PERMANENT

FULL_TIME

HOUR

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.

Health Source MSO

Claims Auditor

monster

UNKNOWN

ADAPTED_NOW

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.

<p><strong>ICONMA</strong>&nbsp;is a global information consulting management firm providing Professional Staffing Services and Project-Based Solutions for organizations in a broad range of industries.</p>
<ul class="ic_list">
<li>Corporate Headquarters in Troy, Michigan; 20+ locations worldwide.</li>
<li>Certified Woman-Owned Business Enterprise (WBE); certified by Women&rsquo;s Business Enterprise National Council, National Women Business Owners Corporation (NWBOC); and California Public Utilities Commission (CPUC).</li>
<li>Founded in 2000</li>
<li>2000+ Employees</li>
</ul>
<p>The company was founded on the principle that success is derived from delivering high quality service and resources in the most responsive, flexible, and innovative way. ICONMA invests in people and resources with a single goal: To provide our customers with the highest quality service in the most responsive manner. Through its network of offices, ICONMA provides the resources to help clients maintain their competitive advantage.</p>

Iconma

Claims Examiner - Workers Compensation (Hourly)

Iconma Staffing

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. 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.

<p>Jobot is on a mission to connect good people with good jobs. By combining AI-powered technology with the expertise of Jobot Pros, our experienced recruiters, we help you find career opportunities that align with your goals and values.</p>
<p>Founded in 2018 and employee-owned since 2024, Jobot is committed to fostering a culture of kindness, respect, innovation, and connection.  As an industry leader, we’ve been recognized as a top workplace by Forbes, Fortune, USA Today, and Staffing Industry Analysts (SIA).</p>
<p>Ready to find a good job? Create your profile today at Jobot.com 🤖</p>

Jobot

Workers' Comp Defense Attorney

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.

Case Management Coordinator

Basic duties include answering phone calls, emails, and chats from customers and participating in meetings with Customer Service or other internal teams (to discover new communication tactics and maintain expert knowledge about company products and services). Through more than 180 distribution partners across the globe, a growing number of strategically-positioned sales offices and warehouses, and customer-centric operations, Arlon is recognized as a global leader in graphic films.

Arlon Graphics

Customer Service Representative

JobTarget

The Department of Anesthesiology and Perioperative Medicine is seeking applicants for a Staff position as a Health Sciences Attending Physician for an innovative and comprehensive interventional community pain practice in the Los Angeles area. Ability to identify pre-existing disease entities and their potential impact upon anesthesia care plan and administration, through interpretation of past medical history, physical examination, laboratory tests, ECG and chest x-ray.

UCLA Health

Staff Anesthesiologist, Los Angeles

One Red Cent - Marketplace

Silva-Lining HR is seeking a Fractional Customer Service (Claims) Manager for a client to oversee and optimize the end-to-end claims process, ensuring timely resolution, operational efficiency, and exceptional customer experience. Lead project management efforts for claims resolution, including task delegation and coordination with internal team members, vendor partners, shipping providers, and repair services.

Silva-Lining HR

Fractional Customer Service (Claims) Manager

Comeet

FEED

Carrier & Broker Coordination: Partner closely with our brokerage team, third-party administrators (TPAs), insurance carriers, and legal counsel to strategize on litigated files, settlement authority and key dates related to workers’ compensation renewals and unit statistical filing dates. You will oversee day-to-day claims operations, ensure timely and accurate claims processing, and function as a key liaison between client business owners, injured workers, internal HR/legal teams, and external carrier partners and TPA’s.

Modern HR

Workers Compensation Claims Manager

The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets: experience and training: licensure and certifications: and other business and organizational needs. The ideal candidate will demonstrate strong analytical abilities, exceptional attention to detail, good communication skills and experience with construction claims (New York Labor Law, bodily injury, property damage).

Starr Companies

Claims Manager, Primary Construction

ea_via_bold

We build and manage tech-enabled marketplaces for national and local healthcare talent and deliver contingent labor management solutions through our proprietary software platform. Collaborate with specialty resources (medical and legal) to proactively pursue claim resolutions, and analyze settlement authority requests.

Aya Healthcare Inc

Claims Manager

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. Candidate must possess strong communication and litigation management skills to collaborate with business partners and defense counsel to direct litigation activities and claim outcomes while considering the overall impact to the company and individual stakeholders.

Providence St. Joseph Health

Senior Claims Manager EPL - Remote

Requsition ID: 455795 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: Remote 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.

<h1><img src="http://seo.nlx.org/providence/img/locations/washington.jpg" /></h1>
<h1>Our Mission is more than just words.</h1>
<h4>About Us</h4>
<p>As the third largest not-for-profit health system in the United States, we are committed to providing for the needs of our communities &ndash; especially for those who are poor and vulnerable &ndash; across Alaska, California, Montana, Oregon and Washington.</p>
<p>Our system includes more than 82,000 caregivers (all employees) serving in a diverse range of ministries from birth to end of life, including acute care, physician clinics, long-term and assisted living, palliative and hospice care, home health, supportive housing and education.</p>
<h4>Where we serve</h4>
<p>We operate 34 hospitals, 600 physician clinics, 22 long-term care facilities, 19 hospice and home health programs and 693 supportive housing units in 14 locations. Our health plan serves our caregivers and other large employer groups covering 513,000 members.</p>
<p>On any given day, we care for more than 1,200 people in our long-term care settings, more than 4,000 in our hospitals and more than 15,000 in our clinic settings. Daily, we serve more than 7,000 people in our many home health and palliative care programs and almost 800 in supportive housing. We touch more than five times as many lives in non-acute settings as we do in the traditional hospital setting.</p>
<h4>A tradition of caring for everyone</h4>
<p>When the Sisters arrived in the Pacific Northwest in 1856, they came to answer a call for help from a new pioneer community. What they found were many communities in need of service, and so with dedication to the Mission and collaboration with like-minded partners, their ministry grew to what is now a five-state health system.</p>
<p>Providence Health &amp; Services continues a tradition of caring that the Sisters of Providence began more than 158 years ago. The cornerstone of our Mission is to provide compassionate care that is accessible for all &ndash; especially those who are poor and vulnerable.</p>
<div class="cp-row">
<div class="cp-grid-full">
<h1><img src="http://seo-nlx-org.s3.amazonaws.com/providence/img/benefits_fatherdaughter.jpg" /><img src="http://seo-nlx-org.s3.amazonaws.com/providence/img/benefits_family.jpg" /></h1>
<h1>We believe making a difference is one of our greatest rewards.</h1>
<h4>Caring is what we do.</h4>
<p>Our benefits help us care for our employees and their families by supporting their wellness and providing tools that promote financial security and&nbsp;professional growth.*</p>
</div>
</div>
<div class="cp-row">
<div class="cp-grid-half">
<h4>Benefits:</h4>
<ul class="bullet-list">
<li>Medical, dental and vision insurance coverage that start on your first day</li>
<li>Retirement program that helps you prepare for your future</li>
<li>Life and AD&amp;D insurance</li>
<li>Health Reimbursement and Savings Accounts (HRA, HSA, FSA)</li>
</ul>
</div>
</div>
<div class="cp-row">
<div class="cp-grid-half">
<h4>Well-being:</h4>
<ul class="bullet-list">
<li>Health assessment and personal coaching to help you meet your goals</li>
<li>Incentives for participation in healthy activities</li>
<li>Caregiver Assistance Program (for employees) offering work/life services, resources and expertise when you need it</li>
<li>Weight management, tobacco cessation and diabetes programs</li>
</ul>
</div>
</div>
<div class="cp-row">
<div class="cp-grid-half">
<h4>Work/Life Balance:</h4>
<ul class="bullet-list">
<li>Volunteers in Partnership program to match you with volunteer opportunities that support our communities</li>
<li>Support for life events such as birth, adoption, marriage or other changes to your family</li>
<li>Ergonomics and injury prevention to promote safe work environments</li>
<li>Paid time off</li>
<li>Disability benefits</li>
</ul>
</div>
</div>
<div class="cp-row">
<div class="cp-grid-half">
<h4>Career and Development:</h4>
<ul class="bullet-list">
<li>Tuition reimbursement to support your education as you tackle your career goals</li>
</ul>
<p><img src="http://seo-nlx-org.s3.amazonaws.com/providence/img/01sunlightshining.jpg" /></p>
</div>
</div>
<h1>Awards and Recognition</h1>
<h4>Healthcare Excellence</h4>
<p>We are deeply honored that Providence facilities have been distinguished with national awards and certifications. At Providence Health &amp; Services, our dedication to excellence is evident in the service our people demonstrate every day. Here, you&rsquo;ll find an environment built on the core values of respect, compassion, justice, excellence and stewardship. They are at the heart of everything we do...and others have noticed.</p>
<p><img src="http://seo.nlx.org/jobs.providenceiscalling.jobs/img/static-page/awards/jd.png" alt="JD Power and Associates Distinguished Hospital Award for Service Excellence" />&nbsp;&nbsp;<img src="http://seo.nlx.org/jobs.providenceiscalling.jobs/img/static-page/awards/oregon-business.png" alt="'100 Best Companies to Work For' -Oregon Business magazine" />&nbsp;&nbsp;<img src="http://seo.nlx.org/jobs.providenceiscalling.jobs/img/static-page/awards/alaska-medical.png" alt="Cardiac Surgery Excellence Award" /></p>
<p><img src="http://seo.nlx.org/jobs.providenceiscalling.jobs/img/static-page/awards/working-mother.png" alt="'100 Best Companies for Working Mothers' Award" />&nbsp;&nbsp;<img src="http://seo.nlx.org/jobs.providenceiscalling.jobs/img/static-page/awards/magnet.png" alt="Magnet Hospital for Excellence in Nursing Services - American Nurses Credentialing Center (ANCC)" />&nbsp;&nbsp;<img src="http://seo.nlx.org/jobs.providenceiscalling.jobs/img/static-page/awards/five-star.png" alt="Five-Star Hospital Award" /></p>
<p><img src="http://seo.nlx.org/jobs.providenceiscalling.jobs/img/static-page/awards/solucient.png" alt="'100 Top Hospitals' - Solucient" />&nbsp;&nbsp;<img src="http://seo.nlx.org/jobs.providenceiscalling.jobs/img/static-page/awards/qualis.png" alt="Award of Excellence in Healthcare Quality - Qualis Health" />&nbsp;&nbsp;<img src="http://seo.nlx.org/jobs.providenceiscalling.jobs/img/static-page/awards/thomson.png" alt="Thomson Reuters '100 Top Hospitals' Award" /></p>
<p><img src="http://seo.nlx.org/jobs.providenceiscalling.jobs/img/static-page/awards/ceo.png" alt="'Washington's 100 Best Companies' - CEO magazine" />&nbsp;&nbsp;<img src="http://seo-nlx-org.s3.amazonaws.com/jobs.providenceiscalling.jobs/img/static-page/awards/HealthgradesDistingHospital2017.jpg" alt="'Distinguished Hospital Clinical Excellence 2017" /></p>

Providence Health & Services

Starr International Co Inc

Carrier & Broker Coordination: Partner closely with our brokerage team, third-party administrators (TPAs), insurance carriers, and legal counsel to strategize on litigated files, settlement authority and key dates related to workers' compensation renewals and unit statistical filing dates. You will oversee day-to-day claims operations, ensure timely and accurate claims processing, and function as a key liaison between client business owners, injured workers, internal HR/legal teams, and external carrier partners and TPA's.

ModernHR

These responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; conducting performance and salary reviews; rewarding and disciplining employees; addressing complaints and resolving problems; coaching, mentoring, and developing team members to further their skills and knowledge; creating and monitoring development plans; setting performance expectations/goals; forecasting staffing needs and planning for peak times and absences; enforcing department policies and procedures. Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for the twelfth consecutive year in a row and for the 20th time overall 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.

ICW Group

Manager Claims

Today'sHR

Workers Compensation Claims Team Manager

HiringThing

With our national brand recognition, long-standing reputation since 1900, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team. Lead meetings in collaboration with unit management to communicate goals with direct reports and reinforce/monitor behavior that furthers technical and customer service performance expectations.

We are a member based organization that prides ourselves on providing exemplary service to maximize member satisfaction. Our environment is one of collaboration, team work and positivity. OAC provides a healthy work/life balance, striving for an atmosphere that concentrates on wellness, productivity and success. We all take part in holding ourselves accountable, individually as well as collectively to stay progressive leaders in supporting our community. OAC stays committed on our daily accomplishments to continue helping our members stay safe and worry free.

Claims Automotive Team Manager

Claims Team Manager - Auto

In this highly visible role, you'll leverage your industry network, market knowledge, and strategic business development expertise to identify opportunities, build client relationships, and expand our presence across transportation, infrastructure, water, energy, and buildings markets. Arcadis is seeking a Business Development Manager - Claims to lead the growth of our Claims, Disputes, and Change Management practice across the Western United States.

Arcadis NV

Business Development Manager - Claims

As a Transformation Manager, you will lead cross-functional teams to reimagine how work gets done, combining deep insurance expertise with advanced analytics and agentic AI and technology solutions to improve client outcomes. Lead end-to-end business process reinvention across Claims and Underwriting, redesigning workflows, roles, governance, decision rights, and performance management.

Claims Manager Jobs in Los Angeles, CA

Claims Auditor Health Source MSO

Claims Examiner - Workers Compensation (Hourly) Iconma

Workers' Comp Defense Attorney Jobot

Case Management Coordinator Health Source MSO

Customer Service Representative Arlon Graphics

Staff Anesthesiologist, Los Angeles UCLA Health

Fractional Customer Service (Claims) Manager Silva-Lining HR

Workers Compensation Claims Manager Modern HR

Claims Manager, Primary Construction Starr Companies

Claims Manager Aya Healthcare Inc

Senior Claims Manager EPL - Remote Providence St. Joseph Health

Senior Claims Manager EPL - Remote Providence Health & Services

Claims Manager, Primary Construction Starr International Co Inc

Workers Compensation Claims Manager ModernHR

Manager Claims ICW Group

Workers Compensation Claims Team Manager Today'sHR

Claims Automotive Team Manager AAA

Claims Team Manager - Auto AAA

Business Development Manager - Claims Arcadis NV

P&C Claims Agentic AI & Solution Architect Manager Accenture Plc

Similar Job Searches

See More Jobs

Stand out to leading employers.