• AVP- Complex Claim Liability Specialist

    Travelers Insurance Company (Sacramento, CA)
    …experience. + 5-10 years experience handling serious injury and complex liability claims preferred (casualty claim operations environment determining ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly...of some of the Company's severe and complex liability claims by providing claim handling guidance, recommendations… more
    Travelers Insurance Company (01/09/26)
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  • Claim Operations Specialist

    Travelers Insurance Company (Diamond Bar, CA)
    … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site… more
    Travelers Insurance Company (01/06/26)
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  • Vice President of Health Plan Operations

    Prime Healthcare (Ontario, CA)
    … and Claims is responsible for the development and execution of Claim Operations strategies, end-to-end Claim process automation, optimization and ... and Operating Models, Long Term Business Objectives, Healthcare Payers, Claim Operations Strategies, Claim Process...(7) to ten (10) years prior work experience in Claims Operations and Health Plan Strategy, in… more
    Prime Healthcare (12/24/25)
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  • Senior Stop Loss Claims Analyst - HNAS

    Highmark Health (Sacramento, CA)
    …to assess the accuracy of client reports submitted to the organization, efficiency of claim operations , and adequacy of systems and procedures. + Approves ... and adjudicates claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim information to TPAs,… more
    Highmark Health (12/23/25)
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  • Director Claims

    Ryder System (Sacramento, CA)
    …+ Primary backup for the Senior Director assisting with all aspects of the operations + Leads and directs claims managers, office manager, and supervisors as ... here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Director Claims directs activities within the General and Auto Liability… more
    Ryder System (11/22/25)
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  • Benefit and Claims Analyst

    Highmark Health (Sacramento, CA)
    …is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various ... including but not limited to, Clinical Strategy, Sales/Client Management, Customer Service, Claims , and Medical Policy. The person in this position must fully… more
    Highmark Health (12/18/25)
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  • Workers Compensation Claims Team Lead | NY…

    Sedgwick (San Diego, CA)
    …as suggested by the claim status; and provides written resumes of specific claims as requested by client. + Assures that direct reports are properly licensed in ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | NY Jurisdictional Knowledge - Remote **ARE YOU AN IDEAL… more
    Sedgwick (12/12/25)
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  • Claims Team Lead (Supervisor) - Workers…

    Sedgwick (Brea, CA)
    claim activities. Offers technical and jurisdictional guidance on claims adjudication and maintains regular diaries, especially for complex or high-exposure ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead (Supervisor) - Workers Compensation | Hybrid - Brea, CA Are you… more
    Sedgwick (10/30/25)
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  • Assistant Claims Team Lead - Workers…

    Sedgwick (Sacramento, CA)
    claim activities. Offers technical and jurisdictional guidance on claims adjudication and maintains regular diaries, especially for complex or high-exposure ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Assistant Claims Team Lead - Workers Compensation Are you looking for an opportunity to… more
    Sedgwick (10/30/25)
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  • REMOTE Claims Examiner

    TEKsystems (Santa Barbara, CA)
    …documentation for medical procedures, CPT, and HCFA codes. + Review, price, and release claims for assigned claim types (paper and electronic). + Analyze Manual ... processing. + Perform additional duties and special projects as assigned. Skills + Claims Processing + Project Management + Healthcare Operations + Workflow… more
    TEKsystems (01/08/26)
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