Senior Medical Claims Examiner - Complex Claims Expert
Motion Picture Industry Pension & Health Plans
Motion Picture Industry Pension & Health Plans (MPI) seeks a Senior Medical Claims Examiner/Representative to review and process escalated health claims, confirm accumulator benefits, and communicate with participants and providers about claims and benefit issues. Role requires vaccination per policy, strong attention to detail, and ability to handle high-volume, complex claims within a collaborative, union-affiliated environment that offers comprehensive benefits and professional development. #J-18808-Ljbffr Motion Picture Industry Pension & Health Plans
- ICW Group is seeking a Senior Claims Examiner in California to manage complex claims with a focus on excellent service. You will handle claims, work closely with legal teams, and ensure compliance with industry standards. The ideal candidate has a Bachelor’s degree and...Senior
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- Acrisure is seeking a Senior Workers' Compensation Claims Examiner to independently manage complex California workers' compensation claims from assignment through resolution. This remote position aligns with Mountain or Pacific Time hours and supports California-based...SeniorRemote job
$68.48k - $115.49k
...possible. PURPOSE OF THE JOB The Senior Claims Examiner position handles moderate to complex claims with a focus on providing... ..., works with appropriate experts and makes strategic recommendations... ...claim inventories involving complex medical exposure, litigation, fatality,...SeniorFull timeWork at officeLocal area$90k - $115k
A leading insurance firm is seeking a Senior Workers' Compensation Claims Specialist to manage complex claims in Los Angeles. Candidates should have 5-7+ years of experience in claims adjustment, particularly in California, and possess strong negotiation skills. This remote...SeniorRemote job- ...design, loss control and claim services has made... ...looking for a Workers Comp Senior Claims Specialist to join... ...inventory of highly complex claims to evaluate compensability... ...skills. Demonstrates expert knowledge of insurance... ...have access to medical, dental, and vision coverage...SeniorFull timePart timeSeasonal workLive outWork at officeRemote work
$14.9 - $29.06 per hour
Molina Healthcare in California seeks a Senior Claims Examiner to provide support for claims examination, focusing on evaluating claims for coding errors and fraud. You will manage a caseload and ensure compliance with state and federal regulations while maintaining meticulous...SeniorHourly payWork at office- CalOptima Health is seeking a Senior Business Analyst specializing in Claims for the Covered California team. This role offers full telework with a focus on translating complex business needs into actionable analytical solutions and ensuring compliance with state regulations...SeniorRemote job
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A leading insurance agency in California is seeking a Property & Casualty Claims Analyst. In this role, you will manage the claims process, analyze complex issues, and provide exceptional client support. The ideal candidate has at least 5 years of experience in the Property...Senior$45 - $60 per hour
King's Insurance Staffing is seeking a Senior Workers Compensation Claims Specialist in California to handle moderate to complex claims from inception to close. Qualified candidates should have 3 to 7+ years of experience, knowledge of California Workers Compensation law...SeniorRemote jobHourly payPermanent employmentTemporary work- ...in commercial transportation insurance, seeks a Workers Comp Senior Claims Specialist to join their team in California. This hybrid position... ...a week with one remote day. The ideal candidate will manage complex claims, lead investigations, and negotiate settlements while maintaining...SeniorWork at officeRemote work
- A leading claims management firm is seeking a full-time Bilingual Senior Claims Examiner to handle workers' compensation claims in Southern California. This role allows for a hybrid work schedule, with specific in-office requirements. Applicants must be fluent in Spanish...SeniorRemote jobFull timeWork at office
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$100k - $120k
Hispanic Alliance for Career Enhancement is looking for a Sr. Claims Specialist in California to manage complex medical malpractice claims. The ideal candidate will analyze claims, offer resolutions, and maintain high levels of customer service. A Bachelor's degree and...Senior- ...have been dynamic, innovative leaders in claims administration since 1976. We foster... ...1569 # of Openings: 1 Position Title: Senior Claims Examiner - Bilingual (Spanish) Department: (not... ...and payment of benefits, manage medical treatment, set reserves, and negotiate...SeniorFull timeWork at officeLocal areaImmediate startRemote workMonday to FridayFlexible hours1 day per week
$55.8k
...please visit our website: Job Description Examines claims data and conducts investigations into routine and moderately complex claims to determine coverage, compensability... ...statute claims. Receives lost time and complex medical only assignments. Verifies and determines...SeniorRemote jobWork at office$38.6 - $51 per hour
...Specialist in California to manage union benefits and payroll compliance. Responsibilities include accurate setup of union fringe benefits, complex reconciliations, and collaborating with local unions. The ideal candidate has an associate degree, 5-7 years of related experience,...SeniorHourly payLocal area$32 - $48 per hour
Joby Aviation, located in California, is seeking an experienced Senior AFP Layup Technician to join their innovative team. This role involves executing complex part builds using automated fiber placement technology, mentoring other technicians, and ensuring adherence to...SeniorHourly pay- Jobtailor is seeking an experienced Finance Systems Analyst to resolve complex financial system issues and support Aderant deployments across Finance and IT. You will optimize processes, maintain reports, and collaborate with cross-functional teams to meet business needs...Senior
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- Jobtailor is seeking a network engineer to design and implement complex network architectures for secure programs in the United States. The role requires hands-on Cisco devices deployment, IPv4/IPv6 planning, VPN/IPsec configuration, and detailed documentation of schemes...Senior
$99k - $163k
...American Family Insurance is seeking a Lead Claims Adjuster in California to investigate and manage complex property claims. This role requires handling multi-line claims with a focus on exceptional customer service. Candidates should have at least 5 years of experience...SeniorRelocation- ...experience and be able to lead teams effectively. The position requires a high school degree, comprehensive knowledge of avionics systems, and the ability to work with complex test equipment. Benefits include competitive pay and healthcare coverage. #J-18808-Ljbffr V2X IncSenior
- CCMSI is seeking a Workers’ Compensation Claim Specialist in Concord, CA. The role involves managing a portfolio of claims, leading investigations, and ensuring timely resolutions. Candidates should have over 5 years of claims handling experience and strong analytical and...Senior
- American Riviera Bank is seeking a Senior Personal Banker to join our team in Paso Robles, CA. This role requires significant expertise... ...Banker, you will interact directly with clients, manage complex transactions, and ensure compliance with banking regulations. You...Senior
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- Zurich North America is seeking an experienced Litigation Claims Specialist to join its Commercial General Liability team. This role, which can be based out of Gold River, CA, offers a hybrid work schedule and requires managing multi‑party commercial claims involving moderate...SeniorRemote job
- ...rights. Role Description The Senior Labor & Employment Attorney will... ...workplace disputes, and providing expert legal advice. Day-to-day tasks include... ...record of successfully handling complex legal cases, including high-value claims NY Bar license and CA Bar...SeniorFull timeRemote work
$175k
TMG Insurance Services, LLC is looking for a Senior Workers’ Compensation Adjuster to manage moderate to complex claims. The role is remote and carries settlement authority... .... Benefits include 401(K) with company match, medical plans, and generous time-off. #J-18808-Ljbffr...SeniorRemote job$90k - $115k
Sr. Workers' Compensation Claims Specialist | Remote 3 days ago Be... ...industry, is seeking an experienced Senior Workers' Compensation Claims... ...and resolve moderate to complex California workers' compensation... ...benefits package that includes medical, dental, and vision insurance,...SeniorRemote jobFull time
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