- 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)
- …that requires satisfactory completion of required training to advance to Claim Representative - General Liability position. This position is intended to develop ... skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides...as mandated. + In order to progress to Claim Representative , a Trainee must demonstrate proficiency in the skills… more
- 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 (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 (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 (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
- 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
- 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 (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
- VCA Animal Hospitals (Ontario, CA)
- …of individuals in a fast paced environment. **SUMMARY:** As part of the Client Service Representative Team, you will help set the tone for the practice as we build ... + As the face of VCA, the Client Service Representative sets the tone for the practice as we...with accuracy and confidentiality. + Process payments, including insurance claims and financial transactions, and provide clients with clear… more
- TEKsystems (Chino, CA)
- Customer Service Representative - Automotive Support Are you passionate about delivering exceptional customer service and thrive in a fast-paced environment? Join ... + Manage settlement-related calls with empathy and professionalism. + Support claims processing by providing complete and accurate information. + Navigate call… more
- TEKsystems (Northridge, CA)
- …issues. * Provides basic claim information and claim status regarding external claims that have been submitted. * Maintain patient confidentiality so that HIPAA ... compliance is observed at all times. * Process member address and phone number changes. * Ability to work independently in the resolution of telephonic issues. * Handles designated assignments and prioritize work in order to maintain workflow. * Ensures… more
- 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. Experience Level Intermediate Level Pay and Benefits The pay range for this position is $21.00 - $21.00/hr. Eligibility… 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 (Commerce, 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
- Medtronic (Irvine, CA)
- …of US and International promotional labeling material, including the creation of a claims matrix database and claims objects. + Lead AI/ML adoption in ... content and claims management to support automation and enhance process efficiency....within the Responsibilities section of this job description are representative of those that must be met by an… more