Claims jobs in Los Angeles, CA - Page 14Create job alerts

As a Workers' Comp Claims Coordinator is responsible for the investigation, evaluation, disposition and settlement of the most complex claims and highest exposures. The incumbent is responsible for coordinating weekly claims review meetings with appropriate parties to ensure the handling of WC cl...

The Claims Investigator should demonstrate proficiency in the following areas:.

The Contractors shall provide a temporary Workers Compensation Claims Analyst within 14 days of receiving a fully-executed Task order.

Under the direction of the Claims Manager, is responsible for the overall work product of a claims unit comprised of Claims Specialists who manage assigned inventories of claim files. Performs quarterly audits of 10% of the open inventory of each claims specialist for the purpose of validating th...

The Payment Claims Specialist is responsible for the investigation and processing of payment fraud claims and disputes with precision and quality.They must be confident when interacting directly with colleagues and clients via phone, letter or email to discuss claim decisions, obtain additional d...

Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims. Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring...

Responsible for claims results, including timely contact and disposition of claims. The General Liability Claims Examiner II role is to investigate and resolve liability, auto, property and first party claims. Handles claims consistent with policies, procedures, and "best practices" and in accord...

Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims. Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring...

Description: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...

Help our payroll administrator with payroll and claims administration.

Content Claims Specialists are responsible for the physical inventory and valuation of contents damaged in residential and commercial property claims as a result of a covered peril. Communicate with adjusters/policyholders and industry vendors to explain their roles as Content Claims Specialists ...

The Contractors shall provide a temporary Workers Compensation Claims Analyst within 14 days of receiving a fully-executed Task order.

As a Supervisor, you'll lead a team of 7, including 5 Claims Adjusters and 2 Claims Assistants, providing guidance, mentorship, and performance feedback to ensure exceptional claim handling and adherence to company standards and regulations. Workers' Compensation Claims Supervisor - Lead a Dynami...

We are seeking a Paralegal to work in our Glendale, CA office location to provide general paralegal support for the office. Must have a paralegal certificate or a minimum of 6 months experience in drafting discovery documents and discovery responses, summarizing claims files and medical records a...

Under close supervision, analyzes insurance claims to determine extent of insurance carrier's liability and settles claims with claimants in accordance with policy provisions by performing the following duties. Ability to identify and address questionable (AOE/COE) claims. Prepare claims status r...

The Field Claims department is currently seeking Field Claims Representatives to service the territory surrounding:. Many departments at our Headquarters in Fairfield, Ohio, offer hybrid work options, empowering associates to work from home several days a week. This territory allows either an exp...

Requires a working knowledge of the Labor Code of the State of California as it pertains to workers compensation claims and the legal requirements for handling them. Reports directly to the unit Claims Supervisor. Assure that all assigned indemnity claims have an up to date plan of action outlini...

Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims. Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring...

Elicit requirements using interviews, document analysis, and requirements workshops, business process descriptions, use cases, business analysis, task and workflow analysis. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. This is a g...

Supporting other claims examiners and claims supervisors with larger or more complex claims as assigned. To be oriented and trained as new industry professional with the ability to analyze workers compensation, general liability or disability claims and determine benefits due. Attendance and comp...

Investigating complex and high-risk claims - which may be attorney represented or have additional litigation features - you'll consult with police officers, medical professionals, claimants and others involved in the accident. Five years of relevant work experience with two years in claims handli...

Job Title: Business Developemnt Manager - Sales.We are seeking a results-driven.Business Development Manager - Sales.This role requires a strategic thinker with excellent communication and negotiation skills to expand our market presence and achieve sales targets.Identify and pursue new business ...

The Claims Processor will provide excellent client service by accurately processing provider claims in a timely manner while adhering to the contractual requirements of the California Department of Education and LA County Department of Public Social Services as well as Crystal Stairs, Inc. We are...

Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Care Health Plan is an independent public agency created by the state of California to provide he...

The Risk Analyst (WC) works with Risk team members, third party administrator, and other vendor partners to elevate the WC claims program. The Risk Analyst (WC) investigates basic to moderate level of Worker's Compensation claims. Risk Analyst (WC) may represent the company in worker's comp litig...

The Risk Analyst may represent the company at Small Claims Court. The Risk Analyst investigates basic to moderate level of claims, including Worker's Compensation, General Liability and other product lines. Develops relationships with Operations and actively contributes to mitigate risk at the st...

As the Commercial Biller, you will be responsible for:.Accurately processing of Inpatient and Outpatient claims to all payers, specifically government and commercial payers.Interpreting payer contracts, processing contractual adjustments, knowledge of late charge process.Primary, secondary, and t...

The Billing Specialist is responsible for ensuring that information is processed accurately and timely, and is Familiar with concepts, practices, and procedures for all billing claims to Department of Mental Health (DMH) using the Electronic Health Record (EHR) software EXYM. Understand how menta...

Proven experience in ability to manage large projects in commercial mitigation and construction. Project Directors are responsible for simultaneously managing and directing multiple claims/jobs. Manages multiple large scope projects, simultaneously, from beginning until completion.

Our Insurance Coverage Practice focuses on interpreting contracts of all kinds and representing insurers in complex coverage claims. The firm represents primary and excess insurers, reinsurers, third-party administrators, managing general agents, insurance brokers and agents, and independent adju...

Own your career as an Auto Liability Claims Adjuster Trainee at Kemper! Be a part of fastest growing companies.

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 investig...

These positions would be responsible for handling California Workers' Compensation Indemnity claims from inception to close. Handle moderate to complex Workers' Compensation claims, including litigation, with minimal supervision and guidance from the manager. California Workers' Compensation clai...

Collaborating with underwriters, operations, claims, marketing and home office product management. We are currently looking for a Senior Commercial Lines Underwriter in our Los Angeles branch.

What you'll do as a Claims Adjuster?. Manage an inventory of auto liability claims. Establish and adjust reserves; escalate claims to SIU or subrogation as needed.

As part of the Tokio Marine Group of companies TM Claims Service provides claims handling services throughout the US and the Americas.Founded in 1879, Tokio Marine is recognized as Japan's oldest insurer and one of the largest insurance groups in the world.Tokio marine has offices in 38 countries...

Proven analytical/technical aptitude evidenced by at least 5 years of successful experience in a quantitative role as a Business Analyst, Data Analyst, Programming Analyst, Claims processing, encounter processing. The Business Analyst III facilitates business process improvement via the methodica...

Auto and/or commercial insurance experience. Health care flexible spending accounts, health savings accounts, & life insurance.

Industry Advancement Program | Workers Compensation Claims Representative Trainee | In Office, Brea, CA. A stable and consistent work environment in an office. Participates in rotational assignments to provide temporary support for office needs.

We are seeking a Health Plan-Claims for an assignment in Long Beach California.

We are offering the opportunity to work in a fast-paced and exciting environment, while you grow your career! We are currently looking for Auto Liability Adjusters to investigate claims, determine liability, confirm coverage, establishes damages, and negotiate settlement of claims. Understanding ...

Keenan specializes in providing consulting services in the areas of: employee benefits, workers' compensation, loss control, financial, and property & liability. Assist with setting up new losses (both property and liability).

To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements. Manages workers compensation claims determining c...

Claims Coordinator to join our team! In this position you will be responsible for filing and managing all claims regarding workers compensation, auto liability, general liability, property damage, etc. File, manage all auto, general liability, property damage and worker's compensation claims. Pro...

Minimum of 5 years of experience in claims handling of bodily injury and property damage claims with an Insurance Carrier or Third-Party Administrator. As a Claims Supervisor at Knight Insurance Group, you will manage and lead a team of Personal Auto Claims Adjusters. Minimum of 3 years of experi...

The Senior Participant Service Specialist/Analyst will process health insurance claims and answers calls from the customer (participant, providers, physicians, hospitals etc. Adhere to eligibility, claims and call policies and procedures while making sound claim/call decisions. Review and researc...

Supporting other claims examiners and claims supervisors with larger or more complex claims as assigned. Adjusting lost-time workers compensation claims under close supervision. Processing disability claims of minimal disability duration under close supervision.

Works closely with CSRC management and subject matter experts in reviewing and analyzing healthcare data related to patient billing and claims to identify trends, potential revenue leakage, and areas for improvement within the revenue cycle process, aiming to optimize revenue collection and minim...