Claims Examiner
$84.24k - $126.36kAya Healthcare
Medical Malpractice Claims Examiner Huntington Hospital Employee Login Expectations: The Medical Malpractice Claims Examiner is responsible for the investigation, evaluation, and resolution of professional liability claims involving alleged medical negligence. This role ensures timely and accurate claims handling in accordance with applicable laws, organizational policies, and insurance coverage requirements, while mitigating financial and reputational risk to the organization. EDUCATION: Bachelor's Degree required. EXPERIENCE/TRAINING: Minimum of three (3) years of relevant experience working in healthcare. Proven experience in the handling of professional liability, employment liability, and general liability claims, and interacting with medical staff, legal counsel, risk managers, and insurance carriers. Proven experience with insurance applications and portfolio management. Demonstrated success in the management of directors and officers, auto or property liability claims preferred and in coverage analysis. LICENSES/CERTIFICATIONS: Preferred: Current Industry certification Current Clinical license SKILLS: Knowledge of medical practice litigation and changes in law. Department: Risk Management Svcs Shift Duration: 8 Primary Shift: Days Time Type: Full time Location: Pay Range: The estimated base rate for this position is $84,240.00 - $126,360.00. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions. #J-18808-Ljbffr
$34 per hour
...Claims Examiner III Location: Pasadena, CA (Hybrid considered after training once performance expectations are consistently met) Schedule: Monday – Friday, 8 am – 5 pm Pay Rate: Up to $34.00 per hour, depending on experience Employment Type: Temp to perm Position...SuggestedHourly payPermanent employmentTemporary workMonday to Friday- ...Job Description Job Description Duties: Open to candidates outside CA, however, min 5 Years of CA Claims experience is mandatory and certification as mentioned below. California WC claims knowledge Must have OSIP certificate Min. 3 Years of experience...SuggestedRemote work
- ...we do. WHAT WE ARE SEEKING We have assignments available to help our insurance carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include: Manage a caseload of commercial auto claims from first notice of loss through resolution...SuggestedFull timePart timeWork experience placementWork at officeRemote workWork from home
- ...Job Description Intro: Are you an experienced Claims Examiner looking for a new opportunity with a prestigious healthcare company? Do you have claims adjudication or facility claims experience in healthcare? Do you want the chance to advance your career by joining a rapidly...SuggestedContract work
$28 - $32 per hour
...applicants Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Department: Ops - Claims Ops Compensation: $28.00 - $32.00 / hour Description Job Title: Claims Examiner III Department: Ops - Claims Ops What You'll Do Analyze, process, research, adjust and adjudicate...SuggestedHourly payFull timeWork at office- ...Benefits 401(k) 401(k) matching Dental insurance Health insurance Vision insurance Wellness resources 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...Remote work
- ...Job Title: Claims Examiner ILocation: Encino, CAReports to: Claims ManagerEmployment Type: Full timeJob Req ID: 2026Req Begin Date: 6 /12/2026About TMHCCTokio Marine HCC (TMHCC) brings 50 years of service to the specialty insurance industry, today offering over 100 products...Work at officeWorldwide
- ...Position Title: Department: Reports To: FLSA Status: Non-Exempt Job Grade: 12 Next step in progression could include Lead Senior Claims Examiner or Claims Supervisor ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We have been dynamic, innovative...Full timeWork at officeLocal areaImmediate startRemote workMonday to FridayFlexible hours1 day per week
- ...Job Description Job Description JOB DESCRIPTION JOB TITLE: Claims Supervisor FLSA STATUS: Exempt DEPARTMENT: Claims REPORTS TO: Claims Director AUTHORITY: PDR Claims Examiners JOB SUMMARY: Oversees the daily activities of the PDR Claims Examiners....Contract workLocal area
- ...NOTE THIS ROLE IN AN ONSITE POSITION IS DOWNTOWN LA Job Title Claims Adjuster, Public Entity Department Claims Services Company Overview Venbrook Claims is the claims business group of Venbrook Group, LLC, a holding company with subsidiaries engaged in retail broking,...Temporary workFor subcontractorWork at officeFlexible hours
$28 - $30 per hour
...Claims Processor To evaluate and determine the appropriate path and to assist in the expedited processing of all claims, special projects and escalated reconsiderations originating from various internal and external sources and to serve as the first level of telephonic...Hourly payFull timeContract workCasual workWork at officeRelocation packageFlexible hours$70k - $95k
BITCO Corporation is seeking an Associate Underwriter to join our branch office located in Pasadena/Diamond Bar CA . As a respected specialty insurer with 11 branch offices across 10 states, BITCO delivers tailored insurance solutions to complex industries such as construction...Temporary workWork at officeLocal areaFlexible hours- Tokio Marine HCC is hiring a Claims Examiner I based in Encino, CA. The successful candidate will resolve claims by investigating losses and analyzing data according to policy guidelines. The role demands strong communication skills, attention to detail, and a minimum of...
- ...Claims Administrator TM Claims Service (TMCS) is an independent global claims management firm established in 1987 to provide clients with a broad range of claims related services in the areas of transportation, product liability and overseas travel accident insurance...WorldwideOverseas
$27.69 per hour
...Claims Representative (IAP) - Workers Compensation Training Program By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your...TraineeshipWork at officeFlexible hours- HCC Service Company, Inc. is looking for an Associate Claims Examiner to join their team in Los Angeles, California. This on-site role involves investigating and analyzing surety bond claims to ensure effective communication of claim determinations. The ideal candidate...
- A prestigious healthcare company is seeking an experienced Claims Examiner to join their team. In this role, you will conduct claims analyses, adjudicate medical claims, and verify patient eligibility. The ideal candidate has 2-5 years of claims examining experience, a...
$77.5k
CWC01 Carl Warren & Company LLC is searching for a skilled Senior Claims Examiner in Los Angeles. The successful candidate will handle property damage and bodily injury claims for public entity clients, ensuring compliance with client guidelines and delivering exceptional...- California FAIR Plan Association in Los Angeles is seeking a Commercial Property Examiner II to review and process complex commercial insurance claims. This role includes managing a caseload, examining claims for validity, and collaborating with legal counsel on litigation...
- MedPOINT Management is seeking a Claims Examiner to adjudicate claims in accordance with health plan regulations and contractual obligations. This role involves reviewing Provider claims, resolving issues, and assisting staff in claims research. The ideal candidate is a...Remote job
- ...A leading insurance claims adjusting firm in California is looking for Independent Insurance Claims Adjusters. This role offers the flexibility to work autonomously while making a profound impact on clients’ lives during their recovery from unforeseen disasters. Candidates...Flexible hours
$26.49 - $37.5 per hour
...partners. A strong focus on exceptional customer service is essential, ensuring customers are informed and supported throughout the claims process. We are seeking an Auto Field Appraiser in the Pasadena, CA area with prior experience in an auto field appraisal or...Contract workWork at officeWork from homeVisa sponsorshipWork visa$80k - $90k
Claims Examiner - Workers Compensation (HYBRID - West Hills, CA / 3 Days Remote) PRIMARY PURPOSE OF THE ROLE To analyze Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations...Remote jobFlexible hours$20 - $23 per hour
Job Description Job Description Administrative Assistant Pay Rate: $20–$23/hour Location: Pasadena, CA Schedule: Monday–Friday | 8:00 AM – 5:00 PM | Onsite Employment Type: Temp-to-Hire We are seeking a highly organized and proactive Administrative ...Temporary workWork at officeLocal areaMonday to Friday- ...partners. A strong focus on exceptional customer service is essential, ensuring customers are informed and supported throughout the claims process. We are seeking an Auto Field Appraiser in the Pasadena, CA area with prior experience in an auto field appraisal or...
$85k - $105k
Position: Workers Compensation Claims Examiner Location: Long Beach or Roseville, California (2 days in office, 3 days remote) Primary purpose: To analyze workers' compensation claims on behalf of clients to determine benefits due, ensuring adjudication within service...Work at officeRemote workFlexible hours- Sedgwick is hiring for a role in Los Angeles focused on analyzing workers' compensation claims. Candidates will be responsible for processing claims efficiently, negotiating settlements, and maintaining communication with both claimants and clients. The position requires...Flexible hours
$44 - $48 per hour
A staffing and consulting firm in Los Angeles is seeking a Workers' Compensation Specialist/Senior Claims Examiner. This position involves overseeing claims from start to finish ensuring timely administration of benefits and compliance with statutory regulations. The successful...Hourly pay$80k - $100k
PRIMARY PURPOSE OF THE ROLE To analyze workers' compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements....Flexible hours$80k - $98k
A leading claims management company is seeking a Workers Compensation Claims Examiner to analyze and adjudicate complex customer claims. The role is remote for applicants in Central Valley, California. A successful candidate should have at least 5 years of claims management...Remote jobFlexible hours
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