Claims Specialist 1
Public Consulting Group
Claims Specialist IPublic Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000 professionals throughout the U.S.—all committed to delivering solutions that change lives for the better. The firm is a member of a family of companies with experience in all 50 states, and clients in three Canadian provinces and Europe. PCG offers clients a multidisciplinary approach to meet challenges, pursue opportunities, and serve constituents across the public sector.PCG is seeking a highly motivated, detail-oriented, and dependable Claims Specialist I to support our Stage 1 Child Care Payment Services Program in San Diego, California. This position plays a critical role in ensuring the accurate and timely processing of child care payments to providers while assisting CalWORKs families in accessing essential child care services. The Claims Specialist I is responsible for managing, collecting, tracking, and reporting child care payment and supportive services information through various systems, including KinderTrack and CalSAWS. The ideal candidate demonstrates strong customer service skills, attention to detail, and the ability to work effectively in a fast-paced environment.Duties and ResponsibilitiesResponsible for reviewing and processing child care provider payments accurately and in compliance with program policies and timelines.Maintains positive relationships with participants, providers, county staff, and partner agencies while delivering professional customer service.Ensures accurate data entry, payment reconciliation, recordkeeping, reporting, and budget file maintenance to support program operations, compliance, and audits.Monitors 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.Accurately enter provider timesheets, invoices, payment data, and client information into applicable systems.Maintains confidentiality and adheres to all program guidelines, policies, and quality standards.Required SkillsStrong initiative and ability to prioritize tasks, manage competing responsibilities, and meet established deadlines.Excellent interpersonal skills with the ability to interact professionally with clients, providers, community partners, and team members.Exceptional attention to detail and commitment to maintaining accuracy in all work products.Possesses strong administrative, technical, and customer service skills, including proficiency in Microsoft Office applications, data entry, and database management.Demonstrates the ability to learn new systems, interpret and apply policies and procedures, manage multiple priorities, and meet deadlines in a fast-paced environment.Skilled in communication, problem-solving, critical thinking, and maintaining accurate records with exceptional attention to detail.Works effectively both independently and collaboratively, provides professional support to diverse populations, handles confidential information with discretion, and remains adaptable while ensuring compliance with organizational policies, procedures, and quality standards.Experience with systems such as CalSAWS and KinderTrack is preferred but not required.QualificationsHigh school diploma or equivalent required; bachelor's degree preferred.Proficiency in Microsoft Excel required.Prior accounting, bookkeeping, payment processing, or related financial experience is preferred.Experience working with social service programs, child care services, or public assistance programs is a plus.Working ConditionsMust reside in San Diego CountyThis position requires full-time (Mon-Fri) in-office work, from 8am-5pm.PCG does not sponsor newly hired foreign national workers for work authorization, including H-1B sponsorship.EEO Statement:Public Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. 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. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.Compensation:Compensation for roles at Public Consulting Group varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience. As required by applicable law, PCG provides a reasonable range of compensation for this role. In addition, PCG provides a range of benefits for this role, including medical and dental care benefits, 401k, PTO, parental leave, bereavement leave.PCG does not sponsor newly hired foreign national workers for work authorization, including H-1B sponsorship.
$19 - $24 per hour
...solutions for their customers. About the Role: The Insurance Claims Specialist is responsible for communicating effectively and... ...center experience in a high-volume, multi-channel environment ~1+ year of experience handling issue resolution, troubleshooting...SuggestedFull timeContract workLocal area$61.05k - $98.33k
...The Senior Liability Claims Specialist manages mid to complex Auto and/or General Liability claims, including bodily injury and property damage... ...In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate...SuggestedMinimum wageFull timeWork at officeLocal areaRemote workFlexible hours- Optum in San Diego is seeking a Claims Representative to thoroughly review, analyze and research healthcare claims, verify pricing, and process... ...:00pm PST. The ideal candidate has a High School Diploma or GED, 1+ year of claims processing or related experience, proficiency...SuggestedFull timeWork at officeShift work
$49k
...Great Rewards, and Great Careers. Your Impact at GEICO As an Auto Claims Specialist, you’ll reassure customers and offer solutions when they need... ...weekends. Benefits: Health and wellness benefits starting Day 1 (medical, dental, vision, flexible spending accounts and more...SuggestedHourly payWork experience placementWork at officeLocal areaImmediate startFlexible hoursWeekend workAfternoon shift- ...Workers Compensation Associate Claims AdjusterAre you looking for an opportunity to join a fast-growing company that consistently outpaces... ...engagement during training are mandatory. Training will require 1 week in our Plano, TX office onsite in November 2026.This position...SuggestedWork at officeImmediate startRemote work
$125k - $175k
...screening for marijuana. Axos Bank is a federally regulated banking institution. At the federal level, marijuana is an illegal schedule 1 drug; therefore, we will not employ any person who tests positive for marijuana, regardless of state legalization.Equal Employment...Full timeWork at officeLocal area$95k - $130k
...facts and/or sound judgementPrepare timely, concise and accurate credit recommendations, with limited supervision or revision. Includes: (1) quantitative components within the underwriting narrative documenting the credit analysis; (2) accurate use of risk rating scoring...Full time- Warranty Claims & Quality Control Specialist The Warranty Claims & Quality Control Specialist, reporting to the Talent Operations Manager, is responsible... ...Analysis (Virtual Focus): Assist the QC lead in reviewing 1-star and 2-star OPI/VRI calls. Identify and document...Remote work
$18 - $32 per hour
...Healthcare Claims Reviewer Optum is a global organization that delivers care, aided by technology to help millions of people live healthier... ...work experience ~ Must be 18 years of age OR older ~1+ years of experience in a related environment (i.e., office, administrative...Hourly payMinimum wageFull timeWork experience placementWork at officeLocal areaMonday to FridayShift work$21 - $24.5 per hour
Liberty Military Housing Own Your Passion For Service! Liberty Military Housing is one of the largest providers of military family housing in the United States. In partnership with the US military, we are committed to delivering safe, high-quality homes and exceptional...Remote jobImmediate startFlexible hoursWeekend workAfternoon shift$80k - $100k
...screening for marijuana. Axos Bank is a federally regulated banking institution. At the federal level, marijuana is an illegal schedule 1 drug; therefore, we will not employ any person who tests positive for marijuana, regardless of state legalization. Equal Employment...Self employmentWork at officeLocal area$65k - $75k
...EarthquakeApplylocations: San Diego – 350 10th Avenue: Remote - California: Chicago - 1 South Wacker Drive: Atlanta - 2859 Paces Ferry Rdtime type:... ...across 21 countries, DUAL has built a reputation as a specialist underwriting group and the market of choice for insurance...Full timeWork at officeLocal areaRemote work- Job Title We are looking specifically for local candidates. The job is based in San Diego and that this is an onsite/in person job. While we are working remotely for now, all candidates should understand that they can be called back to the San Diego office as soon as...Contract workTemporary workWork at officeLocal areaRemote workShift workNight shift
- ...System: San Ysidro HealthUnit Name: Human ResourcesContract Length: 17 WeeksTemp to Hire positionLocation: SY Corporate Office- 1601 Precision Park Lane San Ysidro CA 92173The position is Hybrid but will need to go onsite at least 1 to 2 times a month for onboarding...Work at office
$175k - $250k
...and qualifications, and may vary from the amounts listed above. Share this Job: FIRST NAME: LAST NAME: EMAIL: PHONE: +1 I agree to receive messaging notifications regarding my applications at the phone number provided. MSG & Data rates may apply. MSG...Work experience placementLive inLocal areaHome office- Liberty Mutual is seeking a Claims Specialist to manage assigned claims from investigation through resolution. You will assess liability, evaluatem losses, negotiate settlements, and coordinate with claimants, policyholders, appraisers, attorneys, and third parties. The...
$75k
...support to help you master Platinum’s proven 10-step sales system—faster and more confidently than ever before. Your Day-to-Day 1. Travel to Your Territory : Meet potential customers (farmers, small business owners, and families) face-to-face to build trust and...Flexible hoursNight shift$69.4k - $104.06k
...matter most. Grow Your Skills, Grow Your Potential Responsibilities Join our team as a Property Field Inspection Claim Specialist and showcase your expertise in handling accident and weather-related claims for homeowners, commercial properties, and large...Work experience placementInternshipWork at officeLocal areaRemote workWork from homeFlexible hours$83k - $104k
...between user experience, data, and AI/ML to optimize the way we engage with our customers and partners. Job Summary The Senior Claim Specialist position at Golden State Claims Services reports to a Claims Supervisor, Claims Manager or Senior Claims Manager. The chief...Temporary workLocal areaRemote workWork from home$50k - $60k
...deliver exceptional patient experiences. As a Customer Support Specialist, you’ll support clients by troubleshooting software issues, answering... ...or software support within the orthodontic industry. At least 1 year of experience using one or more integration partner...Contract workLive outWork at officeRemote workWorldwideFlexible hours3 days per week- ...Recruitment Team. Location: San Diego, CA Job Id: 1599 # of Openings: 1 ATHENS POSITION DETAILS Position Title: Department: Reports To:... ...Job Grade: 12 Next step in progression could include Lead Senior Claims Examiner or Claims Supervisor ATHENS ADMINISTRATORS Explore the...Full timeWork at officeLocal areaImmediate startRemote workMonday to FridayFlexible hours1 day per week
- ...* Professionalism * Initiative * Confidentiality * Diplomacy Education and Experience: * High School Diploma or GED * 1 year in Administrative Assistant/Customer Service role or 1 year of transferable skill set preferred Physical Requirements (With or...Work at office
$65k - $150k
Hours: 8:30-5:00 Local Time Location: Remote or hybrid, depending on your area Compensation: $65,000 - $150,000 Who We Are: Welcome to USG, a distinguished national wholesale broker and managing general agent (MGA) with a prominent presence across the nation...Contract workTemporary workLocal areaRemote workFlexible hours- ...Workers Compensation Claims ExaminerBy joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do... ...knowledge required; SIP required or must be obtained within one (1) year of employment.TAKING CARE OF YOUFlexible work schedule.Referral...Work at office
$73.9k - $122k
...Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided... .... Salary Range $73,900.00 - $122,000.00 Target Openings 1 What Is the Opportunity? This position is eligible for a...Local areaRelocation package$61.05k - $98.33k
CorVel Corporation is seeking a Senior Liability Claims Specialist to manage mid to complex Auto and General Liability claims. The role involves investigating claims, establishing reserves, and communicating with stakeholders to ensure optimal outcomes. Ideal candidates...Remote job- UnitedHealth Group in San Diego is seeking a dedicated claims processor to review, research, and adjudicate healthcare claims onsite at our office in San Diego, CA. The role requires careful verification of pricing, prior authorizations, and timely processing to support...Full timeWork at officeMonday to FridayShift work
- GEICO in Poway, CA seeks an Auto Claims Specialist to assist customers with empathy, guide them through coverage decisions, and help get them back on the road after an incident. You will manage incoming calls, collect accident facts, investigate details, obtain statements...Flexible hoursWeekend workAfternoon shift
$65k - $75k
## Associate Underwriter EarthquakeApplylocations: San Diego - 350 10th Avenue: Chicago - 1 South Wacker Drive: Lakewood - 14143 Denver West Parkwaytime type: Full timeposted on: Posted Yesterdaytime left to apply: End Date: September 30, 2026 (30+ days left to apply)job...Full timeWork at officeLocal area$65k - $75k
...inspection changes as necessary. Key requirements Bachelor’s degree in risk management, finance, business or a related field preferred 0-1 year underwriter or insurance experience Foundational knowledge of insurance principles Proficiency in Microsoft Office Suite (Word,...Full timeWork at officeLocal area
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