Healthcare Claims Adjudication Specialist
6AM City
6AM City, LLC is looking for a Claims Examiner to adjudicate claims according to regulations and contractual obligations. Responsibilities include reviewing claims, coordinating with departments, and assisting in training new personnel. The ideal candidate will have a high school diploma and one year of claims experience, with strong organizational and mathematical skills. Preferred experience includes managed care environments and knowledge of ICD-10 and CPT-4 coding. #J-18808-Ljbffr
$21.2 - $34.69 per hour
...damages and otherwise adjusts and negotiates claims within limit of authority. Every claim... ...position (Coverage, Investigation Specialist, Total Loss, Initial Handler, Extended Handler... ..., Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro...SuggestedContract workWork at officeWork from homeVisa sponsorshipWork visa$22.84 - $29.57 per hour
...National General Insurance is currently hiring for an auto Telephone Claims Adjuster Trainee. Candidates must be able to work in-office at... ...Exchange, VelaPoint, Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro Accident. Benefits National...SuggestedContract workTraineeshipCurrently hiringWork at officeWork from homeVisa sponsorshipWork visa- A major health service provider in California is seeking an experienced education coordinator for the Claims Department. This role involves developing and delivering training programs to enhance the quality of claims operations and assist with new employee integration....Suggested
$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...Suggested$59.9k - $98.2k
...Zurich is seeking an experienced Litigation Claims Specialist to join its Commercial General Liability team. At Zurich North America Claims, we recognize that flexibility and work‑life balance are key considerations when choosing your next career move. Our hybrid work...SuggestedFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorship$47.5k - $61.6k
...have experience handling non-attorney represented bodily injury claims. Candidates should be located in the Pacific Time Zone in one... ...Insurance Exchange, VelaPoint, Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro Accident. Benefits...Remote jobContract workWork at officeVisa sponsorshipWork visa- ...developing niche expertise in product design, loss control and claim services has made National Interstate one of the most respected... ...today. ( interstate is looking for a Workers Comp Senior Claims Specialist to join their team. This individual will work a hybrid schedule...Full timePart timeSeasonal workLive outWork at officeRemote work
$85k - $95k
...advanced technology, collaborative problem-solving, and an unwavering commitment to their success. Position Workers' Compensation Claim Specialist Location: Concord, CA Schedule: 8:00am – 4:30pm (PST) Salary Range: $85,000 - $95,000 We don’t just process claims—we support...- Summit Consulting is seeking a Field Claims Specialist to investigate and adjust workers' compensation claims in Southern California. Ideal candidates should have at least 10 years of claims adjusting experience and an active California workers compensation adjusters license...Remote jobWork at officeNight shift
$110k - $120k
## Senior Claims Specialist - CA Workers' Compensation**Be Here. Be Great.** Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company...Full timePart timeSeasonal workWork at officeNight shift$80k - $90k
## Claims Examiner - Workers Compensation (HYBRID- West Hills, CA/3 Days Remote)Applylocations: West Hills, CAtime type: Full timeposted... ...world’s best brands? * Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture....Remote jobWork at officeFlexible hours- Questpro is seeking a dedicated Claims Adjuster to manage complex public entity liability and property claims in California. This hybrid role, based in Fresno, CA, offers Temp-Perm potential and entails end-to-end claims handling including investigation, coverage analysis...Permanent employmentTemporary work
$23 - $27 per hour
Sunkist Growers Inc. is seeking a Specialist in Claims & Export Documentation at their Valencia corporate offices. This role involves managing export documentation, providing claims support, and ensuring compliance to facilitate smooth international shipments. Candidates...Hourly pay$70k - $73k
...brands including Intercare, InterMed, George Hills, and AS&G Claims Administration, AvonRisk is a people‑focused, operations‑driven... ...settlement with claimants. Correspond with or interview medical specialists, agents, witnesses, or claimants to compile information....Full timeContract workRemote work- Job Description The claims examiner is responsible for the adjudication of claims, in accordance with outside regulations and the contractual obligations of the Health Plans and/or the Hospital Client. Researches, reviews and contacts provider services for problem claims...
- Sedgwick Claims Management Services Ltd in California is seeking a Sr. Disability Representative. This role involves complex claim determinations... ...disability claims, and communicating with claimants and healthcare providers. Candidates should have at least 3 years of...Hourly pay
- The City of San Diego is seeking a Liability Claims Representative II to investigate and settle complex personal injury and property damage claims. The role involves reviewing reports, negotiating settlements, and preparing cases for litigation. Qualified candidates must...
$55.8k
.... C&F is part of Fairfax Financial Holdings. For more information about C&F, please visit our website: Job Description Examines claims data and conducts investigations into routine and moderately complex claims to determine coverage, compensability, subrogation and...Remote jobWork at office- ...Property Adjuster Department: EMA Loss Adjusting Reports To: Claims Manager Status: Regular, Full-Time, Exempt This is a field position... ..., habitational, and hospitality. Ability to understand claims adjudication process with sound knowledge of commercial and residential...Full timeWork at officeNight shiftWeekend workAfternoon shift
- ...Position Overview 1-3 Years GL Experience Preferred . We are seeking a dedicated Claims Adjuster to manage complex public entity liability and property claims in accordance with California Government Code guidelines. This hybrid role is located in Fresno, CA and offers...Permanent employmentTemporary work
$56.7k - $94.9k
Blue Cross Blue Shield of Michigan seeks Claim Representatives I, II, and III in California. These positions involve verifying insurance coverage, investigating claims, and facilitating return-to-work processes. Candidates should have a bachelor’s degree and relevant experience...$80k - $100k
LHH is seeking a Workers’ Compensation Claims Specialist to manage complex claims in California. This fully remote role requires at least 5 years of experience in California claims handling and strong litigation management skills. The ideal candidate will independently...Remote job$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...Remote jobHourly payPermanent employmentTemporary work- LHH is seeking an experienced Workers’ Compensation Claims Specialist for a remote position focused on managing a high-volume desk for California claims, including litigated matters. Ideal candidates will have over 5 years of experience in California workers’ compensation...Remote job
$54.5k - $89.1k
Select how often (in days) to receive an alert: Workers Compensation Claims Specialist I 134561 Zurich is seeking an experienced Workman’s Compensation Specialist to join our team! We are specifically seeking candidates who can work remotely from California. The Workers...Full timeTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorship$62.4k - $93.6k
The Hartford is seeking a Senior Claim Representative in California responsible for managing workers' compensation claims efficiently while providing exceptional customer service. The role offers hybrid or remote work options with a focus on teamwork and collaboration....Remote job$70k - $80k
A global claims management leader seeks a claims adjuster to analyze workers' compensation claims remotely, primarily for clients in California's Central Valley. The role demands 5 years of experience in claims management and strong negotiation skills. This position offers...Remote job$90k - $115k
Sr. Workers' Compensation Claims Specialist | Remote 3 days ago Be among the first 25 applicants Pay range: $90,000.00/yr - $115,000.00/yr (based on experience) Our client, a leading force in the insurance industry, is seeking an experienced Senior Workers' Compensation...Remote jobFull time- National Interstate Insurance Company, a leading firm in commercial transportation insurance, seeks a Workers Comp Senior Claims Specialist to join their team in California. This hybrid position requires office presence four days a week with one remote day. The ideal candidate...Work at officeRemote work
- 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...
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