Senior Claims Quality & Compliance Lead
$78.5k - $163.6kAcademy of Managed Care Pharmacy
Academy of Managed Care Pharmacy seeks a Claims Quality Supervisor to lead audit and quality assurance initiatives for claims operations. The role involves managing compliance and performance standards within the Claims Administration Department, supervising the customer service team, and ensuring accuracy. Candidates should have a minimum of 5 years of claims experience in managed care and 2 years of supervisory experience. A strong command of claims processing regulations and effective communication skills are essential. Salary range is $78,500 - $163,600 annually. #J-18808-Ljbffr Academy of Managed Care Pharmacy
$78.5k - $163.6k
Direct Jobs is seeking a Claims Quality Supervisor in Los Angeles to lead audit and quality assurance initiatives across the claims operations. This position requires a minimum of 5 years of claims experience and 2 years of supervisory experience. Key responsibilities...SeniorClaims- ...A leading telehealth organization is seeking a Claims Follow-Up Lead for a fully remote position. The ideal candidate will resolve denials, manage accounts receivable, and support workflow execution within a mission-driven team. Candidates should have 3-5+ years in behavioral...SeniorClaimsRemote workFlexible hours
- ...least 7 years of experience in employment law, with substantial work on wage and hour class actions, PAGA claims, and arbitration matters Proven ability to lead legal teams and supervise junior attorneys Practical experience handling high-volume or mass arbitration...SeniorClaims
- Hankey Group in Los Angeles is seeking an experienced Claims Supervisor to lead a team of Personal Auto Claims Adjusters. The role involves managing the claims process, ensuring timely and accurate resolution, and maintaining customer satisfaction. Candidates should have...SeniorClaimsRemote job
- ...Senior Manager A career within Functional and Industry Technologies services will provide... ...teams and engagements. Initiate and lead open conversations with teams, clients and... ...Guidewire Policy Center, Billing Center, Claim Center, Contact Center and Portal; GOSU...SeniorClaimsH1bFlexible hours
$125k - $140k
Astrana Health Management is seeking a Sr. Manager - Claims to oversee daily claims processing and ensure quality and compliance. In this role, you will lead a team to drive operational execution and resolve escalations. The position requires a Bachelor's degree and management...SeniorClaims- The Boeing Company in El Segundo, CA is seeking a Lead Supplier Quality Specialist to work with the Metrology and Test Equipment Services (MATES... ...leading audits of complex supplier systems and ensuring compliance with quality standards. Ideal candidates will have over 3...Senior
- A prominent insurance firm in Los Angeles is seeking a Senior Technical General Liability Bodily Injury Claims Specialist. This individual will adjudicate complex bodily injury claims independently while working closely with senior management. Candidates should possess...SeniorClaimsWork at office
- Archinect is seeking a Senior Architect / Project Architect in Los Angeles to lead complex architectural projects. The role requires 8+ years of... ...manage project teams, oversee documentation quality, and ensure project compliance. This position offers the opportunity to...SeniorLocal area
- A leading healthcare provider in California seeks a Senior Inpatient Coder responsible for accurately coding inpatient and emergency room encounters.... ...essential in this role that aims for the highest quality of coding compliance in a supportive healthcare environment. #J-188...Senior
- ...and Subsidiaries is seeking a motivated Senior Counsel for its Global Employment Law team... ...focusing on employment-related advice, claims defense, and litigation. The ideal... ...insight. Responsibilities include advising on compliance with labor laws and managing legal risks...SeniorClaims
- Westfield is seeking a Commercial And Financial Lines Claims Manager to handle and oversee D&O, E&O, and EPL claims. The ideal candidate will have 6 to 10 years' experience from a specialty insurance carrier or law firm and hold a Bachelor's degree and Juris Doctor. Responsibilities...SeniorClaimsWork at office
$110k - $175k
A leading engineering firm in Glendale, California, is seeking a Senior Mechanical Engineer for Healthcare projects. The role involves leading a team, ensuring quality design and compliance, and performing complex HVAC analyses. Ideal candidates will have over 8 years of...Senior- AvonRisk in Glendale, California is looking for a Claims Manager to oversee a team of Claims Specialists and Assistants. The role involves ensuring compliance with Labor Code regulations, conducting performance evaluations, and offering guidance on complex claims. Applicants...SeniorClaims
$30 - $38 per hour
...applicable liens and reimbursement claims Assist with complex lien negotiations... ...and best practices Maintain quality control and ensure compliance with firm processes and deadlines... ...preferred) Prior supervisory or team lead experience preferred Strong understanding...ClaimsHourly payFull timeWork at office- A leading insurance organization seeks a Claim Representative III specializing in Property claims, based remotely in California. This role involves technical claim handling, supporting mentorship, and performing inspections on complex issues. Candidates must have significant...SeniorClaimsRemote work
$200k - $250k
Overview GFT is seeking a Senior Construction Manager/... .... This position will lead construction management... ...the highest safety and quality standards. What You Will... ...Control, Environmental Compliance Monitoring and Public Outreach... ...Dispute Resolution and Claims Analysis. Support...SeniorClaimsFull timeContract workFor contractorsRemote workFlexible hours$70k - $105k
A leading aerospace quality management firm in California is seeking an experienced Supplier Quality Engineer to enhance supplier quality through audits, compliance checks, and problem-solving initiatives. Candidates should possess over 8 years of experience in aerospace...Senior- Fralock in Chatsworth, CA, seeks a Sr. Quality Manager to ensure product quality and maintain department standards. The ideal candidate... .... Responsibilities include overseeing quality assurance, compliance with ISO13485 and AS9100, and driving improvements in production...SeniorFull time
- Suffolk, based in Los Angeles, is seeking a Superintendent to oversee daily job site activities and ensure superior quality and safety compliance. The ideal candidate will have a bachelor's degree and over 4 years of relevant construction experience. You will manage team...Senior
$183.7k - $230k
A leading construction firm is seeking a skilled Preconstruction Manager to oversee complex projects in California. This role involves leadership in project management, ensuring quality, safety, compliance, and mentorship of teams. Ideal candidates will have 15+ years of...Senior- A leading insurance provider in California seeks a Senior Claims Specialist to manage various insurance claims. The ideal candidate will possess 6-10 years of relevant... ...include handling claims, ensuring compliance with regulations, and providing customer service....SeniorClaims
- ...Duties & Responsibilities Lead and manage multiple large-... ...related issues, disputes, and claims in alignment with public sector... ...Operations Ensure strict compliance with public agency... ...resolution, and change management Quality assurance and regulatory compliance...SeniorClaimsFull timeContract workFor contractors
$110k - $230k
A leading insurance firm is looking for a Financial Lines Claims Counsel in Los Angeles. The successful candidate will manage complex claims including Directors & Officers and Financial Institutions Liability from inception to resolution. The role requires strong communication...SeniorClaims- ...extensive experience in forensics, insurance loss, environmental claims management, and be adept at recognizing hazards. This position... ...investigations, providing expert witness support, and ensuring compliance with industry standards. Excellent communication and analytical...SeniorClaims
$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...SeniorClaimsRemote work- Westfield Specialty in Los Angeles is seeking an experienced insurance claims manager to handle public and private D&O, E&O, and EPL claims. The ideal candidate will have 6-10 years of relevant experience, a Juris Doctor degree, and must possess strong communication skills...SeniorClaimsLocal area
$90k - $115k
Jonus Group is seeking a Senior California Workers’ Compensation Claims Adjuster to join their remote team. This role involves managing a full caseload of... ...claims, investigating claims, and ensuring compliance with California laws. The ideal candidate will have over...SeniorClaimsRemote work$80k - $95k
...The Jonus Group is seeking a Senior Commercial General Liability Claims Examiner in Los Angeles, CA. This role involves managing complex liability claims, particularly related to habitational and commercial real estate, with a focus on thorough investigation and effective...SeniorClaimsRemote work- ...A leading insurance services firm is searching for a Claims Adjuster to manage complex workers compensation claims, provide exceptional customer service, and ensure effective resolution of claims. Candidates should have at least 5 years of claims experience and be licensed...SeniorClaimsRemote work
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