, is looking for a Claims Processer for their Remote location. Requirements: Preferred: 6 months to 1 year of Claims Processing experience.
Claim Examiner- WC TPI Global (formerly Tech Providers, Inc.)Claim Examiner- WCBrea, CAEstablish 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.
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.
Claims Examiner - Workers Compensation ICONMA, LLCClaims Examiner - Workers CompensationLong Beach, CA$45–$50 / hourMental: 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. Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
Non-Clinical - Finance/Accounting - Collections Representative 22nd Century Technologies, Inc.Non-Clinical - Finance/Accounting - Collections RepresentativeLos Angeles, CAThe Collections Representative Government Billing is responsible for the accurate and timely billing of inpatient, outpatient, and laboratory claims to government and third-party payers. This role ensures compliance with payer regulations, billing guidelines, and timely filing requirements while maintaining account accuracy and maximizing reimbursement.
Collections Representative Government Billing SGA Inc.Collections Representative Government BillingLos Angeles, CA$20–$27 / hourResponsibilities : The Collections Representative – Government Billing is responsible for the accurate and timely billing of inpatient, outpatient, and laboratory claims to government and third-party payers. Software Guidance & Assistance, Inc., (SGA), is searching for a Collections Representative – Government Billing for a Contract assignment with one of our premier Healthcare clients in Los Angeles, CA.
Collections Representative – Government Billing SGA Inc.Collections Representative – Government BillingLos Angeles, CA$20–$27 / hourResponsibilities : The Collections Representative – Government Billing is responsible for the accurate and timely billing of inpatient, outpatient, and laboratory claims to government and third-party payers. Software Guidance & Assistance, Inc., (SGA), is searching for a Collections Representative – Government Billing for a Contract assignment with one of our premier Healthcare clients in Los Angeles, CA.
Auto Major Case Specialist TravelersAuto Major Case SpecialistDiamond Bar, California$99,100–$163,400 / yearAs a Major Case Specialist, you are responsible for investigating, evaluating, reserving, negotiating, and resolving complex, serious and severe claims typically with full damage value for average claim $500,000 to over a multi-million dollar value. This role is eligible for a sign-on bonus of up to $20,000Be the Hero in Someone's StoryWhen life throws curveballs - storms, accidents, unexpected challenges - YOU become the beacon of hope that guides our customers back to stability.
Senior Claims Account Manager Argo Group International Holdings IncSenior Claims Account ManagerLos Angeles, CA$137,500–$167,000 / yearDeep workers' compensation technical expertise, including compensability, medical treatment, disability exposure, return-to-work, settlement valuation, Medicare considerations, litigation management, jurisdictional requirements, and claim resolution strategy and exception customer service focus typically obtained through: Bachelor's Degree from an accredited university. Support onboarding and oversight of additional runoff programs as Clearbrook acquires new companies, portfolios, or lines of business, including transition planning, TPA implementation, claim file transfer, authority protocols, reporting expectations, and governance routines.
Senior Claims Account Manager Argo Group International Holdings Ltd.Senior Claims Account ManagerLos Angeles, CA$137,500–$167,000 / yearDeep workers' compensation technical expertise, including compensability, medical treatment, disability exposure, return-to-work, settlement valuation, Medicare considerations, litigation management, jurisdictional requirements, and claim resolution strategy and exception customer service focus typically obtained through: Bachelor's Degree from an accredited university. Support onboarding and oversight of additional runoff programs as Clearbrook acquires new companies, portfolios, or lines of business, including transition planning, TPA implementation, claim file transfer, authority protocols, reporting expectations, and governance routines.