- Sedgwick (Long Beach, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Representative | Hybrid - Long Beach or Rancho Cucamonga, CA ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Robert Half Office Team (Ontario, CA)
- Description We are looking for a detail oriented Entry-level Claims Representative to join our clients' team in Ontario, California. In this role, you will ... provide critical support in managing claims -related tasks, ensuring accuracy and efficiency in processing, reconciling, and auditing claims . This is a long-term… more
- Travelers Insurance Company (Tarzana, CA)
- …this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim ... resolution for personal or business claims of moderate severity and complexity. Handles ...handling experience or successful completion of Travelers Outside Claim Representative training program required. + Valid driver's license required.… more
- Travelers Insurance Company (Diamond Bar, CA)
- …and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... support flexibility. **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality and timely coverage… more
- Travelers Insurance Company (Diamond Bar, CA)
- …Bar or Irvine, CA locations. Under general supervision, manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate ... to resolve claims . Coordinate medical and indemnity position of the claim...claim with a Medical Case Manager. Independently handles assigned claims of low to moderate complexity where Wage loss… more
- Travelers Insurance Company (Diamond Bar, CA)
- …resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... not manage staff. **What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file quality and timely coverage… more
- Travelers Insurance Company (Diamond Bar, CA)
- …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim life cycle (customer ... statements. + Identifies resources for specific activities required to properly investigate claims such as Subrogation, Risk Control, nurse consultants, and fire or… more
- The Hartford (Brea, CA)
- Hearing Representative - LU08BE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... at the center of everything we do. The Hearing Representative position is an in-house fully REMOTE position that...business environment where you will have direct interaction with Claims Partners, insureds, and opposing counsel we want to… more
- TEKsystems (Long Beach, CA)
- Hiring for Member Services Representative Client: SCAN Health Location: Remote (Candidates must reside in TX, NV, AZ, or NM) Job Type: Contract Pay Rate: $21/hr ... 8:00 PM PST Job Description: As a Member Services Representative , you will be the primary point of contact...customer service and resolving inquiries related to eligibility, referrals, claims , and other plan services. This remote position offers… more
- TEKsystems (Northridge, CA)
- **This position is onsite in Northridge, CA 91325** Job Title: Member Services Representative - Call Center Support Location: Northridge, CA 91325 Pay: $21/hr Job ... Description: As a Member Services Representative , you will serve as the first point of...health plan representatives. + Resolve inquiries related to benefits, claims , eligibility, and other healthcare-related topics. + Accurately documents… more
- Molina Healthcare (Long Beach, CA)
- …or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to ... arise, making an assessment when escalation to a Senior Representative , Supervisor, or another Molina department is needed. Takes...2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working… more
- Elevance Health (Costa Mesa, CA)
- **Utilization Management Representative II** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... accommodation is granted as required by law._ The **Utilization Management Representative II** is responsible for managing incoming calls, including triage, opening… more
- Elevance Health (Costa Mesa, CA)
- **Utilization Management Representative I** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person ... to 5:05 PM Pacific. Training hours may vary. The **Utilization Management Representative I** is responsible for coordinating cases for precertification and prior… more
- TEKsystems (Arcadia, CA)
- Now Hiring: Member Services Representative Location: Remote in Texas ️ Start Date: November 3, 2025 Training Shift: Mon-Fri, 8AM-4PM PST (7 weeks) Regular Hours: ... supporting health plan members with empathy and excellence. As a Member Services Representative , you'll be the voice of care and clarity. Key Responsibilities +… more
- Surgery Care Affiliates (Long Beach, CA)
- …selected for Primary insurance. + Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits ... and/or pre-certs and authorization information. + Enter the patient insurance information into patient accounting system ensuring the selection is the appropriate payer and associated financial class. + When the patient's insurance is Out of Network notify the… more
- TEKsystems (Chino, CA)
- …calls with utmost professionalism. . Provide comprehensive support and details on claims . . Utilize call center software to efficiently manage interactions and data. ... . Achieve performance targets in call handling, customer satisfaction, and resolution rates. . Navigate multiple screens and software systems to assist customers effectively. Your availability is required Monday-Friday from 6am-5pm across various schedules. If… more
- Kemper (Ontario, CA)
- …Responding promptly to policyholder service requests such as beneficiary changes, claims , loans, etc. + Appropriately keeping records, accounting for money ... collected, and processing paperwork. **Our agents are expected to:** + Increase the agency size + Build strong working relationships with customers + Devote whatever time is necessary to fulfill the responsibilities of the position + Commit to ongoing… more
- Travelers Insurance Company (Diamond Bar, CA)
- …for handling low to moderate Personal and Business Insurance Auto Damage claims from the first notice of loss through resolution/settlement and payment process. ... unclear liability and no injuries. Will also handle more complex Auto Damage claims such as non-owned vehicles, fire/theft, and potential fraud as well as non-auto,… more
- CDM Smith (Irvine, CA)
- …and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. Identify contractual requirements to maintain and ... prosecute claims , and assist project team in managing to those...above. This pay range is a good faith estimate representative of all experience levels for this position based… more
- Clay Lacy Aviation (Van Nuys, CA)
- …escalation point for sensitive payroll issues, wage disputes, and labor claims , providing strategic counsel and documentation to mitigate legal and financial ... hour disputes, employee classification, labor audits, and other compensation-related claims , ensuring proactive resolution and minimal financial or reputational risk… more