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.
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.
NewProgram Manager - Corporate Insurance and Risk - AS Treasury - Full Time - 8 Hour - Days John Muir HealthProgram Manager - Corporate Insurance and Risk - AS Treasury - Full Time - 8 Hour - DaysConcord, CA$124,027–$186,041 / yearSee John Muir Health Terms & Conditions at https://www.johnmuirhealth.com/terms-of-use.html and Privacy Policy at https://www.johnmuirhealth.com/content/dam/jmh/Documents/Legal-and-Privacy/website-privacy-policy.pdf and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Manages the insurance broker, outside consultant, and auditor relationships to review coverage for appropriateness to ensure compliance with bond financing instruments and minimize uninsured exposures and losses.
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.
NewService Manager Coast Counties Truck & Equipment CompanyService ManagerSan Leandro, CAThe Service Manager works closely with the Assistant Service Manager, Service Writer, and Warranty Management team when coordinating repair order processing to maximize repair order recovery and minimize delays in completing the repairs and completing the warranty claims process. The Service Manager will communicate & be accountable to the Parts Manager, Truck Sales Team, Lease & Rental Team, Director of Service and General Manager as his/hers course of duties relate to the accomplishment of directives, objectives, and communication of the status of ongoing affairs.
NewProject Manager Sales Gexpro ServicesProject Manager SalesLivermore, CAA qualified candidate will be able to perform the following task: •Provides customer account management which may include, but is not limited to, order entry, order inquiry, product information, sourcing, order status, pricing, inventory inquiries, customer fulfillment and transportation management to analyze and resolve customer needs. Our expertise is in a broad offering of engineered commodities, coupled with our program management capabilities and established global supply chain network, uniquely position Gexpro Services to deliver rapid improvements in fulfillment, transaction and material costs productivity, and process and product quality.
NewAssistant Manager STIIIZYAssistant ManagerSAN FRANCISCO, CAOur STIIIZY product line is one of the best-selling cannabis brands in the market today and has claimed the title of the best-selling vape brand across all BDSA-tracked markets and best-selling brand overall in the California market! Our employees come from a wide range of retail backgrounds, each bringing their own unique skills and talents to the table as we work together to continue our incredible growth.?
NewDirector 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.
NewAssociate-Sr Attorney Hybrid or 100% remote JobotAssociate-Sr Attorney Hybrid or 100% remoteSan Francisco, CARemote$140,000–$220,000 / 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. Our firm delivers legal services in the workers’ compensation arena, supporting a broad range of organizations including risk managers, insurers, and claims administrators.
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.
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.
NewMobile Service Coordinator Coast Counties Truck & Equipment CompanyMobile Service CoordinatorSan Leandro, CAThe Mobile Service Coordinator works closely with the Service, Parts, Warranty, and Sales Departments, as well as company leadership, to support operational objectives, enhance customer satisfaction, and drive continued growth of mobile service operations. This position is responsible for coordinating workflow, ensuring timely and effective customer communication, supporting technicians, and maintaining accurate repair documentation, billing, and invoicing processes.
NewAssociate, Infrastructure Project Advisory (Construction/Engineering) KPMGAssociate, Infrastructure Project Advisory (Construction/Engineering)San Francisco, CA$73,150–$145,015 / yearBachelor's degree or masters' degree in Engineering, Architecture, Building Science, Construction Management, or a related field from an accredited college or university; Professional Engineer, Project Management, Certified Construction Manager, Certified Public Accountant, American Institute of Architects, or other professional certification is preferred. Demonstrated client coordination and 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.
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).
Group Product Manager, Core TPA Claims CollectiveHealth, Inc.Group Product Manager, Core TPA ClaimsSan Francisco, CA$172,500–$215,625 / yearCross-Functional Influence: Enable deep connections between engineering, UX, sales, marketing, operations, and client success to ensure buy-in for complex initiatives and to surface critical market insights. Results-Oriented Delivery: Proactively solve complex architectural and business problems alongside your PMs to ensure the delivery of high-quality, compliant, and scalable healthcare products.
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).
Group Product Manager, Core TPA Claims CollectiveHealth IncGroup Product Manager, Core TPA ClaimsSan Francisco, CA$172,500–$215,625 / yearCross-Functional Influence: Enable deep connections between engineering, UX, sales, marketing, operations, and client success to ensure buy-in for complex initiatives and to surface critical market insights. Results-Oriented Delivery: Proactively solve complex architectural and business problems alongside your PMs to ensure the delivery of high-quality, compliant, and scalable healthcare products.
Property & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLPProperty & 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.
Manager, 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.
CLAIMS 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.
Claims 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 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.
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.
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.
NewSenior Claims Examiner - County Account Athens AdministratorsSenior Claims Examiner - County AccountConcord, CaliforniaATHENS 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 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.
NewSenior Litigation Construction Liability Claims Representative The Travelers Companies IncSenior Litigation Construction Liability Claims RepresentativeWalnut Creek, CA$94,400–$155,800 / yearDirectly investigates each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Actively engages in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts.
Claims Administrative Specialist The Doctors CompanyClaims Administrative SpecialistNapa, CA$46,436–$60,947 / yearYou will also provide clerical, administrative, and technical assistance to the assigned claims staff; maintain specific, timely, accurate coding and file updates to support data warehouse searches for claims processing and TDC research projects. Benefits: The Doctors Company offers competitive compensation, an incentive bonus plan, outstanding career opportunities, an exceptional work environment, and an impressive benefits package, which starts with medical, family and bereavement leave; same-sex domestic partner benefits; short- and long-term disability programs; and an employee assistance program.
Claims Resolution Coordinator Partnership HealthPlan of CaliforniaClaims Resolution CoordinatorFairfield, California$37.22–$46.53 / hourFull timeThe job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. Acts as a resource and provides support to customer service staff, as well as Provider Relations staff for complex Provider questions regarding claims and payments.
Workers Compensation Claims Specialist, Complex & Settlement Focus CNA Financial Corp.Workers 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 Corp.Workers 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.
Claims Analyst Or (Senior) Claims & Patient Safety Specialist MIECClaims Analyst Or (Senior) Claims & Patient Safety SpecialistOakland, CARemote$73,050–$156,958 / yearYou may also lead or support higher-level patient safety and risk management engagements, including complex policyholder consultations, claims prevention initiatives, data-informed presentations, and cross-functional projects that require advanced judgment, independent analysis, and strong facilitation skills. If hired as a (Senior) Claims & Patient Safety Specialist, you will also: Collaborate with MIEC's Patient Safety & Risk Management (PSRM) staff to provide specialized internal and external services addressing existing member groups and new business, including large medical groups and hospitals.
Claims Analyst or (Senior) Claims & Patient Safety Specialist Medical Insurance Exchange Of CaliforniaClaims Analyst or (Senior) Claims & Patient Safety SpecialistOakland, CARemote$73,050–$156,958 / yearYou may also lead or support higher-level patient safety and risk management engagements, including complex policyholder consultations, claims prevention initiatives, data-informed presentations, and cross-functional projects that require advanced judgment, independent analysis, and strong facilitation skills. If hired as a (Senior) Claims & Patient Safety Specialist, you will also: Collaborate with MIEC's Patient Safety & Risk Management (PSRM) staff to provide specialized internal and external services addressing existing member groups and new business, including large medical groups and hospitals.
Senior Claims Examiner, Workers' Compensation GallagherSenior Claims Examiner, Workers' CompensationPleasanton, CaliforniaRemote$75,000–$105,000 / yearFull 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.
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 Workers'' Comp Claims Specialist CA Claims Zenith Insurance CompanySenior Workers'' Comp Claims Specialist CA ClaimsDublin, CA$94,502.68–$127,972.38 / 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. Opens new Claims, completes three-point contact, and performs needed investigations to determine compensability as well as possible subrogation or apportionment, according to state and/or Zenith's timeframes and guidelines.
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) .
Sr. Workers Compensation Examiner-4850 Claims - CA (Contract - Full Remote) Johnson Service GroupSr. Workers Compensation Examiner-4850 Claims - CA (Contract - Full Remote)Pleasant Hill, CARemoteThe 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).
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.
Sr Examiner - 4850 Workers' Compensation Claims (Full Remote - Southern CA)(Perm) Johnson Service GroupSr Examiner - 4850 Workers' Compensation Claims (Full Remote - Southern CA)(Perm)Pleasant Hill, CARemoteThe 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.
NewManaging Director - Disputes, Claims, & Investigations Group StoutManaging Director - Disputes, Claims, & Investigations GroupSan Francisco, CaliforniaBoth our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators. As a Managing Director in Commercial Litigation, you will lead complex dispute consulting engagements and serve as a senior advisor to clients, legal counsel, and expert witnesses.
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.
NewSr. Claims Specialist, Professional Liability | Medical Malpractice | California Sedgwick Claims Management Services, Inc.Sr. Claims Specialist, Professional Liability | Medical Malpractice | CaliforniaConcord, CA$100,000–$125,000 / yearIdeal candidates demonstrate strong analytical and negotiation skills, exercise sound judgment, and are committed to delivering timely, cost‑effective claim resolutions while maintaining a high level of customer service. ESSENTIAL RESPONSIBLITIES MAY INCLUDE: Analyzes and processes complex or technically difficult medical malpractice 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.