Senior Fraud Investigator, Complex CA Claims
CNA Insurance
CNA Insurance in California seeks an experienced investigator to lead suspected provider fraud investigations across medical and legal areas, with emphasis on California fraud schemes and regulations. This hybrid role works from one of CNA's CA offices (Walnut Creek, Los Angeles, Brea, Irvine or San Diego). Requires 8+ years in investigations and relevant certifications; knowledge of B&P Codes, CPT Codes, and Qui Tam litigation is a plus. #J-18808-Ljbffr
$43.21 - $48.01 per hour
...for a Sr. Field Adjuster, Homeowner Claims – San Jose, CA. \n \n Your Role: As a Sr. Field... .... Under close supervision, you will investigate, evaluate, negotiate, and settle homeowners... ...conclusion; involves low- to higher-complexity claims that typically require...SeniorClaimsHourly payFor contractorsH1bLocal areaRemote workWork from homeFlexible hours$50.25 - $55.89 per hour
Sr. Workers' Compensation Examiner - CA (Contract - Full Remote) Pay Range $50.25 -... ...on experience, skills, and location The Senior Claims Examiner will adjust workers’ compensation... ...ensure appropriateness of all payments Investigate coverage, liability, and monetary value...SeniorClaimsWeekly payContract workTemporary workWork at officeRemote work- ...California-licensed attorney with 3+ years of General Liability defense experience. You will defend against a broad spectrum of liability claims, manage case strategy, and advocate for clients through mediation, trial, and appeal. The firm emphasizes teamwork, growth...SeniorClaims
- ...number of factors, including the scope, complexity and location of the role; the skills, education... ...a Must Have?Four years of underwriting, claim, operations, risk assessment, actuarial,... ...programs please visit .SummaryLocation: CA - Glendale; CA - Diamond Bar; CA - Rancho...SeniorClaimsFull timeLocal area
$117.45k - $195.75k
...descriptions)• Manage multiple or large, complex projects• Estimate and establish budgets and... ...(bid item specialist)• Avoid or mitigate claims and conflict• Complete all job close-out procedures... ...benefit optionsSummaryLocation: Concord CA; Oakland CA; Santa Clara CAType: Full timeSeniorClaimsFull timeContract workTemporary workFor subcontractorFlexible hours- ...number of factors, including the scope, complexity and location of the role; the skills, education... ...a Must Have?Four years of underwriting, claim, operations, risk assessment, actuarial,... ...programs please visit .SummaryLocation: CA - Walnut Creek; CA - San FranciscoType:...SeniorClaimsFull timeLocal area
$118.8k - $198.6k
...grounded in strong factual investigation, legal research, and... ...clear legal advice to claims partners and insureds;... ...comparable experience.• Senior Staff Attorney: 5+ years... ...handling of complex California workers’ compensation... ...BenefitsSummaryLocation: Brea, CA; San Francisco, CA;...SeniorClaimsFull timeTemporary workRemote workFlexible hours$72k - $141k
...and manages suspected provider fraud investigations (medical, legal, etc.) involving the highest complexity matters specifically within... ...direction, and support to technical claim team and counsel on the... ...hybrid capacity from one of our CA offices in Walnut Creek, Los Angeles...SeniorClaimsWork experience placementWork at office- ...factors, including the scope, complexity and location of the role; the... ...handle litigation arising from claims asserted against policyholders... ...through trial and appeal. As a Senior Counsel with Travelers you... ...please visit .SummaryLocation: CA - Walnut Creek; CA - Palo Alto...SeniorClaimsFull timeWork at officeLocal areaFlexible hours
- ...Federal division to use advanced scheduling techniques on our most complex projects. You will lead planning and scheduling efforts,... ...Superintendents, coordinate with the Legal Department on delay claims, and contribute to risk mitigation through robust schedule controls...SeniorClaims
$100k - $160k
...opportunity for Data Scientist / Senior Data Scientist to join the... ...and development and providing complex quantitative metrics that inform... ...and diverse data sets from claims, hazard models, structural analysis... ...GA, Boston, MA, or San Ramon, CA is $100,000 to $160,000, along...SeniorClaimsTemporary workFlexible hours$20k
...factors, including the scope, complexity and location of the role; the... ...responsible for managing and investigating moderate complexity injury and/or property damage claims including customer contact, determining... ...visit .SummaryLocation: CA - Diamond Bar; CA - Rancho...SeniorClaimsFull timeFor contractorsWork at officeLocal areaRelocation packageNight shift- ...Stantec’s Walnut Creek, CA office is seeking a Principal Water/Wastewater Engineer to lead client engagements and deliver complex water and wastewater projects. You will guide multidisciplinary teams, manage budgets and schedules, and advance business development within...SeniorWork at office
$132.8k - $219.1k
...you do and where you do it. Job Category Claim, Legal Compensation Overview The annual base... ...number of factors, including the scope, complexity and location of the role; the skills,... ...inception through trial and appeal. As a Senior Counsel with Travelers you will be responsible...SeniorClaimsWork at officeLocal areaFlexible hours$135k
...Overview The Walnut Creek, CA office of Lewis Brisbois, a full-service AmLaw 100 firm,... ...leader in the area of insurance coverage and claims. Our Insurance Coverage Practice focuses... ...of all kinds and representing insurers in complex coverage claims. Such representation includes...ClaimsWork at office- ...communicator with the desire to work in a team environment on complex projects? Gilbane is seeking a Senior Project Executive for Micronesia to lead multiple... ...to meet contract requirements and resolve potential claims and deviations.Ensures team creates a project-specific...SeniorClaimsContract workFor contractorsFor subcontractorWork at officeLocal area
$132.4k - $198.6k
...assessment through trial, partnering closely with Claims and directly advising insureds. This... ..., including insurance defense and complex tort matters.• Documented first-chair jury... ...| Perks & BenefitsSummaryLocation: Brea, CA; San Francisco, CA; Walnut Creek, CAType:...SeniorClaimsFull timeTemporary workWork at officeLocal areaRemote workWork from home$134.2k - $250k
...Seattle, WA; Portland, OR; Denver, CO; Concord, CA; St. Louis, MO; and Chicago, IL. Final... ...best practices, and reducing exposure to claims. Design and organize the underground... ..., experience, and other qualifications, a Senior to Principal-Level Geotechnical or Civil Engineer...SeniorClaimsFull timePart timeWork at officeLocal areaFlexible hours$200k
...Overview Are you ready to take the lead on technically complex projects that build stronger, more resilient communities? As a Project... ...retainages, and works with management to resolve any project claims. Conducts project debriefs to review all aspects of project work...SeniorClaimsContract workLocal area$53k - $109k
...Senior Account ManagerRelation Insurance is a leading, innovative company with a strong commitment to excellence... ...of the client.Quickly identifies and resolves complex client issues.Follows through on participant claims resolution matters with carriers and inquiries not...SeniorClaimsTemporary workWork at officeLocal areaImmediate startRemote work- ...SupervisorSupervises the field construction of a single large or complex project or multiple projects, including organization, planning,... ....Review and respond to subcontractor schedule impacts and or claims of productivity impacts.Ensure strict adherence to ethics and compliance...SeniorClaimsPermanent employmentContract workTemporary workFor subcontractorWork at officeLocal area
- ...Program Delivery Lead to lead complex, full-lifecycle technology... ...building trusted relationships with senior client executives.As an... ...core payer processes such as claims, enrollment and eligibility,... ...charge, (b) in furtherance of an investigation, proceeding, hearing, or...SeniorClaimsWork experience placementLive inWork at officeLocal area
- ...opportunity to fill one vacant Senior Civil Engineer position... ..., located in Martinez, CA. While the current... ...Leading the design of complex engineering projects... ...information, propositions, and claims Innovative Problem... ...the Federal Bureau of Investigation (FBI). The resulting...SeniorClaimsFull timeFor contractorsWork at officeLocal areaImmediate startRemote workFlexible hours
- ...Product Data & Agentic Commerce Senior Manager, you will help define... ...methodology, lead the most complex and strategic client... ...created by AI-mediated product claims — particularly in food, beverage... ...charge, (b) in furtherance of an investigation, proceeding, hearing, or...SeniorClaimsLive inWork at officeLocal area
- ...Visit us at accenture.com.The RoleAs Senior Manager, Pre-Sales you support complex software sales cycles by... ...policy issue, mid-term adjustment, claim and annuity payout — tailored to the... ...charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including...SeniorClaimsWork experience placementLive inWork at officeLocal area
- ...Job Description The Claims Resolution Specialist is... ...responsible for the day-to-day investigation and resolution of claim... ...following states: AZ, CA, NM, NV, OR, TX and WA.... ...claims. Escalate complex reimbursement, coding,... ...compliance issues to senior team members. Denial...ClaimsRemote work
$102.15k - $120.18k
...Senior Claims Specialist – Commercial Auto BIPhiladelphia Insurance Companies, a member of the Tokio Marine Group, designs... ...– Commercial Auto BI to join our team!Job Summary:Investigate, evaluate and settle more complex first and third party commercial insurance auto...SeniorClaimsWork at officeRemote work- ...oversees filings, and partners with Legal to address insurance regulatory requirements. It emphasizes leadership across Underwriting, Claims, and Customer Service to minimize compliance risk. The position requires a Bachelor’s degree with at least 15 years’ experience in...SeniorClaimsRemote work
- ...Diablo Unified School District in Concord, California is seeking a Senior Account Clerk - Accounts Payable for Fiscal Services. The role... ...Responsibilities include supervising accounting tasks, auditing claims, and preparing payroll documents. A strong background in...SeniorClaims
- The Senior Project Manager is responsible for the overall delivery of complex public-agency projects, from award through closeout. This position has full responsibility... ...orders, requests for equitable adjustment, and claims. Maintain complete and accurate project records...SeniorClaimsContract workFor subcontractor
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