• Workers Compensation Claims

    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
    Sedgwick (10/03/25)
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  • Claims Representative

    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
    Robert Half Office Team (10/03/25)
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  • Outside Property Claim Representative

    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 (10/07/25)
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  • Complex Claim Representative , Construction…

    Travelers Insurance Company (Irvine, 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 (08/09/25)
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  • Sr. Workers' Compensation Claim…

    Travelers Insurance Company (Irvine, 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 (08/02/25)
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  • Sr. Claim Representative Construction…

    Travelers Insurance Company (Irvine, 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 (09/01/25)
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  • Outside Property Claim Representative

    Travelers Insurance Company (Riverside, CA)
    …is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim ... the following core assignments: + Handles 1st party property claims of moderate severity and complexity as assigned. +...as mandated. + In order to progress to Claim Representative , a Trainee must demonstrate proficiency in the skills… more
    Travelers Insurance Company (09/24/25)
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  • General Liability Claim Representative

    Travelers Insurance Company (Irvine, 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
    Travelers Insurance Company (10/09/25)
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  • Account Representative , Employee Benefits

    HUB International (Riverside, CA)
    …provide critical support to our customers through account management, claims management, day-to-day client oversight, and underwriting services that make ... needs and provide them with innovative solutions. The Employee Benefits Account Representative works collaboratively with the Producer and Account Team managing a… more
    HUB International (10/10/25)
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  • Bilingual Member Services Representative

    TEKsystems (Long Beach, CA)
    …or TXPosition Overview We are seeking a compassionate and customer-focused Member Services Representative to serve as an advocate and primary point of contact for ... role is responsible for addressing inquiries related to benefits, eligibility, referrals, claims , and other aspects of health plan services. The ideal candidate will… more
    TEKsystems (10/19/25)
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  • Hearing Representative

    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
    The Hartford (08/28/25)
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  • Member Services Representative - Urgent…

    TEKsystems (Long Beach, CA)
    Hiring for Member Services Representative Only candidates with bilingual proficiency in Korean, Mandarin, Cantonese, or Vietnamese are strongly preferred. Client: ... 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 (10/21/25)
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  • Utilization Management Representative II…

    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 (10/18/25)
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  • Member Services Representative

    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
    TEKsystems (10/11/25)
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  • Representative , Provider Relations HP…

    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
    Molina Healthcare (08/02/25)
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  • Customer Service Representative

    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
    TEKsystems (10/22/25)
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  • Sales Representative , Life Insurance

    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
    Kemper (10/16/25)
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  • Member Services Representative

    TEKsystems (Long Beach, CA)
    …of contact for member questions and concerns regarding benefits, eligibility, referrals, claims and any other aspects of plan benefits and services. Ensures member ... satisfaction by providing superior customer service and willingness to help at all times while maintaining a professional demeanor. Pay and Benefits The pay range for this position is $21.00 - $21.00/hr. Eligibility requirements apply to some benefits and may… more
    TEKsystems (10/21/25)
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  • Remote, Representative , Customer…

    Molina Healthcare (Long Beach, CA)
    …member eligibility and covered benefits, Provider Portal, and status of submitted claims . * Ability to effectively communicate in a professionally setting. **Job ... Qualifications** **REQUIRED EDUCATION** : HS Diploma or equivalent combination of education and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : 1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment… more
    Molina Healthcare (10/21/25)
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  • Insurance Verification Representative

    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
    Surgery Care Affiliates (09/23/25)
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