NewSr. Claims Specialist, Commercial Casualty - Remote CSAA Insurance GroupSr. Claims Specialist, Commercial Casualty - RemoteCARemote$74,295–$82,550 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 21 more}. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including Mobilitas offices.
Medical Malpractice Claims Specialist KI Executive GroupMedical Malpractice Claims SpecialistOrange, CaliforniaThe Medical Malpractice Claims Specialist is responsible for managing assigned medical malpractice claim files, including complex and high exposure matters. This role oversees claim investigation, litigation coordination, reporting, and documentation while working closely with defense counsel and internal stakeholders.
Senior Claims Specialist I, Workers Compensation - West Region Liberty Mutual Holding Company IncSenior Claims Specialist I, Workers Compensation - West RegionLos Angeles, CARemoteResponsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages. Demonstrates an advanced knowledge of claims case handling practices, legal liability, general insurance policy coverage, and the state s tort laws as normally acquired through a bachelor s degree (or equivalent training) plus 3 to 5 years directly related work experience.
Medical Claims Specialist Ultimate Staffing ServicesMedical Claims SpecialistCarlsbad, California$55,000–$65,000The ideal candidate will have at least 3 years of experience in managing medical claims processes, ensuring accurate and efficient handling of claims, and delivering exceptional service to clients and providers. Ultimate Staffing is actively seeking an experienced Medical Claims Specialist to join a dedicated team in Carlsbad, CA.
Claims Specialist, Workers Compensation - West Region Liberty Mutual Holding Company IncClaims Specialist, Workers Compensation - West RegionSacramento, CARemoteResponsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages. As a Workers Compensation Claims Specialist, you will work within a Claims Team, using the latest technology to review, analyze, and process claims that are routinely characterized as moderately complex to complex within assigned authority limits.
General Liability Claims Specialist - Bodily Injury Ultimate Staffing ServicesGeneral Liability Claims Specialist - Bodily InjurySan Diego, California$35–$40 / hourWe're seeking a General Liability Claims Specialist with experience in bodily injury to manage complex General Liability claims, including litigated matters, high-exposure BI losses, mediations, and settlement negotiations. This is a hands-on opportunity to work directly with defense counsel and clients while handling challenging claims from investigation through resolution.
Field Claims Specialist, Remote - Southern CA Workers'''' Compensation Great American Insurance CompanyField Claims Specialist, Remote - Southern CA Workers'''' CompensationCalifornia, CARemote$110,000–$120,000 / yearAlthough we typically require 10+ years of experience, we will consider exceptional candidates with 7+ years of proven success in California workers' compensation claims adjusting experience with higher exposure claims. We take an extremely aggressive and proactive approach to claims adjusting and are looking for the person who not only knows their territory's comp laws but also enjoys the role of putting that experience to good use.
Claims Specialist Lead The Progressive CorpClaims Specialist LeadIrvine, CA$39.18–$51.92 / hourFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ . As a claims specialist on our team, you'll play a critical role in our ability to successfully and efficiently resolve large-loss injury claims valued over $60k.
Sr Claims Specialist Sompo International Holdings LimitedSr Claims SpecialistIrvine, CA$125,000–$175,000 / yearOur business, your impact, our opportunity: What you'll be doing: Manage a casualty claims portfolio focused on Construction Defect, Job Site Bodily Injury, OCIP/CCIP, and New York Labor Law matters, including coverage analysis, exposure assessment, reserving, and claim resolution. This position primarily focuses on the execution of claim handling responsibilities for a complex primary and excess casualty portfolio with specific emphasis on Construction Defect, Job Site Bodily Injury, OCIP/CCIP and/or New York Labor Law matters.
NewClaims Specialist 1 Public Consulting GroupClaims Specialist 1Chula Vista, CaliforniaMonitors workloads, meets productivity goals, participates in trainings and team activities, communicates regularly with supervisors, and collaborates with team members and community partners to ensure efficient service delivery and positive client outcomes. At PCG, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications.
Claims Specialist Ultimate Staffing ServicesClaims SpecialistCarlsbad, California$50,000–$65,000This role involves preparing and submitting appeals for denied or unpaid medical claims while maintaining strong working relationships with decision makers through professional and responsive service. The Claims Specialist is responsible for reviewing and investigating denied claims from Medicare, commercial payers, and third-party insurers.
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 Representative- Healthcare Billing Vista Del MarClaims Representative- Healthcare BillingLos Angeles, California$28–$30 / hourIf TIER data is complete, submits the call to update CWS; Monthly, runs Non-Final Saved Notes reports for programs assigned, reviews notes for action required., and disseminates to programs; Reviews Final Saved Charge reports before batching claims for electronic submission to DMH. Completes any updates or corrections required, and manually updates services charges and ‘final save’ so that claims can be batched; Daily, reviews Diagnosis and Financial Update Reports and Client Action Forms submitted for any client information that requires updating in CWS.
Occupancy Specialist Ultimate Staffing ServicesOccupancy SpecialistSacramento, California$24–$27 / hourThe Occupancy Specialist is responsible for managing the occupancy process for a 198-unit senior apartment community, ensuring compliance with HUD and Low-Income Housing Tax Credit (LIHTC) program regulations. * EIV Report Management: Run monthly Enterprise Income Verification (EIV) reports to ensure compliance with HUD requirements and maintain EIV binders for audits.
Senior Construction Defect Technical Claims Specialist Argo Group International Holdings IncSenior Construction Defect Technical Claims SpecialistLos Angeles, CARemote$137,496–$164,934 / yearBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Essential Responsibilities: Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
Eyecare Billing Specialist Ultimate Staffing ServicesEyecare Billing SpecialistLong Beach, California$24–$27 / hourAccounts Receivable & Collections: Monitor and follow up on outstanding balances, work aging reports, and coordinate with patients, payers, and third-party agencies to resolve accounts. Responsible for supporting the full lifecycle of the revenue cycle, ensuring accurate, timely, and compliant financial processes from patient access through final payment resolution.
Senior Construction Defect Technical Claims Specialist Argo Group International Holdings Ltd.Senior Construction Defect Technical Claims SpecialistLos Angeles, CARemote$137,496–$164,934 / yearBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Essential Responsibilities: Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
Senior Claims Specialist, Workers Compensation Tokio Marine America Insurance CompanySenior Claims Specialist, Workers CompensationPasadena, CA$115,000–$120,000 / yearWe provide unique insurance and risk management tools from our experienced staff of account executives, underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team of claim professionals. About Tokio Marine: Tokio Marine has been conducting business in the U.S. market for over a century and we are licensed in all states, Puerto Rico and the District of Columbia, and write all major lines of Commercial Property and Casualty Insurance.
Accounts Receivable/Collections Specialist ServiceMaster Restore 9669 - IrvineAccounts Receivable/Collections SpecialistIrvine, CAFull timeThe Accounts Receivable / Collections Specialist is responsible for ensuring timely, accurate collection of outstanding receivables, maintaining clean aging reports, and supporting cash‑flow stability. The ideal candidate is organized, assertive, detail‑driven, and comfortable owning a predictable, audit‑safe AR workflow.
Manager, HIM Professional Billing Coding - FT - Days - Hims - Medical Records @ MV El Camino HospitalManager, HIM Professional Billing Coding - FT - Days - Hims - Medical Records @ MVMountain View, CA$61.27–$91.91 / hourThe PB coding manager leads a team of professional coders and collaborates closely with the Revenue Cycle professional billing teams ensuring providers charging/billing are compliant in adherence with Official Coding Guidelines, American Medical Association CPT procedural assignments and Healthcare Common Procedure Coding System (HCPCS) requirements. Leads educational sessions with the coding team by conducting research on various regulatory sites and coding guidelines in creating educational content for both clinicians and coding team members in reducing claim and payer denials providers continuous education strategies.
Supervisor Compliance and Liaison Specialist U.S. Department of Veterans AffairsSupervisor Compliance and Liaison SpecialistLos Angeles, CA$90,925–$159,575 / yearMINIMUM QUALIFICATION REQUIREMENT: You may qualify based on your experience as described below: Specialized Experience: To qualify for the GS-12 level, you need to have at least one year of full-time experience equivalent to the GS-11 level defined as direct specialized experience with Veterans Educational Benefits and experience working educational institution program approval applications and compliance survey activities, ability to set priorities and tasks, and resolve conflicting issues or actions in question. The Supervisor Compliance and Liaison Specialist serves as a manager in the Approvals, Management & Oversight team (AC&L) of the Program Oversight & Accountability Division and serves in an assigned jurisdiction(s) across the United States and is responsible for providing first level supervision and leadership of teams comprised of grades ranging from GS-09 to GS-11 within an assigned portfolio in support of Education Services mission.
NewLicensed Health Insurance Support Specialist - Seasonal - Hybrid in Visalia CA GallagherLicensed Health Insurance Support Specialist - Seasonal - Hybrid in Visalia CAVisalia, CaliforniaFull timeWhether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. Agents will assist with administrative, sales support, and client-facing responsibilities, allowing Field Producers to focus on growing and servicing their books of business.
NewPart Time Intermittent ID Card Specialist (PA II), NAVY ICA; San Diego, CA Magellan Health IncPart Time Intermittent ID Card Specialist (PA II), NAVY ICA; San Diego, CASan Diego, CAIssues and strictly controls Armed Forces identification and privilege cards for all eligible personnel, (i.e., active duty military, retired military, 100% Disabled American Veteran (DAV) and respective dependents and verified contractors. Provides professional military personnel support services to the U.S. Navy's Identification Card Administration (ICA) program at Navy installations designated as Defense Enrollment Eligibility Reporting System (DEERS) and Real-time Automated Personnel Identification System (RAPIDS) sites.
Technical Claims Specialist, Workers Compensation - West Region Liberty Mutual Holding Company IncTechnical Claims Specialist, Workers Compensation - West RegionRocklin, CAHas developed high level of knowledge of Workers Compensation claims handling techniques, a full knowledge of LMG claims procedures and is cognizant of new industry trends and claim handling techniques Uses available data to track claims trends and other claim related metrics. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role.
Victim Claims Specialist I San Joaquin CountyVictim Claims Specialist ISan Jose, CAMobility-Frequent keyboard operation, sitting; occasional pushing, pulling, bending, squatting; Lifting-Frequent lifting up to 5 pounds; Vision-Constant reading and close-up work requiring good overall vision; frequent eye/hand coordination; occasional color/depth perception and peripheral vision; Dexterity-Frequent holding, gripping, writing and repetitive motion; occasional reaching; Hearing/Talking-Constant hearing normal speech, hearing/talking in person and on the telephone; occasional hearing faint sounds; Emotional/Special Conditions-Frequent public contact, decision making, and concentration; frequent exposure to trauma, grief and death; occasional working overtime. Learns to review and process a variety of claims submitted by victims including medical bills, mental health bills, funeral/burial bills, wage loss requests and other expenses; learns to research information as required to establish a link to the qualifying crime and to verify losses claimed by the victim; learns to calculate losses to victims and determine reimbursements considering all other sources of compensation available; learns to recommend approval or denial of reimbursement and level of services; notifies victims of claim determinations.
Senior Claims Specialist Crum & ForsterSenior Claims SpecialistORANGE, CaliforniaRemoteWith our employee-first focus, the Company is consistently recognized as a great place to work, earning multiple workplace and wellness awards, including the Great Place to Work® Award, Fortune 100 Best Companies to Work For, Fortune Best Workplaces for Parents, Fortune Best Workplaces for Millennials, and many others. Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions.
Senior Inland Marine Technical Claims Specialist Argo Group International Holdings IncSenior Inland Marine Technical Claims SpecialistLos Angeles, CA$151,000–$181,250 / yearWe are seeking a highly skilled Senior Inland Marine Technical Claims Specialist to join our team in one of our Argo offices: Albany, Chicago, Houston, Los Angeles, Omaha, League City, or Richmond (VA). Essential Responsibilities: Working with limited oversight and broad authority, you will: Adjudicate highly complex inland marine claims involving significant exposure and technical difficulty, often with major impact on departmental outcomes.
Senior Inland Marine Technical Claims Specialist Argo Group International Holdings Ltd.Senior Inland Marine Technical Claims SpecialistLos Angeles, CA$151,000–$181,250 / yearWe are seeking a highly skilled Senior Inland Marine Technical Claims Specialist to join our team in one of our Argo offices: Albany, Chicago, Houston, Los Angeles, Omaha, League City, or Richmond (VA). Essential Responsibilities: Working with limited oversight and broad authority, you will: Adjudicate highly complex inland marine claims involving significant exposure and technical difficulty, often with major impact on departmental outcomes.
Claims Service Specialist GEICO GENERAL INSURANCE COMPANYClaims Service SpecialistPoway, CA$22.90–$35.10 / hourCustomer Interaction: Manage incoming calls, collect accident facts, investigate claim details, collect statements from involved parties, and assist in the process of getting our customers back on the road. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate's work experience, education and training, the work location as well as market and business considerations.
Claims Specialist - Claims Processing Providence Health & ServicesClaims Specialist - Claims ProcessingAnaheim, CA$24–$33.73 / hourRequsition ID: 429445 Company: Providence Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 7520 CLAIMS PROCESSING CA HERITAGE SERVICES Address: CA Anaheim 200 W Center St Promenade Work Location: St Joseph Home Health-Anaheim Workplace Type: On-site Pay Range: $24.00 - $33.73 Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Workers Compensation Claims Specialist, West CNA Financial Corp.Workers Compensation Claims Specialist, WestBrea, 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 - Workers Compensation Specialist I-Iv Cincinnati Financial CorporationClaims - Workers Compensation Specialist I-Ivpismo beach, CA$53,500–$90,000 / yearShare your talents to help us reach for continued success as we bring value to the communities we serve and demonstrate that Actions Speak Louder in Person. excellent interpersonal, verbal and written communication skills; problem-solving and negotiation skills; and organizational and prioritization skills.
General Liability Claims Specialist CNA Financial Corp.General Liability Claims SpecialistBrea, CA$54,000–$103,000 / yearJOB DESCRIPTION: 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.
Claims Loss Reporting Specialist AAAClaims Loss Reporting SpecialistCosta Mesa, CaliforniaThe position receives and documents first notice of loss, takes overflow calls, and answers low complexity claims related questions for the Claims department while delivering a totally satisfying member experience through exceptional customer service. With our national brand recognition, long-standing reputation since 1900, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team.
Claims Referral Specialist II LIBERTY Dental PlanClaims Referral Specialist IITustin, CA$20–$25 / hourThis position is ideal for someone who thrives in a fast-paced environment, enjoys working independently while supporting a collaborative team culture, and has a strong understanding of dental claims processing and benefit administration. Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives.
Education and Training Specialist - CLAIMS PROCESSING Providence St. Joseph HealthEducation and Training Specialist - CLAIMS PROCESSINGMission Hills, CAWorking under the general supervision of the Claims Director, provide an effective education program to advance the quality and production level of the Claims Department by developing and delivery claims training programs that continuously improves the Claims Department performance to meet the NSS strategic goals. Any combination of experience or equivalent background: 5 years experience of acquired in-depth technical knowledge of functional area i.e., claims operations, HMO products, industry claims processing procedures, contracts, billing and overall managed care processes, etc.
Claims Resolution Specialist Edison InternationalClaims Resolution SpecialistRosemead, CACommunicates with policyholders, witnesses, and claimants in order to gather information regarding claims, refers tasks to auxiliary resources as necessary, and advises as to proper course of action. Once hired, the candidate must complete specified training prior to gaining un-escorted access to assigned work location and performing necessary job duties.
Claims & Provider Relations Oversight Specialist Western Health AdvantageClaims & Provider Relations Oversight SpecialistSacramento, CASupport Annual Network Review (ANR), Geo Access, Provider Appointment Availability Surveys (PAAS), Provider Satisfaction Surveys (PSS), after-hours surveys, and related compliance activities. Western Health Advantage is seeking a detail-oriented Claims & Provider Relations Oversight Specialist to support compliance and regulatory operations within our Claims and Provider Relations department.
Senior Claims & Participant Services Specialist Ultimate Staffing ServicesSenior Claims & Participant Services SpecialistBurbank, California$55,000–$65,000 / hourThis highly visible role serves as a key point of contact for health plan participants, providers, hospitals, and physicians while also supporting process improvement initiatives across claims operations. This position offers the opportunity to make a meaningful impact by improving participant experiences, resolving complex claims issues, and contributing to operational excellence.
Claims Advocate Specialist First American Financial CorpClaims Advocate SpecialistSanta Rosa, CAFirst American reasonably believes that a criminal history may have a direct, adverse and negative relationship with the following material job duties for this position potentially resulting in the withdrawal of the conditional offer of employment: handling of confidential, proprietary or trade secret information belonging to First American or its customers, administrating or facilitating financial transactions, and the ability to meet customer-imposed criminal history requirements. Our inclusive, people-first culture has earned our company numerous accolades, including being named to the Fortune 100 Best Companies to Work For list for eleven consecutive years.
Claims Process Specialist LancesoftClaims Process SpecialistOakland, CARemote$18Job duties include: Examine garnishments, levies, liens and information subpoenas to ensure accuracy, completeness and legal sufficiency. Claims include garnishments, levies, liens and information subpoenas received from creditors and taxing authorities.
Bilingual Claims Intake/Fnol/Triage Specialist Argo Group International Holdings Ltd.Bilingual Claims Intake/Fnol/Triage SpecialistLos Angeles, CA$26.76–$30.80 / hourOur Adjusters and Managers are empowered to exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the unique situation it is. Ability to develop and maintain productive relationships with clients, business partners and organizational peers with a focus on timely and meaningful exchanges of information.
Claims Processing Specialist Wollborg Michelson RecruitingClaims Processing SpecialistRancho Cordova, CAThis role includes processing special claims that may involve manual review of actual treatment compared to authorized treatment, and adjudicating claims for specific client programs. The Claims Processing Specialist identifies and provides solutions for processing unique claims, refunds, overpayments, and underpayments.
Complex Claims Consultant/Specialist - Lawyers Professional Liability CNA Financial Corp.Complex Claims Consultant/Specialist - Lawyers Professional LiabilityLos Angeles, CA$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
Senior Triage Specialist (Aka Senior Claims Intake/Fnol Specialist) Argo Group International Holdings Ltd.Senior Triage Specialist (Aka Senior Claims Intake/Fnol Specialist)Los Angeles, CA$29.37–$34.18 / hourCandidates should have strong customer service skills and commercial insurance experience, along with one of the following: High school diploma and 6+ years of experience, including at least 1 year in insurance or a related industry (commercial claims preferred); or. Our collaborative environment gives employees direct access to leadership, opportunities to work on complex commercial claims, and the ability to contribute ideas that improve how we serve our customers.
Executive Claims Examiner Markel Group IncExecutive Claims ExaminerWoodland Hills, CA$97,520–$134,090 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues.
Medication Claims Reviewer Community Health Centers of the Central CoastMedication Claims ReviewerNipomo, CA$26–$28.67 / hourAnnual health examination; annual Tuberculosis skin test clearance or chest x-ray; proof of immunity to MMR, Varicella, and Hepatitis B; proof of Tdap vaccine; during current flu season, must provide proof of influenza vaccine or a signed declination form. Under the supervision of the Director of 340B Program, the 340B Reviewer Clerk shall perform chart reviews to locate chart notes, consultations, medications and referral orders to support 340B claims.
Claims Edit Coder Cedars-Sinai Medical CenterClaims Edit CoderLos Angeles, CAWhat you will be doing in this role: The Claims Edit Coder (Coder II) operated under the general direction of an audit supervisor and involves responsibilities across various work units, as well as duties specific to the reporting team. Communicates with physicians, providers, and external departments regarding documentation clarity, specificity, ensure the completeness of documentation required for code assignment within area(s) of assignment or specialty.
Sr Workers Compensation Claims Adjuster - California The Hanover Insurance Group IncSr Workers Compensation Claims Adjuster - CaliforniaRoseville, CACompensation: The target hiring range for this role may vary based on geographic location and other factors, including merit or performance, demonstrated proficiency, skills for the role, education, travel requirements, and experience. Individuals with disabilities who wish to request a reasonable accommodation to participate in the job application or interview process, or to perform essential job functions, should contact us at:HRServices@hanover.com and include the link of the job posting in which you are interested.
Environmental Health and Safety Specialist Marathon TSEnvironmental Health and Safety SpecialistFort Irwin, CAResponsibilities: " Conduct regular Safety, Health and Environmental Construction site safety and health inspections and maintain a written deficiency tracking log which includes area/operation inspected, date of inspection, identified hazards, recommended corrective actions and estimated and actual dates of corrections. " Bachelor's Degree from an accredited college or university in Occupational Safety, Safety Engineering, Occupational or Environmental Health, Industrial Engineering, or a safety related field, and 8 - 10 years progressively responsible experience administering a safety program or a Master's with 6 - 8 years of experience.