NewTravel Nurse RN - Case Manager - $3,056 per week in Oakland, CA TravelNurseSourceTravel Nurse RN - Case Manager - $3,056 per week in Oakland, CAOakland, CA$3,055.60–$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 : - 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 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.
NewPublic Works Construction Manager 4LEAF, IncPublic Works Construction ManagerSan Francisco Bay Area, CA$165,000–$225,000 / yearCoordinate construction activities by ensuring compliance with federal, state, and local jurisdiction requirements; represent the client at various meetings; and meet with local citizen groups and other agencies to discuss construction issues/concerns. The ideal candidate will be able to perform contract administration tasks, observe and evaluate the contractor's compliance with the intent of the construction documents, and evaluate the contractor’s proposed remedial actions as required for public works-type projects.
Service Manager Sunbelt RentalsService ManagerSan Leandro, CA$74,509–$88,479.20 / yearReporting to include: - Equipment due for service - Fleet status Reporting - Equipment Service Record Reporting - Open work order report - Warranty claim summary report - Inventory management - Parts & merchandise detail reporting - Financial and historical trending - Service department financial summary - Shop foreman performance tool - Work order chargeback - Halt report - Open PO report - Tech paid hours vs. Sunbelt offers team members the following paid time off from work, subject to Sunbelt's policies (unless specified in a collective bargaining agreement): 12-25 vacation days depending on years of service.
NewXactimate-Certified Damage Assessor / Residential Field Inspector (Part-Time) 4LEAF, IncXactimate-Certified Damage Assessor / Residential Field Inspector (Part-Time)Pleasanton, CA$50–$75 / hourThis position will be responsible for performing field inspections of residential properties impacted by storm-related damage, documenting property conditions, preparing accurate damage assessments, and supporting repair scopes and cost estimates. As one of the industry’s notable providers of planning, building and safety, construction management, and fire consulting services, 4LEAF has an enviable track record of completing complex projects and staffing assignments with both public and private clients.
Claims Manager Garuda Labs IncClaims ManagerSan Francisco, CA$150,000–$175,000 / yearWhat You'll Do: Report, oversee, monitor, and investigate insurance claims across all jurisdictions; Support Instawork with workers' compensation and occupational accident claims by running loss control surveys and training for teams involved in the claims reporting process as well as monthly data reporting requirements to carriers; Partner with insurance carriers to mitigate loss by evaluating and implementing tools, including but not limited to investigators and nurse case managers; Communicate frequently with internal stakeholders and third parties, including claims adjusters, brokers and other insurance personnel, injured Professionals, business Partners, doctors, and attorneys; Participate in monthly claim reviews to steer claims towards resolution; Maintain organized, accurate records of all claims and supporting documentation; Provide regular updates to senior management on claims activity; Analyze claims data to identify trends and areas for improvement; Develop, implement, and improve scalable processes and training to build a best-in-class claims function. Who You Are: 5+ years in insurance claims adjusting or management, including workers' compensation, occupational accident, and other injury and property damage claims; Impeccably organized; Detailed and process-oriented; Thorough knowledge of insurance lines and insurance laws across the United States; Composed handling high-priority escalations; Excellent verbal and written communication; Ability to analyze, classify, and rate risks, exposures, and loss expectancies; Marketplace risk experience preferred.
Senior Claims Manager (Remote Friendly) Gilbane Building CoSenior Claims Manager (Remote Friendly)Concord, CARemote$163,710–$232,800 / yearYou build high performing teams by attracting, engaging, developing, and retaining talented individuals through motivation and discipline to maximize impact on the organization and the individual. You leverage business insights by understanding industry trends, local market/economic conditions, and Gilbane's business model to make critical decisions and create competitive advantage.
Sr. Manager, EPL Claims - Financial Lines Starr InsuranceSr. Manager, EPL Claims - Financial LinesSan Francisco, CaliforniaThe successful candidate will be required to evaluate coverage, draft coverage correspondence, assess appropriate reserves, undertake claims investigations, manage defense counsel and legal spend, assess liability and financial exposure, and effectively negotiate cost effective, good faith claims resolution. 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.
Sr. Manager, EPL Claims - Financial Lines Starr International Co IncSr. Manager, EPL Claims - Financial LinesCAThe successful candidate will be required to evaluate coverage, draft coverage correspondence, assess appropriate reserves, undertake claims investigations, manage defense counsel and legal spend, assess liability and financial exposure, and effectively negotiate cost effective, good faith claims resolution. 10+ years of experience in the insurance/legal profession dealing specifically with Financial and/or Professional Lines claims In-depth understanding of policy language/coverage Experience managing, evaluating, mediating and negotiating EPL claims.
Manager, Claims Compliance Uber Technologies IncManager, Claims ComplianceSan Francisco, CARepresent Claims in SOX, statutory, and carrier audits; articulate control design and operating effectiveness to Financial Risk management and auditors; developing responses to ad hoc audit requests and inquiries. This role has a unique opportunity to impact the effectiveness of hundreds of internal & external claims professionals - if you're interested in making an outsized impact on one of the largest and most dynamic Claims programs in the world, read on and apply below!
Sr. Software Product Manager, Insurance Claims Tesla IncSr. Software Product Manager, Insurance ClaimsFremont, CA$136,000–$264,000 / yearDevelop products that optimize coordination between claims handlers, collision repair facilities, appraisers, and customers throughout the repair process while also capturing claims data, fraud detection and loss trends. In this role, you will combine your claims industry knowledge with product management skills to build solutions that optimize the end-to-end claims lifecycle, reduce processing times, and improve customer outcomes.
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 System Technical Project Manager III ICW GroupClaims System Technical Project Manager IIIPleasanton, CA$121,624.81–$217,710.99 / yearHeadquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for ten consecutive years as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. Insurance certification in one or more domain-specific areas (AINS, AIC, ARM, etc.), Project Management Professional (PMP), IT Service Management (ITIL), or Process Optimization (BPM, Six Sigma, Lean) certifications 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 Team Supervisor Athens AdministratorsClaims Team SupervisorConcord, CaliforniaATHENS POSITION DETAILS Position Title:Claims SupervisorDepartment:Workers’ CompensationReports To:Division Claims ManagerFLSA Status:ExemptJob Grade:14Career Ladder:Next step in progression could include Division Claims Manager ATHENS ADMINISTRATORSExplore 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.
NewAssistant Claims Examiner Athens AdministratorsAssistant Claims ExaminerConcord, CaliforniaATHENS POSITION DETAILS Position Title:Assistant Claims ExaminerDepartment:Workers’ CompensationReports To:Claims SupervisorFLSA Status:Non-ExemptJob Grade:6Career Ladder: Next step in progression could include Future Medical Examiner or Claims Examiner Trainee ATHENS ADMINISTRATORSExplore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976. POSITION SUMMARYAthens Administrators has an immediate need for an experienced Assistant Claims Examiner to support our Workers’ Compensation department 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.
Sr. Workers' Compensation Claims Professional Tesla IncSr. Workers' Compensation Claims ProfessionalFremont, CA$72,000–$162,000 / yearli>Support 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.
NewSenior Claims Examiner - Remote or Hybrid Athens AdministratorsSenior Claims Examiner - Remote or HybridConcord, CaliforniaRemoteATHENS POSITION DETAILS Position Title:Senior Claims ExaminerDepartment:Workers’ Compensation CaliforniaReports To:Claims SupervisorFLSA Status:Non-ExemptJob Grade:12Career Ladder:Next step in progression could include Lead Senior Claims Examiner or Claims Supervisor ATHENS ADMINISTRATORSExplore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976. POSITION SUMMARYAthens 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 - Remote or Hybrid in California Athens AdministratorsSenior Claims Examiner - Remote or Hybrid in CaliforniaConcord, CaliforniaRemoteATHENS POSITION DETAILS Position Title:Senior Claims ExaminerDepartment:Workers’ Compensation CaliforniaReports To:Claims SupervisorFLSA Status:Non-ExemptJob Grade:12Career Ladder:Next step in progression could include Lead Senior Claims Examiner or Claims Supervisor ATHENS ADMINISTRATORSExplore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976. POSITION SUMMARYAthens 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.
Complex Claims Director - EPL, Private and Not-For-Profit D&O, Fiduciary CNA Financial CorpComplex Claims Director - EPL, Private and Not-For-Profit D&O, FiduciaryWalnut Creek, CA$97,000–$189,000 / yearEssential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Leads the work activities of medium to high severity specialized Claims Professionals and has full management responsibility for executing the Specialty Claim Handling Guidelines by setting and communicating expectations, providing direction and situational coaching, facilitating ongoing training and development, and managing employee performance. Advanced technical expertise in Private D&O, EPL and Fiduciary matters or a specialized or highly complex line of business, business management acumen, investigation and claims resolution experience, expert knowledge claims principles, practices and procedures.
NewClaims 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 Accountant - Claims Operations Turo IncSenior Accountant - Claims OperationsSan Francisco, CA$120,000–$150,000 / yearWhether you're flying in from afar or looking for a car down the street, searching for a rugged truck or something smooth and swanky, Turo puts you in the driver's seat of an extraordinary selection of cars shared by local hosts. In general, Turo interacts with candidates through our Careers page and via turo.com email addresses, and we don't ask candidates for sensitive financial or personal info or request money as part of the hiring process (so an application fee or equipment costs).
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.
Claims Analyst Edgewood Partners Insurance CenterClaims AnalystConcord, CA$65,000–$75,000 / yearThis role is responsible for analyzing claims data, identifying trends, and delivering actionable insights using advanced tools such as Microsoft Excel, Power BI, and Tableau, while also supporting key administrative and operational workflows. Fueled and driven by capable, committed people who share common beliefs and values and bring it every day, EPIC is always looking for people who have the right stuff people who know what they want and arent afraid to make it happen.
Liability Claims Team Lead - GL & Auto Exp. Required | Must Reside in CA Sedgwick Claims Management Services, Inc.Liability Claims Team Lead - GL & Auto Exp. Required | Must Reside in CAConcord, CA$95,000–$115,000 / yearPRIMARY PURPOSE: To supervise a team of liability claims examiners and adjusters; 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. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
Workers Compensation Claims Consultant, West CNA Financial CorpWorkers Compensation Claims Consultant, WestWalnut Creek, CA$72,000–$141,000 / yearp>Performs a combination of duties in accordance with departmental guidelines: Manages highly complex investigations of claims, including coverage issues, liability, compensability and damages. Negotiates highly complex settlement packages, and authorizes payment within scope of authority, settling claims in most cost effective manner and ensuring timely issuance of disbursements.
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 / 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.
Software Engineer, Frontend, Customer Support & Claims Tesla IncSoftware Engineer, Frontend, Customer Support & ClaimsFremont, CA$140,000–$210,000 / yearProficiency in Typescript, JavaScript, ES6, HTML, CSS, and Angular framework, Strong understanding of component-based development, familiarity with Angular, Vue.js, ReactJS, or any other equivalent library, framework2-3 years of experience building applications with Angular, Typescript, HTML, CSS, Proficiency with software engineering best practices, including writing production quality code, agile development, version control, Degree in Computer Science or related, or equivalent experience, Experience with NodeJS is a plus. Build and maintain multiple tools in Angular, Typescript, JavaScript, Learn complex systems pertaining to claims, be responsible for deployment stability and usability of applications, Work with agile requirements, Collaborate with backend developers, testers, end users, Demonstrate ability to communicate and collaborate effectively at all levels in the organization and across multiple disciplines, Alignment with Teslas mission of accelerating the worlds transition to sustainable energy.
Head of Claims VouchHead of ClaimsSan Francisco, California$165,000–$190,000 / yearThe goal is a one-person function by design, not by accident, with AI doing the heavy lifting on triage, drafting, analysis, and tracking so you can focus on the relationships and judgment calls that actually move outcomes. We’re looking for someone who will build an AI-native claims function, partnering closely with our Applied AI team to design, manage, and orchestrate AI agents that make this the highest-leverage claims operation in the industry.
Claims Examiner/Senior Claims Examiner W. R. Berkley CorpClaims Examiner/Senior Claims ExaminerWalnut Creek, CA$65,000–$115,000 / yearIn these roles, you will be responsible for the analysis and management of moderate to complex workers' compensation claims, including reviewing, investigating, and making determinations around coverage, compensability, and claim appropriateness. Success in this role requires strong judgment, consistent performance, and a high level of competency in negotiating settlements, managing subrogation, and delivering sound, compliant outcomes.
Claims Representative (IAP) - Workers Compensation Training Program | Concord, CA Sedgwick Claims Management Services, Inc.Claims Representative (IAP) - Workers Compensation Training Program | Concord, CAConcord, CAp>Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. 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 Analyst II (On-Site) NorthBay Medical CenterClaims Analyst II (On-Site)Fairfield, CAThe position is co-responsible for the operational functions for the organization's capitated hospital and medical group business, processing all claims, oversees customer service issues, researching/resolving payment issues and addressing corrections in the system with the Claims Specialist. Requires a high comfort level with taking initiative and responsibility, high energy and productivity, plus an orientation and ability to manage details in an organized work style.
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.
Lead Full Stack Software Engineer, Claims CollectiveHealth IncLead Full Stack Software Engineer, ClaimsSan Francisco, CA$168,000–$210,000 / yearTeam Collaboration: Work closely with cross-functional teams, including developers, and product managers, to gather requirements and ensure solutions meet business needs. Lead full-stack development and support of services across backend (Java/Spring Cloud), integration platforms (Kafka, Mulesoft), and frontend (React/Angular/GraphQL etc.).
Senior Claims Examiner GallagherSenior Claims ExaminerWalnut Creek, 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.
Senior Claims Examiner, Workers' Compensation GallagherSenior Claims Examiner, Workers' CompensationPleasanton, 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.
NewSenior Resolute PB Claims Consultant Deloitte Touche Tohmatsu LtdSenior Resolute PB Claims ConsultantSan Francisco, CA$121,000–$143,000 / yearThe 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. Communicate regularly with Engagement Managers (Directors), project team members, and representatives from various functional and / or technical teams, including escalating any matters that require additional attention and consideration from engagement management.
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 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.
Workers' Compensation Claim Supervisor CCMSIWorkers' Compensation Claim SupervisorConcord, CaliforniaRemote$90,000–$100,000 / yearResponsibilities: When we hire supervisors at CCMSI, we look for people-leaders who recognize that every claim impacts a real person’s livelihood, hold themselves and their teams accountable for results, and approach challenges as opportunities to develop others and drive excellence. At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.
Claims Examiner II Partnership HealthPlan of CaliforniaClaims Examiner IIFairfield, California$31.45–$37.74 / hourul>Provide the highest possible level of service to clients; Promote teamwork and cooperative effort among employees; Maintain safe practices; and. Follows established Partnership policies and procedures, Partnership Claims Operating Instruction Memorandums, State of California Medi-Cal Provider Manual guidelines, Title 22 regulations, and CMS guidelines when resolving pended claims.
Workers Compensation Claims Specialist Lee Hecht HarrisonWorkers Compensation Claims SpecialistSan Francisco, CARemote$80,000–$100,000 / yearLHH is working with a leading organization is seeking a Senior-level Workers' Compensation Claims Specialist to manage a high-volume California desk with a strong focus on litigated claims. This is a fully remote, direct hire opportunity for an experienced adjuster who thrives in a fast-paced environment and can independently drive claims to resolution.
Supervisor, Claims Zenith American SolutionsSupervisor, ClaimsSan Francisco, CAFull timeZenith 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.
Assistant Vice President: Construction Claims Account Executive NFP CorpAssistant Vice President: Construction Claims Account ExecutivePleasant Hill, CA$110,000–$150,000 / yearCoordinate and direct all relevant claims to NFP Subject Matter Experts spanning all key construction-related lines of coverage (including general liability, workers' compensation, commercial auto, builders' risk, professional liability, cyber, pollution, wrap-up, property, inland marine, surety, and subcontract default insurance) to ensure alignment and effective claims management. 15+ years of experience managing construction claim programs, with strong exposure to general liability, workers' compensation, commercial auto, builders' risk, professional liability, cyber, pollution, wrap-up, property, inland marine, surety, and subcontract default insurance and related casualty lines.
NewAVP, Construction Claims Account Executive NFP CorpAVP, Construction Claims Account ExecutivePleasant Hill, California$110,000–$150,000 / yearFull timeCoordinate and direct all relevant claims to NFP Subject Matter Experts spanning all key construction-related lines of coverage (including general liability, workers’ compensation, commercial auto, builders’ risk, professional liability, cyber, pollution, wrap-up, property, inland marine, surety, and subcontract default insurance) to ensure alignment and effective claims management. 15+ years of experience managing construction claim programs, with strong exposure to general liability, workers’ compensation, commercial auto, builders’ risk, professional liability, cyber, pollution, wrap-up, property, inland marine, surety, and subcontract default insurance and related casualty lines.
Health Claims Audit Supervisor Withum Smith+Brown, PCHealth Claims Audit SupervisorSan Ramon, CA$85,000–$110,000 / yearIn addition to the base compensation, Withum offers a competitive benefits package and bonus program (for eligible roles) based on individual and firm performance. How You'll Spend Your Time: Working closely with our clients, and their vendors, to ensure that health, dental, prescription and vision claims are being paid in compliance with regulations and plan documents.
Property Claims Specialist Field I Mercury Insurance CompanyProperty Claims Specialist Field IConcord, 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.