NewArea Manager JobotArea ManagerWalnut Creek, CA$200,000–$240,000 / yearInformation 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. We are very close to securing one of our largest projects for the start of the year and are actively seeking an Area Manager with experience in Heavy Civil Road/Highway Construction to oversee the operation of projects in Northern California.
NewSr. Commercial Lines Account Manager (Must have Builder's Risk exp./HYBRID) JobotSr. Commercial Lines Account Manager (Must have Builder's Risk exp./HYBRID)Walnut Creek, CA$125,000–$150,000 / yearInformation 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. The successful candidate must have a very strong background of experience working primarily with medium to large size construction accounts and possess a minimum of five to seven years of insurance agency experience in an account management role.
NewManager, Infrastructure Project Advisory (Construction/Engineering) KPMGManager, Infrastructure Project Advisory (Construction/Engineering)San Francisco, CA$110,295–$225,515 / yearClient coordination, subcontractor management for full life cycle construction projects including planning and work breakdown structures, pre-construction services, sourcing and procurement of contracts, contract administration, scheduling, cost estimating, quality management, project reporting, and project closeout. Qualifications: Minimum five years of recent experience in construction management or construction advisory services with increasing roles and responsibilities in major power and utilities, oil and gas, infrastructure, manufacturing, healthcare, or public sector projects.
NewTravel Nurse RN - Case Manager - $3,056 per week in Oakland, CA Prime StaffingTravel Nurse RN - Case Manager - $3,056 per week in Oakland, CAOakland, CA$3,055.60Modified 12:00:00 AM Account Manager: Quinton Reed Account Manager Email: COVID-19 Vaccine: Unknown Flu Vaccine: Unknown Job Requirements & Qualifications Previous Charge Experience: Preferred Years of Experience: 2 Patient Ratio Experience: 10 Charting System Experience: Preferred Charting System Name: Epic Community Hospital Experience: Preferred LTAC Experience: Preferred Trauma Level I Experience: - Trauma Level II Experience: - Travel Experience Required: Yes Certifications: BLS*Skills: Acute Hospital, Admission Criteria*, Admission Criteria*, Appeals and Denials*, Appeals and Denials*, Care coordination, CMS: Centers for Medicare and Medicaid Services*, Concurrent Review*, Concurrent Review*, Continued Stay Reviews*, Continued Stay Reviews*, Disability case management*, Discharge Planning, DRG (Diagnosis Related Groups)*, Emergency Department*, Home Health*, Hospice*, ICU*, MS*, Needs Assessment/ Order DME*, Prior Authorizations*, SDU/PCU/IMC/Obs*, Utilize InterQual Criteria*, Utilize InterQual Criteria*, Utilize Milliman Guidelines*, Utilize Milliman Guidelines*, screen any missing skills, Please note ratio Unit Details Staffing & Scheduling Scheduling Type: Other Patient Ratios Days: -25 Patient Ratios Nights: - Patient Ratios Weekends: -25 Float Required: - Call Required: no Weekend Coverage: True Number of Weekend Shifts Per Contract: - Pre-Approved Time Off: one Orientation Hours: - Facility & Patient Care Details Patient Age Groups: Adults, Geriatrics Daily Census: - Number of Visits Per Day: - Number of Rooms: - Number of Beds: - Additional Unit Information Interdisciplinary Support: - Patient Diagnoses: - Special Procedures/Unit Details: Patient ratio is 1:21 and could sometime be 1:25 but they do their best to keep it between 1:12 / 1:15 Special Equipment: - #Tier3 Travel Compliance Sutter Submission Rules: Local candidates: Locals accepted at local rate; 50-mile radius rule RN Licensure: Uploaded Nursys within the last 2 weeks with Valid CA State License Certifications: Uploaded any applicable certifications with valid expiration dates Certifications must be AHA or ARC References: 2 references obtained within the last year Return Staff/Travelers: No separation time required. Any time spent on modules exceeding the 16 NBO hours are billable Modules are completed during orientation, and module hours vary by specialty Modules are recorded through e-learning Submittal Details: #Tier3 Travel ComplianceSutter Submission candidates: Locals accepted at local rate; 50-mile radius ruleRN Licensure: Uploaded Nursys within the last 2 weeks with Valid CA State LicenseCertifications: Uploaded any applicable certifications with valid expiration datesCertifications must be AHA or ARCReferences: 2 references obtained within the last yearReturn Staff/Travelers: No separation time required.
Travel RN Case Manager - $3,251 per week Prime StaffingTravel RN Case Manager - $3,251 per weekOakland, CAModified Time:8/24/2026 12:00:00 AM Account Manager: Quinton Reed Account Manager Email: COVID-19 Vaccine: Unknown Flu Vaccine: Unknown Submittals:High Job Requirements & Qualifications Previous Charge Experience: Preferred Years of Experience: 2 Patient Ratio Experience: 10 Charting System Experience: Preferred Charting System Name: Epic Community Hospital Experience: Preferred LTAC Experience: Preferred Trauma Level I Experience: - Trauma Level II Experience: - Travel Experience Required: Yes Certifications: BLS*Skills: Acute Hospital, Admission Criteria*, Admission Criteria*, Appeals and Denials*, Appeals and Denials*, Care coordination, CMS: Centers for Medicare and Medicaid Services*, Concurrent Review*, Concurrent Review*, Continued Stay Reviews*, Continued Stay Reviews*, Disability case management*, Discharge Planning, DRG (Diagnosis Related Groups)*, Emergency Department*, Home Health*, Hospice*, ICU*, MS*, Needs Assessment/ Order DME*, Prior Authorizations*, SDU/PCU/IMC/Obs*, Utilize InterQual Criteria*, Utilize InterQual Criteria*, Utilize Milliman Guidelines*, Utilize Milliman Guidelines*, screen any missing skills, Please note ratio Unit Details Staffing & Scheduling Scheduling Type: Other Patient Ratios Days: -25 Patient Ratios Nights: - Patient Ratios Weekends: -25 Float Required: - Call Required: no Weekend Coverage: True Number of Weekend Shifts Per Contract: - Pre-Approved Time Off: one Orientation Hours: - Facility & Patient Care Details Patient Age Groups: Adults, Geriatrics Daily Census: - Number of Visits Per Day: - Number of Rooms: - Number of Beds: - Additional Unit Information Interdisciplinary Support: - Patient Diagnoses: - Special Procedures/Unit Details: Patient ratio is 1:21 and could sometime be 1:25 but they do their best to keep it between 1:12 / 1:15 Special Equipment: - #Tier3 Travel Compliance Sutter Submission Rules: Local candidates: Locals accepted at local rate; 50-mile radius rule RN Licensure: Uploaded Nursys within the last 2 weeks with Valid CA State License Certifications: Uploaded any applicable certifications with valid expiration dates Certifications must be AHA or ARC References: 2 references obtained within the last year Return Staff/Travelers: No separation time required. Any time spent on modules exceeding the 16 NBO hours are billable Modules are completed during orientation, and module hours vary by specialty Modules are recorded through e-learning Submittal Details: #Tier3 Travel ComplianceSutter Submission Rules:Local candidates: Locals accepted at local rate; 50-mile radius ruleRN Licensure: Uploaded Nursys within the last 2 weeks with Valid CA State LicenseCertifications: Uploaded any applicable certifications with valid expiration datesCertifications must be AHA or ARCReferences: 2 references obtained within the last yearReturn Staff/Travelers: No separation time required.
Senior Program Manager Pinnacle Technical ResourcesSenior Program ManagerSanta Clara, California$85–$90 / hourContractorKnowledge of Printed Circuit Board Assembly (PCBA) Strong knowledge of product development processes, including Hardware Validation, Product Characterization, Design for Test, Design for Manufacturing, and Design for Assembly Familiar with Product Development tools such as Valor, Arena, Jira and CAD Experience managing manufacturing processes and identifying cost-reduction opportunities Excellent communication and problem-solving skills Ability to work in a fast-paced environment and manage multiple projects simultaneously Strong project management skills, including risk assessment and schedule management. Create schedules for hardware development and prototyping that align with software development schedule(s) to ensure a smooth transition into system integration Ensure that quality and reliability objectives are met through hardware validation, manufacturing test, and release management Develop phase gate release criteria and enforce completion of hardware validation with buy-in from cross-functional team Ensure Order Fulfillment readiness for all new SKUs and FRUs by collaborating with Business Systems, Planning, Supply Chain, Repair & Failure Analysis Engineering, Service Logistics, etc.
IT Program Manager Pinnacle Technical ResourcesIT Program ManagerSanta Clara,, California$80–$88 / hourContractorThe 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 IT Program Manager will be responsible for overseeing and managing IT programs and projects, ensuring they align with organizational goals and deliver desired outcomes.
Sourcing Manager V Pinnacle Technical ResourcesSourcing Manager VSanta Clara,, California$90–$95 / hourContractorThe specific compensation for this position will be determined by a number of 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.
Program Manager II Pinnacle Technical ResourcesProgram Manager IISanta Clara,, California$70–$75 / hourContractorThe specific compensation for this position will be determined by a number of 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. This role requires excellent organizational, communication, and leadership skills to coordinate cross-functional teams and deliver successful project outcomes.
Travel Case Manager RN - $3,251 per week Prime StaffingTravel Case Manager RN - $3,251 per weekOakland, CAModified Time:8/24/2026 12:00:00 AM Account Manager: Quinton Reed Account Manager Email: COVID-19 Vaccine: Unknown Flu Vaccine: Unknown Submittals:Med Job Requirements & Qualifications Previous Charge Experience: Preferred Years of Experience: 2 Patient Ratio Experience: 10 Charting System Experience: - Charting System Name: Epic Community Hospital Experience: - LTAC Experience: - Trauma Level I Experience: - Trauma Level II Experience: - Travel Experience Required: - Certifications: BLS, CA RN LicenseSkills: Acute Hospital, Care coordination, Discharge Planning Unit Details Staffing & Scheduling Scheduling Type: - Patient Ratios Days: 15 Patient Ratios Nights: - Patient Ratios Weekends: 25 Float Required: - Call Required: - Weekend Coverage: True Number of Weekend Shifts Per Contract: - Pre-Approved Time Off: - Orientation Hours: - Facility & Patient Care Details Patient Age Groups: Adults, Geriatrics Daily Census: - Number of Visits Per Day: - Number of Rooms: - Number of Beds: - Additional Unit Information Interdisciplinary Support: - Patient Diagnoses: - Special Procedures/Unit Details: - Special Equipment: - #Tier3 Travel Compliance Sutter Submission Rules: Local candidates: Locals accepted at local rate; 50-mile radius rule RN Licensure: Uploaded Nursys within the last 2 weeks with Valid CA State License Certifications: Uploaded any applicable certifications with valid expiration dates Certifications must be AHA or ARC References: 2 references obtained within the last year Return Staff/Travelers: No separation time required. Any time spent on modules exceeding the 16 NBO hours are billable Modules are completed during orientation, and module hours vary by specialty Modules are recorded through e-learning Submittal Details: #Tier3 Travel ComplianceSutter Submission Rules:Local candidates: Locals accepted at local rate; 50-mile radius ruleRN Licensure: Uploaded Nursys within the last 2 weeks with Valid CA State LicenseCertifications: Uploaded any applicable certifications with valid expiration datesCertifications must be AHA or ARCReferences: 2 references obtained within the last yearReturn Staff/Travelers: No separation time required.
NewCommercial Lines Account Assistant JobotCommercial Lines Account AssistantWalnut Creek, CA$70,000–$80,000 / yearInformation 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.
Director Revenue Cycle Management Vaco LLCDirector Revenue Cycle ManagementNovato, CA$152,000–$178,000 / yearOur client, an established nonprofit healthcare organization providing integrated medical, behavioral health, dental, and specialty services to underserved populations throughout a multi-site clinic network, is seeking a Director of Revenue Cycle Management with FQHC experience to lead and continuously improve end-to-end patient revenue cycle operations. 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.
Full-Stack Developer (React) Vaco LLCFull-Stack Developer (React)Concord, CARemote$60–$70 / hourDetermining 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.
NewLocal Contract Nurse RN - Case Management - $70-79 per hour Prime StaffingLocal Contract Nurse RN - Case Management - $70-79 per hourOakland, CA$70–$79 / hourHe/She collaborates with patients, families, physicians, the interdisciplinary team, nursing management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and community resources. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely progression and transition of patients to the appropriate level of care to prevent unnecessary admissions or readmissions.
MSO Claims Manager North East Medical ServiceMSO Claims ManagerBurlingame, CAThis role provides guidance on healthcare claims adjudication and payment processing for Medi-Cal, Medicare, PACE, and other lines of business based on member Evidence of Coverages (EOC) and CMS/DHCS guidelines, ensures that claims are processed accurately, timely, and in compliance with regulatory requirements and contractual obligations. Responsibilities include interviewing and hiring of employees; planning, assigning, scheduling, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Product Manager - Claims & Payments Maven ClinicProduct Manager - Claims & PaymentsSan Francisco, CA$160,000–$185,000 / yearThrough Maven Enterprise, the company partners with more than 2,300 employers and health plans to provide end-to-end women's and family health programs spanning fertility and family building, maternity and newborn care, parenting and pediatrics, and menopause and midlife — improving clinical outcomes, reducing healthcare costs, and expanding equitable access to high-quality care at scale. Founded in 2014 by CEO Kate Ryder, Maven Clinic has raised more than $425 million from leading healthcare and technology investors including General Catalyst, Sequoia, Dragoneer Investment Group, Oak HC/FT, StepStone Group, Icon Ventures, and Lux Capital.
Senior Engineering Manager, Claims CollectiveHealth, Inc.Senior Engineering Manager, ClaimsSan Francisco, CA$200,000–$250,000 / yearTechnical and People Leadership: Guide the team in building scalable, cloud-native backend services and integrations using our tech stack (Java/Spring Cloud, Kafka, AWS, Kubernetes, PostgreSQL) and Business Rules Management Systems (BRMS). Drive AI & Agentic Development: Lead the team's adoption of AI-powered developer tools (e.g., GitHub Copilot, Cursor, WindSurf) and drive architectural decisions for building AI-native, Agentic solutions (utilizing tools like LangChain or Google ADK).
Senior Manager, Software Engineering - Claims CollectiveHealth IncSenior Manager, Software Engineering - ClaimsSan Francisco, CA$200,000–$250,000 / yearTechnical and People Leadership: Guide the team in building scalable, cloud-native backend services and integrations using our tech stack (Java/Spring Cloud, Kafka, AWS, Kubernetes, PostgreSQL) and Business Rules Management Systems (BRMS). Drive AI & Agentic Development: Lead the team''s adoption of AI-powered developer tools (e.g., GitHub Copilot, Cursor, WindSurf) and drive architectural decisions for building AI-native, Agentic solutions (utilizing tools like LangChain or Google ADK).
NewManager, Claims Operations San Francisco Health PlanManager, Claims OperationsSan Francisco, CA$140,000–$150,000 / yearSFHP is chosen by eight out of every ten San Francisco Medi-Cal managed care enrollees and its 175,000+ members have access to a full spectrum of medical services including preventive care, specialty care, hospitalization, prescription drugs, and family planning services. ABOUT SFHP: Established in 1997, San Francisco Health Plan (SFHP) is an award-winning, managed care health plan whose mission is to provide affordable health care coverage to the underserved low and moderate-income residents in San Francisco County.
Property & Casualty Insurance Claims Operations Consultant, Manager PwCProperty & Casualty Insurance Claims Operations Consultant, ManagerSan Francisco, CA$99,000–$232,000 / yearPwC 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.
NewCLAIMS EXAMINER I MSO North East Medical ServiceCLAIMS EXAMINER I MSOBurlingame, CAESSENTIAL JOB FUNCTIONS: Perform the daily examination, auditing and adjudication activities to submitted professional claims based on established utilization criteria, Medi-Cal and/or Medicare guidelines, member's Evidence of Benefit, and policies and procedures outlined in the MSO Claims Manual. Working knowledge of managed care and/or healthcare claim reimbursement or medical billing in Medi-Cal and Medicare Advantage program preferred.
Senior Complex Claims Manager Airbnb IncSenior Complex Claims ManagerCARemote$125,000–$145,000 / yearIn partnership with key stakeholders in the organization, you'll support our Complex Claims Leader and contribute to Airbnb's multiple year strategy (vision, risk appetite, operating model, goals, KPIs), manage partners to influence prioritization, drive accountability, deliver improvements, and scale changes on claims which impact Airbnb. Philosophy will be to identify intelligence / risk gaps and work with other internal risk management teams (such as Trust team, and Safety team), third party adjusters, our partners, Platform Product Management, Global Crisis Management, Community support, Policy, Privacy Legal teams to strengthen Airbnb's platform.
NewClaims Examiner I MSO North East Medical ServiceClaims Examiner I MSOBurlingame, CAESSENTIAL JOB FUNCTIONS: Perform the daily examination, auditing and adjudication activities to submitted professional claims based on established utilization criteria, Medi-Cal and/or Medicare guidelines, member's Evidence of Benefit, and policies and procedures outlined in the MSO Claims Manual. Identify claims payment errors and/or system configuration flaws during day-to-day operation, report to department manager/supervisor and MSO System Configuration team to correct/resolve them.
Claims Supervisor Athens AdministratorsClaims SupervisorConcord, CaliforniaATHENS POSITION DETAILS Position Title: Claims Supervisor Department: Workers’ Compensation Reports To: Division Claims Manager FLSA Status: Exempt Job Grade: 14 Career Ladder: Next step in progression could include Division Claims Manager ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976. Provide direct supervision for 6-10 employees, typically consisting of Senior Claims Examiners, Future Medical Claims Examiners, Claims Examiners, Assistant Claims Examiners and Assistant Claims Examiner Trainees.
Claims Supervisor GallagherClaims SupervisorOakland, CaliforniaRemoteFull timeAbility to actively review work of others via file reviews; identify coaching opportunities, act on needed coaching opportunities and position subordinates for successful development leading to advancement within the organization. As part of Gallagher, a global leader in insurance, risk management, and consulting, you’ll be joining a team that’s passionate about helping individuals and organizations thrive.
Claims Examiner II North East Medical ServiceClaims Examiner IIBurlingame, CAESSENTIAL JOB FUNCTIONS: Perform the daily examination, auditing and adjudication activities to submitted hospital and professional claims based on established utilization criteria, Medi-Cal and/or Medicare guidelines, member's Evidence of Benefit, and policies and procedures outlined in the MSO Claims Manual. Responsible to prepare files and documents for the annual health plan delegation oversight audits, assist Claims Supervisor with MSO management reports, and other special projects as needed.
Sr. Workers' Compensation Claims Professional Tesla IncSr. Workers' Compensation Claims ProfessionalFremont, CA$72,000–$162,000 / yearSupport the internal benefits team with reviewing temporary and permanent disability benefits pertaining to workers' compensation claims,excused and unexcused absences, FMLA exhaustion and denials, short-termdisability claims, and long-term disability claims. Manage catalogue of open workers' compensation claims to focus on cost mitigation and reducing liability through continued medical treatment activity, targeted return-to-work efforts, and ongoing case progression; provide settlement authority within limits.
APeX Claims Analyst UCSF Medical CenterAPeX Claims AnalystSan Francisco, CAYesWorks on complex initiatives to analyze patient care workflow in various clinical departments, and to develop and define information technology solutions for improved system integration and functionality. Ability to work with senior staff and managers, serving as a technical resource and providing advice and counsel on issues of functionality, efficiency, cost-effectiveness, policy, and performance.
Claims Processing Expert - Fully Remote MercorClaims Processing Expert - Fully RemoteSan Francisco, CaliforniaRemoteManage claims submission workflows including electronic claim generation, clearinghouse edits, and payer-specific billing requirements. Coordinate with coding, CDI, and collections teams to resolve billing edits and claim rejections.
Senior Claims Examiner - Remote or Hybrid Athens AdministratorsSenior Claims Examiner - Remote or HybridConcord, CaliforniaRemoteATHENS POSITION DETAILS Position Title: Senior Claims Examiner Department: Workers’ Compensation California Reports To: Claims Supervisor FLSA Status: Non-Exempt Job Grade: 12 Career Ladder: Next step in progression could include Lead Senior Claims Examiner or Claims Supervisor ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976. POSITION SUMMARY Athens Administrators has an immediate need for a full-time Senior Claims Examiner to support our workers compensation offices and can be located anywhere in the state of California, however, employees who live less than 26 miles from the Concord, CA or Orange, CA offices are required to work once a week in the office on a day determined by their supervisor between Tuesday – Thursday.
Claims Representative (IAP): Workers Compensation Training Program | Concord, CA Sedgwick Claims Management Services, Inc.Claims Representative (IAP): Workers Compensation Training Program | Concord, CAConcord, CAMental: 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. Adjusting various levels of workers' compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim.
Claims Representative (Iap): Workers Compensation Training Program | Concord, CA Sedgwick Claims Management Services, Inc.Claims Representative (Iap): Workers Compensation Training Program | Concord, CAConcord, CAMental: 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. Adjusting various levels of workers' compensation claims under close supervision, which includes: Processing and responding to incoming mail, emails and other claim related documents according to status of the claim.
Workers Compensation Claims Specialist, Complex & Settlement Focus CNA Financial CorpWorkers Compensation Claims Specialist, Complex & Settlement FocusWalnut Creek, CA$54,000–$103,000 / yearJOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
Workers Compensation Claims Specialist, West CNA Financial CorpWorkers Compensation Claims Specialist, WestWalnut Creek, CA$54,000–$103,000 / yearPartners with attorneys, account representatives, agents, underwriters, doctors, nurse case managers and insureds to develop a focused strategy for timely and cost effective resolution of more complex claims. Performs a combination of duties in accordance with departmental guidelines: Interprets more complex or unusual policy coverages and determines if coverages apply to claims submitted, escalating issues as needed.
Claims Team Lead - Workers Compensation | CA Claims Exp. Required Sedgwick Claims Management Services, Inc.Claims Team Lead - Workers Compensation | CA Claims Exp. RequiredConcord, CARemote$100,000–$118,000 / yearPRIMARY PURPOSE: To supervise the operation of a team of workers compensation claims examiners and technical staff for workers compensation claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. The ideal candidate brings strong technical knowledge of California workers' compensation claims, experience supervising claims examiners and support staff, and the ability to provide guidance on complex and high-exposure matters.
Workers Compensation Large Loss Claims Director CNA Financial CorpWorkers Compensation Large Loss Claims DirectorWalnut Creek, CA$97,000–$189,000 / yearWorking closely with claims leadership, disposition consultants, legal services, customers, brokers, and business partners, the Large Loss Director drives superior claim outcomes, technical excellence, operational effectiveness, and profitable growth while serving as a mentor and resource to claims professionals across the organization. This individual contributor role provides company-wide influence and leadership in the interpretation of complex policy coverages, litigation management, reserving, claim resolution strategies, regulatory compliance, and large loss methodologies.
Electronic Data Interchange (EDI) Claims Assistant UCSF Medical CenterElectronic Data Interchange (EDI) Claims AssistantEmeryville, CAThe Electronic Data Interchange (EDI) Claims Assistant will work in the EDI unit and will be responsible for all aspects of EDI production for UCSF Health Patient Financial Services (PFS), Medical Group Business Services (MGBS), UCSF Benioff Children's Hospital Oakland (BCH Oakland), By the Bay Health, UCSF Physicians Group, Community Connect clinic, and Community Hospitals. The EDI production supports all electronic claim production to various payers and clearinghouses, including Medicare, Medi-Cal, Medi-Cal MC, Anthem Blue Cross, Blue Shield, Availity, Optum IEDI, Optum Exchange, Jopari, PNT, and Office Ally.
Senior Claims Examiner, Workers' Compensation GallagherSenior Claims Examiner, Workers' CompensationWalnut Creek, CaliforniaRemoteFull timeThe 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.
Senior Workers' Compensation Claims Examiner (FULL Remote - Perm) - CA Johnson Service GroupSenior Workers' Compensation Claims Examiner (FULL Remote - Perm) - CAConcord, CARemote$98,000–$109,000 / yearThe Senior Claims Examiner will adjust workers compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements. Must possess a current Experienced Indemnity Claims Adjuster Designation, provided by an insurer, as defined in California Code of Regulations, Title 10, Chapter 5, Subchapter 3, Section 2592.01(f).
Senior Workers' Compensation Claims Examiner (FULL Remote - Contract) - CA Johnson Service GroupSenior Workers' Compensation Claims Examiner (FULL Remote - Contract) - CAConcord, CARemote$50.25–$55.89 / hourThe Senior Claims Examiner will adjust workers compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements. Must possess a current Experienced Indemnity Claims Adjuster Designation, provided by an insurer, as defined in California Code of Regulations, Title 10, Chapter 5, Subchapter 3, Section 2592.01(f) .
NewSenior Engineering Lead - AI-Driven Claims Platform Collective HealthSenior Engineering Lead - AI-Driven Claims PlatformSan Francisco, CAYour role will involve collaborating with various stakeholders to enhance the Claims platform, guiding the adoption of AI tools, and ensuring scalable service architecture. Located in San Francisco, this hybrid position offers competitive pay and significant equity options.#J-18808-Ljbffr.
NewClaims Quality Review Sr Consltant CNA Financial CorpClaims Quality Review Sr ConsltantWalnut Creek, CA$72,000–$141,000 / yearWorks with the Claim Quality Review Director and the Claim Quality Technical Lead for assigned line of business to aggregate and analyze results from quality and manager reviews to identify trending of best practice and opportunity areas for assigned line of business and across the Claim organization. Performs a combination of duties in accordance with departmental guidelines: Completes technical file reviews for assigned line of business; gathers and interprets data, evaluating both technical and operational behaviors associated with functional roles.
Sr Examiner - 4850 Workers' Compensation Claims (Full Remote - Northern CA)(Perm) Johnson Service GroupSr Examiner - 4850 Workers' Compensation Claims (Full Remote - Northern CA)(Perm)Pleasant Hill, CARemote$98,000–$103,500 / yearThe Senior Claims Examiner will adjust police and fire 4850 workers compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements. The Senior Claims Examiner will adjust workers compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements.
Claims Administrative Supervisor Zenith Insurance CompanyClaims Administrative SupervisorDublin, CA$85,736–$107,170 / yearZenith is a team of Workers'' Compensation Specialists committed to helping businesses succeed by protecting against the financial and human consequences of workplace injuries, providing for the needs of injured employees and making the workplace safer. Ensure timely workflow and prioritization of clerical tasks, management of diary, and the appropriate training or matching of task complexity to staff capabilities.
Senior Construction Claims Specialist Jacobs Solutions IncSenior Construction Claims SpecialistOakland, CANavi Mumbai, All IN Regions, India | 42431 | Advanced Manufacturing | Drafting and Design | Multiple Locations. Senior Assistant Bridge Engineer / Starszy Asystent / Starsza Asystentka Projektanta Mostowego.
NewProperty Claims Specialist Field I Tracy, Livermore, San Jose, Pleasanton Mercury Insurance CompanyProperty Claims Specialist Field I Tracy, Livermore, San Jose, PleasantonConcord, CA$81,341–$99,416 / yearKnowledge and Skills: As a Property Claims Field Adjuster 1, you will: Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims. Be able to seamlessly transition between various methods of inspection, including physical, video, or photo, to write a damage estimate: o May include climbing ladders to inspect roofing or attic space and inspection of crawl spaces.
Property Claims Specialist Field I - Tracy, Livermore, San Jose, Pleasanton Mercury Insurance Services, LLCProperty Claims Specialist Field I - Tracy, Livermore, San Jose, PleasantonConcord, California$81,341–$99,416 / yearAs a Property Claims Field Adjuster 1, you will: • Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims. • Be able to seamlessly transition between various methods of inspection, including physical, video, or photo, to write a damage estimate: o May include climbing ladders to inspect roofing or attic space and inspection of crawl spaces.
Supervisor, Claims Zenith American SolutionsSupervisor, ClaimsSan Francisco, CaliforniaZenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide. We are currently looking for a dedicated, energetic employee with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day.
Sr. Work Comp Claims Adjuster (SIP Cert required - Concord, CA) EliteSr. Work Comp Claims Adjuster (SIP Cert required - Concord, CA)Concord, California$85,000–$95,000 / yearExcellent written and verbal communication skills, including ability to convey technical details to claimants, clients and staff. Effectively manages a caseload of 130 to 150 workers’ compensation files, including very complex claims.
NewSenior WC Claims Specialist - Data & Risk Insights Alliant Insurance ServicesSenior WC Claims Specialist - Data & Risk InsightsWalnut Creek, CAYou will help prepare client-facing reports, dashboards, and documentation, coordinate with vendors and medical providers, track budgets and invoices, and support continuous process improvements using Power BI and other reporting tools.#J-18808-Ljbffr. Alliant Insurance Services seeks a Senior Workers Compensation Claims Assistant to provide advanced administrative, reporting, and operational support for workers' compensation claims and risk management programs.