148 Results for

Claims Specialist Jobs in Los Angeles, CA

Jobs

New!

Van Nuys, CA1 day ago

$64,965.62–$104,056 Per Year

Qualifications Competitive candidates must demonstrate: * Experience as a Property Field Inspection Claim Specialist in the insurance industry, specifically in property claims * Strong knowledge of property insurance policies, coverage and claim handling practices * Knowledge of both residential and commercial building construction * Familiarity with local regulations and compliance requirements in your assigned territory * Excellent communication and interpersonal skills to effectively interact with clients, agents, and other stakeholders * Proven effective communication skills to handle difficult/emotional conversations with a customer-minded focus * Proven ability to assess damages, estimate repair costs, and negotiate settlements * Detail-oriented with strong organizational and analytical skills * Proficient in using claims management software and other relevant tools * Physical agility to allow for: frequent lifting, carrying and climbing a ladder; ability to navigate roofs at various heights for inspection of both residential and commercial structures; ability to crawl in tight spaces * May be required to complete Rope and Harness Safety Training. * A valid driver's license is required Preferred: * Bachelor's Degree in a related field or equivalent work experience * Experience in handling complex or high-value claims * Construction background * Water mitigation inspection experience * Xactimate, XactContents Additional Details: * Employees must successfully complete all required training, including applicable licensing exam(s), Motor Vehicle Record (MVR) checks, and background checks required of various state(s).

New!

Los Angeles, CA1 day ago

$25–$29 Per Hour

Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. This role is responsible for preparing, reviewing, and submitting claims, resolving denied or unpaid claims, and maintaining compliance with local, state, and federal billing regulations.

New!

Chatsworth, CA1 day ago

$90,000–$100,000 Per Year

This role serves as the site subject matter expert on OSHA and environmental regulatory compliance, partnering with operations and leadership to proactively mitigate risk, maintain audit readiness, and strengthen environmental stewardship initiatives. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal.

Alhambra, CA30+ days ago

Full-time
Employee

Responsibilities include, but not limited to: Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including:Contractual agreement rates. Job Description: Claims Auditor will be responsible for auditing claims processed by Claims Examiners.

whittier, CA8 days ago

$113,388–$140,868 Per Year
Full-time
Employee

The Project Controls Specialist analyzes project performance, identifies risks and variances, and supports mitigation strategies while partnering closely with project managers, engineering, construction management, and key stakeholders throughout the project lifecycle to deliver data-driven insights that support informed decision-making and successful project execution. This role is responsible for preparing and maintaining construction schedules and cost estimates, conducting value engineering analyses for complex and detailed facilities construction and alteration projects, and developing forecasts and performance reports.

New!

Irvine, CA6 days ago

$98,900–$148,300 Per Year

In the state of California, at an Underwriting Specialist Senior level, based on qualifications and experience the range for annual compensation for this position is between $119,600 - $179,400. In this role, you will: Work closely with agency partners and internal sales partners to obtain information needed to properly underwrite, price, and program individual policies/accounts.

Pasadena, CA8 days ago

The ideal consultant should have thorough knowledge of liability coverages, basic reinsurance, technical coding, and possess the ability to negotiate claim settlements efficiently, including using structured settlements when appropriate. Responsibilities:In this role, the individual will handle litigated or complex claims—such as cases involving severe damages, coverage issues, sensitive matters, and declaratory relief actions.

New!

San Pedro, CA2 days ago

$30–$35 Per Hour

The Human Resources Specialist will report directly to the Human Resources Manager and will be responsible for supporting day-to-day human resources operations with a primary focus on full-cycle recruitment, onboarding, and personnel records management. The Human Resources Specialist will manage the recruitment process from requisition through onboarding, maintain accurate and audit-ready employee records, and provide administrative and coordination support across HR functions including benefits, leaves of absence, and compliance-related processes.

New!

Brea, CA4 days ago

$0–$0.01 Per Hour

Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost-effective manner and ensuring timely issuance of disbursements. Duties:Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.

New!

Los Angeles, CA3 days ago

$69,920–$133,620 Per Year

Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.

New!

Los Angeles, CA3 days ago

$1,910–$1,910

A Registered Nurse (RN) – Outpatient Clinic provides direct nursing care and support to patients in an outpatient setting, focusing on preventive care, chronic disease management, and patient education. Key Responsibilities: Patient Assessment and Triage: Perform initial assessments for patients visiting the clinic, including taking medical histories, measuring vital signs (e.g., blood pressure, temperature, weight), and assessing current health status.

Buena Park, CA30+ days ago

$100,000–$120,000
Full-time

Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. This role is integral to our operations, and the successful candidate will be responsible for managing and resolving claims, ensuring adherence to legal requirements, and maintaining comprehensive documentation.

California19 days ago

$44,466–$77,881 Per Year

Bodily Injury Claims Management: Analyze medical records to evaluate, negotiate, and settle moderate bodily injury claims with legal counsel for represented claimants and unrepresented parties. If you’re passionate about helping people restore their lives when the unexpected happens, and providing high-quality customer experiences, then our Mercury Insurance Claims team could be the place for you!

Pasadena, CA30+ days ago

$25–$27 Per Hour

This role serves as a key liaison between OEM teams, dealers, customers, and suppliers to ensure efficient resolution of claim issues. Verify claim accuracy by reviewing labor hours, parts usage, repair orders, and supporting documentation.

Orange, CA30+ days ago

Role involves handling technical and administrative responsibilities related to managing assigned claim files and taking on a larger caseload of highly complex claims. Responsibilities:Manage medical malpractice claims, including the assignment, direction, and control of defense counsel, under supervision and in compliance with the Claims Technical Manual, the Defense Attorney Guidelines, and the MPT Agreement.

Los Angeles, California28 days ago

You will manage a caseload of personal injury matters from intake through settlement, working directly with clients, providers, and insurance carriers to maximize case value. Career Consulting Partners is partnered with a large Personal Injury Law firm that has been voted as one of America's "Most Feared Plaintiff Firms".

ORANGE, California18 days ago

Remote

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. We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community.

Orange, CA30+ days ago

$25–$32 Per Hour

Job duties: Addresses provider inquiries, questions, and concerns in all areas including enrollment, claims submission and payment, benefit interpretation, and referrals/authorizations for medical care. Outreaches to Health Network(s), providers, and collection agencies when appropriate to resolve claims billing, claims payment, and provider payment disputes.

New!

Irvine, California6 days ago

Remote

$85,000–$95,000 Per Year

Responsibilities: When we hire Workers’ Compensation Adjusters at CCMSI, we look for detail‑driven problem‑solvers who balance empathy with sound judgment, navigate complex regulations with confidence, and deliver fair, timely outcomes that support injured workers and strengthen client trust. The Workers’ Compensation Claim Specialist is responsible for managing a caseload consisting primarily of litigated and some complex claims, ensuring timely and accurate payment of benefits while delivering high‑quality service to our clients.

Los Angeles, California28 days ago

Remote

$22.27–$33.43 Per Hour

They must be confident when interacting directly with colleagues and clients via phone, letter or email to discuss claim decisions, obtain additional details or follow-up on existing claims within the regulatory defined guidelines, as well as, the banks policies and procedures. A successful Payment Claim Specialist will be able to navigate multiple technologies while fulfilling business needs, providing a premiere client experience and has an in-depth knowledge of the various payment methods.

Los Angeles, California30+ days ago

New!

Chino Hills, CA1 day ago

$43–$45

We are partnering with a well-established third-party administrator (TPA) that delivers comprehensive workers’ compensation and risk management services to a broad client base. This role involves consistent interaction with external partners and internal teams, requiring strong communication skills, organization, and attention to detail.

New!

Anaheim, CA4 days ago

$60,000–$100,000 Per Year

Our client, a large and growing insurance carrier, is seeking a Third Party Liability Claims Examiner to manage complex bodily injury, property damage, and litigated liability claims related to commercial trucking and business insurance policies. This role is responsible for investigating, evaluating, negotiating, and resolving third-party liability claims while coordinating with attorneys, TPAs, claimants, and internal teams.

Glendale, CA30+ days ago

Full-time

To perform the job successfully, an individual should demonstrate the following competencies: Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations. Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.

Pasadena, California11 days ago

$26–$29 Per Hour

We are seeking an experienced Medical Claims Examiner to review, analyze, and adjudicate medical claims for accuracy, compliance, and medical necessity. Identify coding discrepancies, overpayments, and potential fraud or abuse.

Pasadena, California21 days ago

$23–$27 Per Hour

Communicate professionally with members and providers to address inquiries, follow up on pended claims, and complete necessary corrections or adjustments. Strong working knowledge of medical terminology, billing practices, and coding systems, including CPT, ICD-9/ICD-10, HCPCS, DRG, and revenue codes.

Irvine, California14 days ago

$110,000–$125,000 Per Year

This role actively supports and participates in the company’s culture of continuous learning and innovation, including engagement in innovation groups focused on identifying opportunities for process improvement, enhancement, and transformational change. Key functions include but are not limited to: Adjust all aspects of complex claims and loss notices, including coverage and compensability analysis, reserve setting, reinsurance reporting, and coverage litigation.

Pasadena, CA26 days ago

Remote

Contractor

To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.

Brea, CA30+ days ago

Job Description:To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. OSIP certificate - Preferred .

El Monte, California21 days ago

$23–$29 Per Hour

Interact professionally with members and providers to resolve inquiries, follow up on pended claims, and complete corrections and adjustments. Review claims for fraud, waste, abuse, hospital‑acquired conditions, Workers' Compensation, and Third‑Party Liability, referring cases as appropriate.

Torrance, California30+ days ago

Remote

The 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.

Los Angeles, CA7 days ago

The Claims Investigator-Examiner enhance the experience of providers and the organization by being knowledgeable, friendly, and helpful and by offering accurate and thorough responses or instructions to enquiries about claims. The Claims Investigator-Examiner contributes to AHF's mission by ensuring accurate and timely and payment of claims and providing a positive experience to providers and internal staff.

Long Beach, CA30+ days ago

$69,288–$98,000 Per Year
Full-time
Employee

PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.

Long Beach, CA30+ days ago

$70,000–$100,000 Per Year
Full-time
Employee

PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.

New!

Torrance, California5 days ago

Remote

The 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. How you'll make an impact: In this role, you’ll ensure reinsurance and excess carriers receive timely and accurate reports, while working closely with managers and supervisors to address inquiries and maintain quality control.

Anaheim, CA21 days ago

Full-time

In this role, you will handle claims involving third-party liability, specifically in commercial trucking and business policies, working to resolve them efficiently while ensuring fair settlements. Key Responsibilities: Investigate, evaluate, and resolve third-party claims including bodily injury, property damage, and liability claims including ones in litigation for commercial trucking and business policies.

Brea, CA28 days ago

Full-time

Work within established authority on moderate-to-difficult claims, reviewing coverages, determining liability/compensability, collecting statements and essential information, and settling claims using best practices. Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements.

Brea, CA22 days ago

Brea, CA30+ days ago

Anaheim, California18 days ago

$33–$38

The ideal candidate brings direct experience working with workers’ compensation files, claims documentation, or medical/legal records, and thrives in a process-driven setting. This role is heavily focused on document management and requires someone who can handle high-volume administrative tasks with accuracy and consistency.

Irvine, California28 days ago

$49–$54 Per Hour

Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations. Your ability to effectively interact with insureds, claimants, and their legal representatives will be essential in driving timely settlements while adhering to AmTrust’s mission, vision, and values.

California30+ days ago

$32,363–$56,701 Per Year

Responsibilities: Essential Job Functions:• Research actual cash value of vehicles by gathering and analyzing current market information to reach an equitable settlement of damages for losses due to theft and collision, while maintaining good customer service and shop relations. Upon completion of our comprehensive training program, and with ongoing guidance and support, the Appraisal Specialist takes the lead in researching vehicle values and negotiating total loss settlements accurately, efficiently and with excellent customer service.

Irvine, CA30+ days ago

$23–$28

Assist patients with submitting financial assistance applications, including obtaining consent forms, uploading documentation, completing electronic applications, and following up with financial assistance programs to prevent therapy interruptions. Work closely with the Prior Authorization team by providing all required clinical and documentation updates, ensuring timely submission, tracking authorization progress, and maintaining consistent communication with the patient and provider.

Los Angeles, CA13 days ago

$23.75–$25 Per Hour

Under direct supervision of CQI leadership and guidance of the CQI Billing and Records team, the CalAIM Billing Specialist I will be responsible for reviewing, submitting, and tracking claims for VOALA’s Health Supportive Services division, consisting of Community Supports (CS) Housing (Housing Tenancy, Housing Deposit, Housing Navigation, and/or Recuperative Care) and Enhanced Care Management (ECM) programs, with the potential of additional CalAIM program inclusion. Ability to perform under circumstances of possible emotional stress and conflicts dealing with difficult, uncooperative, and potentially aggressive clients as VOALA serves the neediest of the needy in our programs which may include clients with homelessness, mental-illness, substance abuse, recently released from incarceration and other challenges.

New!

Los Angeles, CAToday

$25.65–$27 Per Hour

Under direct supervision of CQI leadership and guidance of the CQI Billing and Records team, the CalAIM Billing Specialist II will be responsible for reviewing, submitting, and tracking claims for VOALA’s Health Supportive Services division, consisting of Community Supports (CS) Housing (Housing Tenancy, Housing Deposit, Housing Navigation, and/or Recuperative Care) and Enhanced Care Management (ECM) programs, with the potential of additional CalAIM program inclusion. Ability to perform under circumstances of possible emotional stress and conflicts dealing with difficult, uncooperative, and potentially aggressive clients as VOALA serves the neediest of the needy in our programs which may include clients with homelessness, mental-illness, substance abuse, recently released from incarceration and other challenges.

New!

South Pasadena, CA3 days ago

Full-time

In this dynamic full-time role, you’ll play a critical part in supporting approximately 500 employees by administering employee benefits programs, guiding team members through leave and Workers’ Compensation processes, and ensuring compliance with HR laws and regulations. At Total Education Solutions (TES), we believe our employees are the heart of what we do — and we’re looking for a dedicated, detail-oriented, and compassionate Benefits Specialist to join our Human Resources team!

Culver City, CA21 days ago

The CDI Specialist Level II is responsible for conducting clinically based concurrent and retrospective reviews of inpatient medical records to evaluate if clinical documentation is reflective of medical necessity, quality of care outcomes and reimbursement compliance for acute care services provided. Reviews inpatient medical records, meeting all department productivity goals, for identified payor populations as directed on admission and throughout hospitalization and identifies potential gaps in physician documentation.

Van Nuys, CA30+ days ago

Part-time

If you are an organized, detail-oriented professional with experience in healthcare or behavioral health billing, we encourage you to apply and make a difference with Developmental Pathways, Inc. #BillingJobs #HealthcareBilling #MedicalBilling #BehavioralHealth #ABABilling #VanNuysJobs #PartTimeJobs #InsuranceClaims #CaliforniaJobs. Our Administrative Support team members play a vital role in advancing our mission to make a difference in the lives of children with autism spectrum disorder and their families.

Los Angeles, CA27 days ago

$45,000–$53,000

Responsibilities include managing and paying invoices, ensuring that costs are recorded in both our accounting software & CRM tool, proactively working with our teams to successfully maintain updated billing totals, ensuring regular contact with outstanding lienholders, and assisting with the preparation of financial reports where needed. Proficient organizational skills to effectively verify amounts, dates, and supporting documentation are represented in all the correct digital locations.

Garden Grove, CA30+ days ago

Join a collaborative, mission-driven team at a growing home infusion pharmacy where your intake experience supports timely, compassionate patient care. Education & Experience Requirements:High School Diploma or equivalent required; additional training in pharmacy/medical benefit access strongly preferred.

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Claims Specialist Jobs in Los Angeles, CA

Jobs

Claim Specialist - Property Field InspectionState Farm Mutual Automobile Insurance Company

Medical Billing SpecialistJobot

Environmental Health & Safety SpecialistJobot

Claims AuditorHealth Source MSO

Project Controls SpecialistLASCD

Middle Market Underwriting SpecialistSentry Insurance

Litigation SpecialistECLARO

HR SpecialistHarbor Community Clinic

Claim Examiner- WCTPI Global Solutions

Property Adjuster Specialist - FieldUSAA

Travel Nurse RN - Outpatient Clinic - $1,910 per week in Los Angeles, CAMagnet Medical

Workers Compensation Claims SpecialistJobot

Claims Specialist IIMercury Insurance Services, LLC

Claims SpecialistRIDE Mobility

Medical Malpractice Claims SpecialistTellus Solutions

Claims Specialist (Los Angeles)Career Consulting Partners

Senior Specialist - WC Claims - CA Jurisdiction, RemoteCrum & Forster

Medical Claims Resolution SpecialistKinetic Personnel Group, Inc.

Workers' Compensation Claim SpecialistCCMSI

Payments Claim SpecialistCity National Bank

Contract & Claims SpecialistFlatiron Construction Corp

Workers Compensation Claims ExaminerCala Sourcing Solutions LLC

Third Party Liability Claims Examiner - Insurance Carrier - Base Salary to 100k/year - Anaheim, CAAllsearch Recruiting

Workers Compensation Claims Assistant TemporaryAVONRISK

Medical Claims ExaminerUltimate Staffing Services

Health Claims ExaminerUltimate Staffing Services

Senior Claims ExaminerBerkley

Claims Examiner - Workers CompensationApidel Technologies

Claims ExaminerLancesoft

Healthcare Claims AdjusterUltimate Staffing Services

Senior Claims ExaminerGallagher

Claims Investigator-ExaminerAIDS Healthcare Foundation

Workers Compensation Claims Examiner | Long Beach, CASedgwick Claims Management Services, Inc.

Workers Compensation Claims Examiner - Long Beach, CA (Hybrid)Sedgwick Claims Management Services, Inc.

Reinsurance Claims ExaminerGallagher

3rd Party Claims Adjuster/Examiner - HYBRIDDB Insurance Co., Ltd.

Sr Claim Examiner-WC (CA)Crawford & Company

Claim Examiner- WCTPI Global (formerly Tech Providers, Inc.)

Sr Claim Examiner- WCTPI Global (formerly Tech Providers, Inc.)

Office Specialist (Workers’ Compensation)SuperbTech, Inc

Senior Claim Examiner IAmTrust Financial Services, Inc.

Appraisal SpecialistMercury Insurance Services, LLC

Billing and Credentialing SpecialistClinivoy LLC

CalAIM Billing SpecialistVolunteers of America Los Angeles

CalAIM Billing Specialist IIVolunteers of America Los Angeles

Benefits SpecialistTotal Education Solutions

Clinical Documentation Improvement Specialist (CDI) II - Full Time, Days (CBO-Culver City)NOR Healthcare Systems

Billing SpecialistDevelopmental Pathways Inc.

Accounting Specialist - Personal Injury, In-office role, Los AngelesSepulveda Sanchez Law

Patient Intake Specialist - Specialty Pharmacy 25-00353Alura Workforce Solutions

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