1,010 Results for

Claims Manager Jobs in Irvine, CA

Jobs

Alhambra, CA30+ days ago

Full-time
Employee

Providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, process, and adjusting claims. Responsibilities include, but not limited to: • Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including:  Contractual agreement rates.

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!

Rancho Cucamonga, CA3 days ago

$45–$50 Per Hour

Responsibilities: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.

Brea, CA10 days ago

$43–$48 Per Hour

Responsibilities: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. Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.

New!

Torrance, CA4 days ago

$40–$45 Per Hour

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. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.

New!

Downey, CA2 days ago

$110,000–$140,000 Per Year

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. Founded nearly a century ago and based in Downey, California, with operations spanning multiple locations throughout the region, we are one of the nation's premier beverage distributors and manufacturers.

Alhambra, CA30+ days ago

Full-time
Employee

Ability to work regularly scheduled shifts within our hours of operation including the training period, where lunches and breaks are scheduled, with the flexibility to adjust daily schedule, and work over-time as needed. Review and research incoming healthcare claims from members and providers(doctors, clinics, etc) by navigating multiple computer systems and platforms and verifies the data/information necessary for processing (e.g.

Irvine, California27 days ago

$160,000–$210,000 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. The Sr Manager Applications – Oracle Idea to Market (PLM) will play a pivotal role in driving the success of Oracle Fusion initiatives, focusing on the Idea to Market (PLM) domain.

New!

Orange, CA4 days ago

$140,000–$175,000 Per Year

Key Responsibilities: The ideal candidate will assist with all aspects of public entity defense litigation, including but not limited to: Handling a variety of matters involving public agencies and municipalities, such as: Police Liability and Excessive Force: Defending law enforcement personnel and agencies in claims arising from use of force, wrongful arrest, and other alleged misconduct. My client's office representation includes the defense of high exposure personal injury actions, traumatic brain injuries, exposures to environmental contaminants, habitability claims, state and federal class actions and the investigation and defense of 1st party insurance fraud claims.

New!

Ontario, CA4 days ago

$160,000–$250,000 Per Year

The ideal candidate is an attorney with a clinical background, such as a former Registered Nurse or healthcare professional who has obtained a J.D., or an experienced healthcare attorney with deep in-house or private practice experience supporting hospital systems in clinical operations, professional liability, and risk management. 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.

New!

Irvine, CA4 days ago

Remote

$140,000–$220,000 Per Year

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. Our firm delivers legal services in the workers’ compensation arena, supporting a broad range of organizations including risk managers, insurers, and claims administrators.

New!

Cypress, CA3 days ago

$68,000–$73,000 Per Year

From leading the team through a high-energy shift to exceeding Guest expectations on every occasion to ensuring we meet our financial responsibilities, Managers are the critical link to making it all happen. Since then, we've boldly claimed our place in the casual dining industry as the place to go for Big Mouth burgers, house smoked ribs, full on fajitas, and hand shaken margaritas!

New!

Cypress, CA3 days ago

$68,000–$73,000 Per Year

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Cypress, CA3 days ago

$68,000–$73,000 Per Year

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Cypress, CA3 days ago

$68,000–$73,000 Per Year

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Cypress, CA3 days ago

$68,000–$73,000 Per Year

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Cypress, CA3 days ago

$68,000–$73,000 Per Year

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Carson, CA5 days ago

$68,000–$74,000 Per Year

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Buena Park, CA5 days ago

$68,000–$74,000 Per Year

Alhambra, CA30+ days ago

Full-time
Employee

Job Description: In the UM department, Case Management Coordinator is to assist with the coordinating of the day-to day activities in the medical group, request for authorization for ancillary services, and certify the group is utilizing the most cost effective provider. Also, identify patients found in out-of-network facilities and send the information timely to the concurrent-review nurse for coordination with the hospital and group.

New!

Orange, CAToday

$230,000–$300,000

This exceptional team operates with over 100 Attorneys companywide, and they are continuing to grow so if you are an Attorney with worker’s comp or employment law experience looking for a highly motivated group that takes pride in excellence, integrity, career growth and respect, I suggest you apply for this position! Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs.

New!

La Habra, CA1 day ago

$43,888–$93,574

Responsibilities include ensuring the security of company assets (including employees, building, product, supplies, etc.), conducting internal and external investigations, overseeing Environmental Health and Safety (EHS) programs, conducting operational audits, monitoring compliance with local, state, and federal regulations, and supporting business operations. This position reports to the IQC Manager and collaborates across the supply chain network to create, develop, and improve processes and procedures to maximize operational efficiencies in collaboration with Distribution Operations, Corporate Compliance, Corporate Security, Finance, and COE's.

New!

Costa Mesa, TXToday

$310,000–$420,000

Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.

New!

Orange, CAToday

$230,000–$300,000

New!

Orange, CAToday

$100,000–$220,000

Work at Home, CA12 days ago

Remote

$135,000–$145,000 Per Year

gain buy-in from our insureds regarding the direction each claim is taking, develop a strategy of how to best mitigate the potential loss through interaction with the claimant, and making sure that light duty jobs are available for quick return to work. We need someone who has the ability to help and direct when needed, a group of strong, carefully chosen senior level adjusters to: focus on fresh, creative, and quick approaches on every claim resulting in proactive claim resolutions.

Santa Ana, CA30+ days ago

$102,000–$138,000 Per Year

You will also advise on coverage strategy (e.g., adding new locations, adjusting limits) and leverage data to set appropriate values for buildings and other assets, maintaining strong relationships with underwriters. You will be accountable for end-to-end claims operations, ensuring every claim is filed and adjusted in strict accordance with policy terms, limits, deductibles, and exclusions-while driving timely, accurate resolution.

Cerritos, CA25 days ago

$99,000–$164,800 Per Year

We believe a high-performing culture, valuable opportunities for personal development and professional challenge, and a healthy work-life balance can be highly motivating and productive. The Claims Manager will provide technical expertise, staff development and guidance on California claims handling practices/procedures and provide training as appropriate and necessary.

Brea, CA30+ days ago

$110,000–$127,000 Per Year

Leads projects focused on large process, procedural and /or compliance changes/updates; communicates changes/updates to field offices, IT, Legal and other applicable business units regarding regulatory requirements and changes. Serves as subject matter expert responsible for the training of technical processes and requirements; leads training initiatives for colleagues, supervisors/managers and clients as needed.

Riverside, CA11 days ago

Remote

$115,000–$125,000 Per Year

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. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.

Costa Mesa, CA23 days ago

$115,000–$145,000 Per Year

As 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.

Irvine, CA30+ days ago

Requsition ID: 429641 Company: Providence Jobs Job Category: Financial Transactions Job Function: Health Plans Services Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4008 SS RIS Address: WA Renton 1801 Lind Ave SW Work Location: Providence Valley Office Park-Renton Workplace Type: On-site Pay Range: $54.40 - $85.88 About the Team Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.

Irvine, CA30+ days ago

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. Required Qualifications: Bachelor''s Degree in Business Administration, Finance, or a related discipline or Equivalent combination of education and experience in the insurance industry; claims management; or legal handling of claims issues.

Placentia, California14 days ago

Builds and maintains collaborative relationships with internal and external work partners by participating in round table discussions, working with claims operations and coverage resources, providing insights to underwriters, partnering with SIU and Recovery Services and interacting with external customers, brokers and vendors as appropriate. Performs a combination of duties in accordance with departmental guidelines: Oversees the work activities of a team of claims professionals and has full management responsibility by setting and communicating expectations, providing direction and coaching, facilitating training and development, managing employee performance, and contributing to employee engagement.

New!

Santa Ana, CA3 days ago

$127,878.40–$177,132.80 Per Year

In your response, include the number of staff supervised, the size and scope of the program(s) managed, your key supervisory responsibilities (e.g., assigning work, performance evaluation, training, and oversight), and examples demonstrating at least three (3) years of progressively responsible supervisory or management experience. Four (4) years of professional risk management programs experience related to assignment; must include two (2) years of lead/supervisory experience AND I possess a Bachelor's degree in occupational health, safety engineering, insurance/risk management, business administration, or related field.

Monterey Park, CA30+ days ago

This role will be responsible for the development and execution of department strategies, overall Audit program, Audit process optimization, and management, identifying and leveraging technology and data to improve the quality and minimizing process cost of Claims. Working with the Department Director, Senior Manger will collaborate with other Astrana Health departments and personnel to develop strategies to identify, mitigate and optimize operational and financial gaps.

Remote-CA, CA10 days ago

Remote

$66.52–$88.14 Per Hour

Under the direction of the Director, Claims & Litigation Strategy, the Claims Manager is primarily responsible for handling Employment Practices Liability (EPL) claims for Stanford Health Care, Stanford Health Care Tri-Valley, and Stanford Children's Health. Serve as liaison with other Stanford departments, including Human Resources and Employee & Labor Relations, and external partners, such as defense counsel, insurance brokers, and insurance carriers, to coordinate issues impacting claim resolution.

Orange, CA30+ days ago

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. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Orange, CA30+ days ago

Requsition ID: 430189 Company: Providence Jobs Job Category: Financial Transactions Job Function: Health Plans Services Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4008 SS RIS Address: CA Orange 1100 W Stewart Dr Work Location: St Joseph Hospital-Orange Workplace Type: Hybrid Pay Range: $see posting - $see posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.

Monterey Park, CA30+ days ago

This role will report to the AVP - Claims Operations and enable us to continue to scale in the healthcare industry. About the Role: We are currently seeking a highly motivated Claims Manager.

CA10 days ago

$66.52–$88.14 Per Hour

Investigates pre-suit claims, interviews providers, retains consultants when necessary, prepares case reports, communicates with patients and/or families, and directly negotiates settlements when warranted. Manages litigated claims, evaluates applicable insurance coverages such as professional and general liability, retains outside counsel, attends mediation, monitors litigation costs, and oversees decisions regarding discovery, strategy, and ultimate resolution.

Irvine, CA30+ days ago

$120,000–$155,000 Per Year

Responsible for supporting assigned Director in meeting or exceeding the defined annual budget for the entire practice area/practice division (including proactive management of assigned resources to meet or exceed defined utilization targets, oversight of execution of profitable engagement work streams, and communication with clients as assigned or requested). The Manager, Construction Claims will assist their assigned Director with leading and managing assigned resources in support of achieving the defined overall practice area/practice division strategy, and in meeting or exceeding defined financial performance and revenue generation targets.

Santa Ana, California30+ days ago

You will also advise on coverage strategy (e.g., adding new locations, adjusting limits) and leverage data to set appropriate values for buildings and other assets, maintaining strong relationships with underwriters. We’re looking for a Claims Managerto join our Claims team to lead the claims team and serve as the subject-matter expert for our commercial insurance portfolio.

Irvine, CA30+ days ago

$78,000–$186,000 Per Year
Full-time

Responsible for supporting assigned Director in meeting or exceeding the defined annual budget for the entire practice area/practice division (including proactive management of assigned resources to meet or exceed defined utilization targets, oversight of execution of profitable engagement work streams, and communication with clients as assigned or requested). The Manager, Construction Claims will assist their assigned Director with leading and managing assigned resources in support of achieving the defined overall practice area/ practice division strategy, and in meeting or exceeding defined financial performance and revenue generation targets.

Irvine, CA12 days ago

$99,000–$232,000 Per Year

PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. You will analyze client needs, implement solutions, and provide training and support to validate seamless integration and utilization of business applications, enabling clients to achieve their strategic objectives.

CA9 days ago

Remote

$90,559.93–$152,723.07 Per Year

Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for ten consecutive years as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. Identifies service levels of each account and balances Claims Account Manager staffing/ratio, in conjunction with the Customer Relations Manager, to ensure claim service meets our brand level.

Irvine, CA30+ days ago

$85,000–$202,000 Per Year
Full-time

The salary ranges for this role are as follows: $85,000 - $202,000 USD annually (Geographical Tier AA - Sample Locations: NY Metro, San Franscisco, San Jose, Seattle) $78,000 - $186,000 USD annually (Geographical Tier A - Sample Locations: Irvine CA, Middlesex NJ, Tacoma WA, Boston, Alexandria)$72,000 - $171,000 USD annually (Geographical Tier B - Sample Locations - Baltimore, Chicago, Anchorage, Portland) Time away matters—so we provide a generous paid time off program, including vacation, sick time, and paid holidays (with prorated options for eligible part-time employees).At VERTEX, growth never stops. The Vertex Companies, LLC (VERTEX) is a $180M global consulting firm that integrates strategic advisory, project management, and dispute resolution services for organizations facing complex challenges in a world of risk.

Monterey Park, California30+ days ago

$125,000–$140,000 Per Year

The 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.

Riverside, CA26 days ago

$112,778.77–$159,740.22 Per Year

Knowledge of: State of California Labor Code, Workers Compensation Law and rules and regulations (Title 8); Applicable case law of leading decisions of the Workers Compensation Appeals Board, Court of Appeals, and Supreme Court regarding workers compensation cases; Medical terminology, anatomy and technical terminology used in medical and legal fields regarding industrial cases; Jurisdiction, functions and procedures of the Workers Compensation Appeals Board; Vocational rehabilitation and procedures as it applies to Workers Compensation; Reserving practices and procedures; in-house litigation procedures; WCAB procedures; and hearing processes. Candidates must have achieved the level of Experienced Claims Adjuster (as defined by California Code of Regulations, Title 10, Chapter 5, Subchapter 3) defined as possessing one of the following: 1) Working 5 out of the last 8 years as a California Workers Comp Claims Adjuster, 2) Has worked continuously in California adjusting claims since passing the Self-Insurance Test, or 3) Has passed the Self-Insurance test in the last 2 years.

Monterey Park, California30+ days ago

$125,000–$140,000 Per Year

You’ll partner closely with internal teams, resolve escalations, and coach a team of claims professionals to deliver compliant, efficient, and accurate outcomes in a fast‑paced environment. Minimum of a Bachelor's degree (B.A.) from a four-year college or university; or four (4) years current Management or equivalent experience with an MSO or IPA Management.

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Claims Manager Jobs in Irvine, CA

Claims Supervisor Health Source MSO

Claims Auditor Health Source MSO

Claims Examiner - Workers Compensation Iconma

Claims Examiner - Workers Compensation (Hourly) Iconma

Pre-Lit Case Manager Jobot

EH&S Manager Jobot

Customer Service Representative Health Source MSO

Senior Manager, Applications - OVC Pinnacle Technical Resources

Public Entity Defense Associate Attorney Jobot

Professional Liability Counsel Jobot

Associate-Sr Attorney Hybrid or 100% remote Jobot

Restaurant Manager - Immediate Opening Chili's

Restaurant Manager Chili's

Restaurant Manager - Cypress, CA - Chili's Chili's

Restaurant Manager - Team Lead Chili's

Restaurant Manager - Now Hiring Chili's

Restaurant Manager - Quarterly Bonus Available Chili's

Restaurant Manager - Carson, CA - Chili's Chili's

Restaurant Manager - Buena Park, CA - Chili's Chili's

Case Management Coordinator Health Source MSO

Senior Employment Law Attorney Vaco LLC

Asset Protection Supervisor- LaHabra DC CVS Health

Trademark Associate Attorney Vaco LLC

Employment Law Partner Vaco LLC

Worker's Compensation Attorney Vaco LLC

Senior Claims Manager, Remote - CA Workers'''' Compensation Great American Insurance Company

Claims Manager Collectors Holdings, Inc.

Senior Major Loss Claims Manager Kemper Corp

Claims Manager - Technical Standards and Compliance | Brea, CA Sedgwick Claims Management Services, Inc.

Claims Manager - Workers Compensation | Riverside, CA Sedgwick Claims Management Services, Inc.

Litigation & Claims Manager Brookfield Residential Properties ULC

Senior Claims Manager - Medical Negligence and Multi-Line - Hybrid, FullTime, Day Providence Health & Services

Senior Claims Manager - Medical Negligence and Multi-Line - Hybrid, FullTime, Day Providence St. Joseph Health

Workers Compensation Claims Manager, West CNA

Liability Claims Manager County of Orange

Sr. Manager - Claims Delegation Audit Astrana Health Inc

Claims Manager - Employment Stanford Health Care

Senior Claims Manager EPL - Hybrid Providence St. Joseph Health

Senior Claims Manager EPL - Hybrid Providence Health & Services

Sr. Manager - Claims Astrana Health Inc

Claims Manager (Professional & General Liability) Stanford Health Care

Manager, Construction Claims The Vertex Co Inc

Claims Manager Collaborative Solutions

Manager, Construction Claims The Vertex Companies, LLC

Property & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLP

Claims Account Manager II (Northern California) ICW Group

Manager, Schedule Delay Claims The Vertex Companies, LLC

Sr. Manager - Claims Delegation Audit Astrana Health, Inc.

Claims Adjuster II/Senior Claims Adjuster (Senior Workers' Compensation Claims Adjuster) County of Riverside, California

Sr. Manager - Claims Astrana Health, Inc.

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