74 Results for

Claims Analyst Jobs in Los Angeles, CA

Jobs

New!

Irvine, CA1 day ago

Remote

$90,000–$105,000 Per Year

This role partners closely with Sales, Account Management, Product, Legal, and Finance to drive competitive pricing strategies, support revenue optimization, and ensure pricing compliance across contracts and new business opportunities. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal.

Alhambra, CA30+ days ago

Full-time
Employee

Responsibilities include, but not limited to: Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including:Contractual agreement rates. Job Description: Claims Auditor will be responsible for auditing claims processed by Claims Examiners.

New!

Glendale, CA2 days ago

$50.92–$79.06 Per Hour

Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. Awarded Healthgrades' Patient Safety Excellence Award for 2024 and America’s 50 Best Hospitals for Vascular Surgery Award in 2025, we provide exceptional patient care with a commitment to excellence.

New!

Brea, CA4 days ago

$0–$0.01 Per Hour

Establish 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.

Los Angeles, CA11 days ago

$24–$30 Per Hour
Temporary
Contractor
Full-time

Auditor: Knowledge of HMO/IPA operations; medical terminology; ICD-10, RVS, and CPT coding; Medicare and Medi-Cal guidelines; and 10-key skills by touch. WinCorp Solutions is seeking multiple healthcare roles to serve as a consultant for our clients in the healthcare system.

Pasadena, California21 days ago

$24–$28 Per Hour

Communicate professionally with members and providers to resolve inquiries, follow up on pended claims, and complete corrections or adjustments. This position is ideal for someone who enjoys problem‑solving, working with complex benefit plans, and collaborating with both internal teams and external partners.

Orange, California30+ days ago

Listed among America’s Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County’s only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. *Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional 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; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.

New!

Chino Hills, CA1 day ago

$43–$45

We are partnering with a well-established third-party administrator (TPA) that delivers comprehensive workers’ compensation and risk management services to a broad client base. This role involves consistent interaction with external partners and internal teams, requiring strong communication skills, organization, and attention to detail.

New!

Anaheim, CA4 days ago

$60,000–$100,000 Per Year

Our client, a large and growing insurance carrier, is seeking a Third Party Liability Claims Examiner to manage complex bodily injury, property damage, and litigated liability claims related to commercial trucking and business insurance policies. This role is responsible for investigating, evaluating, negotiating, and resolving third-party liability claims while coordinating with attorneys, TPAs, claimants, and internal teams.

Pasadena, California11 days ago

$26–$29 Per Hour

We are seeking an experienced Medical Claims Examiner to review, analyze, and adjudicate medical claims for accuracy, compliance, and medical necessity. Identify coding discrepancies, overpayments, and potential fraud or abuse.

Los Angeles, CA30+ days ago

The Claims Processor will provide excellent client service by accurately processing provider claims in a timely manner while adhering to the contractual requirements of the California Department of Education and LA County Department of Public Social Services as well as Crystal Stairs, Inc. policies and procedures. An AA/AS Degree in Accounting, Business, or Human Services preferred/or a minimum of two years of verifiable college coursework with a focus on accounting or business; verifiable work experience may be substituted for college level education.

Los Angeles, CA16 days ago

The most significant responsibilities of this job classification are: Review and resolve submitted claims by initiating payment or denial in line with eligibility and benefits as described in the applicable Summary Plan Description. The Southern California Pipe Trades Administrative Corporation is seeking a Claims Processor in the Health & Welfare Benefit Funds Department.

Irvine, California14 days ago

$110,000–$125,000 Per Year

This role actively supports and participates in the company’s culture of continuous learning and innovation, including engagement in innovation groups focused on identifying opportunities for process improvement, enhancement, and transformational change. Key functions include but are not limited to: Adjust all aspects of complex claims and loss notices, including coverage and compensability analysis, reserve setting, reinsurance reporting, and coverage litigation.

Pasadena, CA26 days ago

Remote

Contractor

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. 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.

Brea, CA30+ days ago

Job Description: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. OSIP certificate - Preferred .

El Monte, California21 days ago

$23–$29 Per Hour

Interact professionally with members and providers to resolve inquiries, follow up on pended claims, and complete corrections and adjustments. Review claims for fraud, waste, abuse, hospital‑acquired conditions, Workers' Compensation, and Third‑Party Liability, referring cases as appropriate.

Torrance, California30+ days ago

Remote

The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Behaviors: Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.

Los Angeles, CA7 days ago

The Claims Investigator-Examiner enhance the experience of providers and the organization by being knowledgeable, friendly, and helpful and by offering accurate and thorough responses or instructions to enquiries about claims. The Claims Investigator-Examiner contributes to AHF's mission by ensuring accurate and timely and payment of claims and providing a positive experience to providers and internal staff.

Long Beach, CA30+ days ago

$69,288–$98,000 Per Year
Full-time
Employee

PRIMARY 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.

Long Beach, CA30+ days ago

$70,000–$100,000 Per Year
Full-time
Employee

PRIMARY 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. 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.

New!

Torrance, California5 days ago

Remote

The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. How you'll make an impact: In this role, you’ll ensure reinsurance and excess carriers receive timely and accurate reports, while working closely with managers and supervisors to address inquiries and maintain quality control.

Anaheim, CA21 days ago

Full-time

In this role, you will handle claims involving third-party liability, specifically in commercial trucking and business policies, working to resolve them efficiently while ensuring fair settlements. Key Responsibilities: Investigate, evaluate, and resolve third-party claims including bodily injury, property damage, and liability claims including ones in litigation for commercial trucking and business policies.

Brea, CA28 days ago

Full-time

Work within established authority on moderate-to-difficult claims, reviewing coverages, determining liability/compensability, collecting statements and essential information, and settling claims using best practices. Establish 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.

Brea, CA22 days ago

Brea, CA30+ days ago

Irvine, California28 days ago

$49–$54 Per Hour

Salaries 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.

Fountain Valley, California30+ days ago

$22.72–$25 Per Hour

This temporary role is ideal for someone with strong data entry skills, basic-intermediate Excel knowledge, and experience within customs, logistics, transportation, or invoice processing. The primary focus of this position is assisting with documentation preparation, organizing files, and supporting retroactive customs refund claims.

Fountain Valley, California30+ days ago

$25–$30 Per Hour

This position also plays a key role in tracking quality metrics, resolving official quality notices, and communicating with internal teams, affiliates, and suppliers. This temporary role supports a large automotive parts distribution network by overseeing parts quality inspections, supplier claims, and operational reporting.

Irvine, CA30+ days ago

$90,000–$105,000
Full-time

City of Industry, California30+ days ago

$20.59–$22 Per Hour

Process Vendor Orders: Handle miscellaneous vendor orders, follow up with stores and customers on order issues, and resolve emergency order exceptions quickly and accurately. Review & Adjust Demand Reporting: Analyze Unadjusted Demand and Daily Returns reports; adjust demand history and submit return requests to CAT as needed.

Torrance, California11 days ago

You’ll partner cross‑functionally to navigate an evolving regulatory landscape, introduce innovative and efficient solutions, and enhance the way benefits are delivered ensuring a seamless, compliant, and employee‑centric experience for our teams and Global Business Services centers across the globe. US Benefits Statement: Herbalife offers a variety of benefits to eligible employees in the U.S. (limited to the 50 States and the District of Columbia), which includes Group Health Programs, other Voluntary Benefit Programs, and Paid Time Off.

Los Angeles, CA30+ days ago

Remote

$29–$35 Per Hour

The ideal candidate will have knowledge of Lytec software configuration, reporting, and data workflows, and will work closely with billing, IT, and operations teams to improve system performance, data accuracy, and revenue cycle efficiency. Skilled Wound Care will ask all candidates to perform pre-employment confidential DiSC testing and appropriate relevant skills testing prior to hiring.

Los Angeles, CA30+ days ago

Full-time

Work with DHS teams to support the development and implementation of a pre-release model of care under CalAIM that includes but is not limited to: eligible patient identification, ECM application submission, benefit applications, assignment to community based providers, in-reach of community based providers, care plan development, and community care coordination. Specific Deliverables Support efforts to plan and implement pre- and post-release CalAIM Enhanced Care Management (ECM) Programs for justice-involved individuals and coordinate Correctional Health Services clinical care transition efforts with community-based re-entry providers.

Los Angeles, CA30+ days ago

Full-time

This Assistant Staff Analyst will directly support the Director of Revenue Development and CalAIM Justice Initiatives in Community Programs and will assist in coordinating CalAIM services across multiple County departments including Department of Mental Health, Department of Public Health, Department of Homeless Services and Housing and the Department of Public Social Services. ****Experience at the level of a Contract Program Auditor is defined as: conducts program evaluation audits of hospitals, day-care centers and related health facilities to ensure that appropriate quality of care is maintained by private agencies with contracts.

Los Angeles, CA30+ days ago

$53,955–$86,177 Per Year

The incumbent may be required to support addressing escalated fraud issues that may require ad hoc rule implementation; research and respond to escalated fraud claims; malware alerts; review of department audit reports and other support activities defined by management. Responsible for analytical and project support for Fraud operations, including: conducting analysis of transactional data for fraud trend evaluations, queries to analyze compromises, create and test rules for implementation, develop and provide fraud reporting and metrics.

Los Angeles, California22 days ago

Remote

$53,955–$86,177 Per Year

WHAT IS THE OPPORTUNITY?Responsible for analytical and project support for Fraud operations, including: conducting analysis of transactional data for fraud trend evaluations, queries to analyze compromises, create and test rules for implementation, develop and provide fraud reporting and metrics. The incumbent may be required to support addressing escalated fraud issues that may require ad hoc rule implementation; research and respond to escalated fraud claims; malware alerts; review of department audit reports and other support activities defined by management.

Los Angeles, CA30+ days ago

$63,000–$105,000 Per Year

Excellent verbal and written communication skills and interpersonal skills including composing company communications, developing and conducting presentations, assisting with program design, and interfacing with a diverse group of internal staff/management and external vendors and community resources. Critical contributions of this role: Administer all aspects of company retirement program, including partnering with retirement plan administrator (Empower), and other day-to-day operations to administer the retirement program (audits, compliance, employee inquiries, 5500 audits, etc.) and promoting education initiatives to drive a strong participation in Pharmavite’s retirement program.

Brea, CA30+ days ago

$90,000–$100,000 Per Year

ASI, Bee's Plumbing, Bell Brothers, Fetch-A-Tech, HELP, Hobaica, Howard Air, JW Plumbing Heating and Air, Lex Cooling, Heating, Plumbing & Electrical, M and M Heating, Cooling, Plumbing & Electrical, McAfee Heating and Air, Moore Home Services, ProSkill Services, Scottsdale Air, Seatown Electric, Plumbing, Heating & Air, Service Champions, Service Wizard, Sierra Air, Swan Plumbing, Heating & Air Conditioning and Timo's Air Conditioning & Heating. This role manages business operations workflows, performs data analysis, maintains reporting tools, and supports daily operational activities across safety, claims, fleet, facilities, compliance/licensing, and other key business functions.

Whittier, CA30+ days ago

$76,481.60–$126,193.60

The Senior Health Informatics Analyst will create and develop essential department reports and deliverables to ensure timely dissemination of accurate information to organizational decision-makers; provide data analysis, interpretation, and consultation to maximize the use of organizational data (claims, authorizations, capitation, enrollment, pharmacy, financial, EMR, clarity, program engagement, abstraction data) in order to support needs of senior management, operational management, finance lead and healthcare leadership. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services.

Alhambra, California14 days ago

$100,000–$135,000 Per Year

Cost Trend Evaluation: Manage the Actuarial Trend Model used in operational and financial decision-making and analyze healthcare utilization patterns and cost trends to identify areas for improvement and opportunities for cost savings. Financial Planning and Analysis: Support budgeting and forecasting by maintaining and improving P&L models and forecasting tools, as well as developing new tools to identify emerging trends and improve predictive accuracy.

Monrovia, CA30+ days ago

$54,000–$63,000

You’ll gain exposure to different parts of the product and marketing lifecycle, using advanced AI and data analysis tools (ChatGPT (GPT-5), Google AI Studio, Claude, CoPilot, Sora 2, Veo 3, Nano Banana, GenSpark, FreePik, and others) to extract insights from complex data sources — including product catalogs, technical specs, market research, consumer reviews, competitive analysis, and sales data — and turn these insights into actionable product and marketing strategies, while focusing on storytelling, brand communication, and customer impact. We own multiple international brands distributed throughout North America, and our goal is to build a next-generation AI Product Marketing Lab — where data intelligence, creative strategy, and agile execution converge to shape smarter, faster, and more market-aligned products.

Los Angeles, CA30+ days ago

Full-time

The Business Analyst III will manage and coordinate the implementation and/or integration of products or new features for clients including client training and provides subject matter expertise (SME) and support of the department's inbound and outbound functions. Perform data analysis to support evaluation of system defects or to develop requirements for new functionality; assist in various system trouble shooting and balancing and correction efforts including analysis, verification and validation of issues and fixes.

Los Angeles, California30+ days ago

$92,960–$123,943

About the Office:The Office of General Counsel (OGC) is in-house counsel to the State Bar, providing a full range of services, including representation of the State Bar in all state and federal courts and before administrative agencies; advocacy of State Bar discipline and admission cases in the California Supreme Court; and providing legal advice to the State Bar Board of Trustees, and all State Bar entities, executives, and programmatic clients. This position will primarily focus on coordinating and responding to requests for records under the California Public Records Act (CPRA), under the supervision of an Assistant General Counsel Such tasks include, but not are not limited to:Drafting and sending responses to public records requests and ensuring compliance with the CPRA, including drafting initial responses that set out all applicable exemptions.

Culver City, CA30+ days ago

The specific compensation for this position will be determined by several factors, including the scope, complexity, and location of the role, as well as the cost of labor in the market; the skills, education, training, credentials, and experience of the candidate; and other conditions of employment. The ideal candidate will be responsible for analyzing complex datasets, providing actionable insights, and supporting data-driven decision-making processes.

Irvine, CA30+ days ago

$130,000–$150,000 Per Year

The specific compensation for this position will be determined by several factors, including the scope, complexity, and location of the role, as well as the cost of labor in the market; the skills, education, training, credentials, and experience of the candidate; and other conditions of employment. Successfully placed or hired candidates would only be asked for banking details after accepting an offer from us during our official onboarding processes as part of payroll setup.

New!

Irvine, CA5 days ago

We are seeking a detail-oriented and organized temporary staff member to manage employee reimbursements and travel expenses, review daily financial transactions, reconcile general ledger accounts, and support month-end closing. Review and reconcile general ledger accounts to verify the accuracy and completeness of financial data, investigating and resolving discrepancies or errors.

Irvine, CA30+ days ago

The Program Analyst will help maintain the operational governance layer of the PMO, ensuring org-wide compliance, documentation integrity, execution visibility, and delivery reliability, while allowing the Program Manager to focus on strategy, prioritization, and executive alignment. JOYA Health Membership – Access to over $1,000 in annual skin health and wellness benefits, including complimentary facials or peels, aesthetic service credits, priority skin cancer screenings, teledermatology services, and discounts on skincare products.

Los Angeles, California30+ days ago

$75,712–$129,792 Per Year

The Analyst exercises independent judgement in evaluating risk, interpreting data, and advising leadership, while collaborating with internal stakeholders, brokers, and consultants to ensure effective execution of risk and insurance strategies. Purpose Statement/Position Summary: Under the direction of the Director of Risk Management, the Senior Risk Management Analyst provides high-level professional expertise in managing the organization’s risk management program.

Tustin, CA30+ days ago

$75,000–$100,000

Actual compensation details will be provided in writing at the time of offer, if applicable, and is based on several factors we believe fairly and accurately impact compensation, including geographic location, experience, knowledge, skills, abilities, and other job permitted factors. Recognized as a Top Workplace by the Orange County Register in 2021, 2022, and named a Top Workplace USA in 2023, Zymo Research continues to be a vibrant community where employees thrive, feel connected, and are inspired by their work.

Santa Clarita, California30+ days ago

$32–$35

About Vallarta Supermarkets:As of 2022, Vallarta counts on 53 stores throughout California (Ventura, Los Angeles, San Bernardino, Riverside, Kern, San Diego, Santa Barbara, Tulare, Orange, and Fresno counties), and more than 8,000 team members. They offered specialty and traditional items customers couldn’t find anywhere else: cut-to-order Latin-style meats (ranchera, diesmillo, lomo de res), spices, fresh fruit and produce, delicious prepared foods, pan dulce made daily, plus everything else you would expect from a traditional grocery store.

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Claims Analyst Jobs in Los Angeles, CA

Jobs

Pricing Analyst - Salesforce CPQJobot

Claims AuditorHealth Source MSO

Risk Management Analyst RNProvidence Health and Services

Claim Examiner- WCTPI Global Solutions

MULTIPLE HEALTH CARE ROLES (URGENTLY HIRING!!) - LA AREAWinCorp Solutions

Health Claims ExaminerUltimate Staffing Services

Pharmacy Claims Analyst - Pharmacy Admin - FT Day ShiftUniversity of California, Irvine

Workers Compensation Claims ExaminerCala Sourcing Solutions LLC

Third Party Liability Claims Examiner - Insurance Carrier - Base Salary to 100k/year - Anaheim, CAAllsearch Recruiting

Medical Claims ExaminerUltimate Staffing Services

Claims ProcessorCrystal Stairs

Claims Processor IIISouthern California Pipe Trades Administrative Corporation

Senior Claims ExaminerBerkley

Claims Examiner - Workers CompensationApidel Technologies

Claims ExaminerLancesoft

Healthcare Claims AdjusterUltimate Staffing Services

Senior Claims ExaminerGallagher

Claims Investigator-ExaminerAIDS Healthcare Foundation

Workers Compensation Claims Examiner | Long Beach, CASedgwick Claims Management Services, Inc.

Workers Compensation Claims Examiner - Long Beach, CA (Hybrid)Sedgwick Claims Management Services, Inc.

Reinsurance Claims ExaminerGallagher

3rd Party Claims Adjuster/Examiner - HYBRIDDB Insurance Co., Ltd.

Sr Claim Examiner-WC (CA)Crawford & Company

Claim Examiner- WCTPI Global (formerly Tech Providers, Inc.)

Sr Claim Examiner- WCTPI Global (formerly Tech Providers, Inc.)

Senior Claim Examiner IAmTrust Financial Services, Inc.

Analyst I, CustomsUltimate Staffing Services

Parts Quality AnalystUltimate Staffing Services

Pricing Analyst - Workers CompensationJobot

Parts Inventory AnalystQuinn Company

Sr. Analyst, BenefitsHerbalife

Lytec IT Analyst (Remote)Skilled Wound Care

Staff Analyst, HealthPublic Health Foundation Enterprises, In

Assistant Staff AnalystPublic Health Foundation Enterprises, In

Fraud Investigations AnalystCity National Bank

Fraud Team Support AnalystCity National Bank

HR Retirement (401k) AnalystPharmavite

Business Operations AnalystChampions Group Holdings

Senior Health Informatics AnalystPIH Health

Sr. Analyst - ActuaryAstrana Health, Inc.

Product Marketing Analyst / AssociateSchneider Innovations

Appeal and Grievance Business AnalystMacpower Digital Assets Edge LLC

Program Analyst (Public Records Specialist)The State Bar of California

Data Analyst IVPinnacle

Principal Functional Analyst - OVCPinnacle

Accounting Analyst - 172Wollborg Michelson Recruiting

Program AnalystEKN Engineering

Risk Management Analyst, Sr.Children's Hospital Los Angeles

Business Intelligence AnalystZymo Research Corporation

Store Systems AnalystVallarta Supermarkets

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