• Outpatient Surgical and Claims Edit Auditor

    Cedars-Sinai (Los Angeles, CA)
    …hire. **Why work here?** Beyond outstanding employee benefits including health and dental insurance , paid vacation, and a 403(b), we take pride in hiring the best, ... innovation. **Req ID** : 13340 **Working Title** : Outpatient Surgical and Claims Edit Auditor **Department** : CSRC Coding Audit **Business Entity** : Cedars-Sinai… more
    Cedars-Sinai (11/25/25)
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  • Claims Investigator - Experienced

    Command Investigations (Santa Barbara, CA)
    …hire. Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, Auto, or ... and Microsoft Outlook (email) Full-Time benefits Include: + Medical, dental and vision insurance + 401K + Extensive performance bonus program + Dynamic and fast… more
    Command Investigations (11/08/25)
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  • Medical Director - OP Claims Mgmt

    Humana (Sacramento, CA)
    …other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. + ... review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + Experience with national guidelines such as MCG(R) or InterQual… more
    Humana (11/24/25)
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  • Cash Poster - Payment Posting - Hospital…

    Guidehouse (San Marcos, CA)
    …a diverse and supportive workplace. Benefits include: + Medical, Rx, Dental & Vision Insurance + Personal and Family Sick Time & Company Paid Holidays + Position may ... be eligible for a discretionary variable incentive bonus + Parental Leave + 401(k) Retirement Plan + Basic Life & Supplemental Life + Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts + Short-Term & Long-Term Disability +… more
    Guidehouse (11/12/25)
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  • Workers' Compensation Risk Analyst

    Ventura County (Ventura, CA)
    …experience handling workers' compensation claims , including experience with claim evaluation, management, or adjustment, obtained in insurance companies, ... workers' compensation claims handling experience, including experience with claim evaluation, management, or adjustment, obtained in insurance companies,… more
    Ventura County (11/15/25)
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  • Senior Triage Examiner

    ICW Group (Pleasanton, CA)
    …best interest of all parties and providing benefits as prescribed by law. + Ensures claim files are properly documented and claims coding is correct. + Refers ... degree from four-year college or university preferred. Minimum of 2-3 years of insurance or claims related experience, or equivalent combination of education and… more
    ICW Group (11/04/25)
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  • SIU Investigator

    Allied Universal (Fresno, CA)
    Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Services is the premier destination for a career in insurance claim investigation. As a global leader,...$38** **/** **hr** **RESPONSIBILITIES:** + Independently investigate suspected fraudulent insurance claims for a variety of coverage… more
    Allied Universal (11/22/25)
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  • Disability Representative

    Sedgwick (West Hills, CA)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Representative **Our teams connect! We collaborate in office and have a ... needs. **PRIMARY PURPOSE** : Provides disability case management and routine claim determinations based on medical documentation and the applicable disability plan… more
    Sedgwick (10/14/25)
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  • General Adjuster/Associate General Adjuster

    The Hartford (San Francisco, CA)
    …execute the investigation, valuation, disposition and settlement of large Commercial property claims in a manner consistent with corporate claim settlement ... value or 3+ years experience as a full file Claim Adjuster managing moderately severe commercial property claims... and be able to appropriately interpret and apply insurance coverage, with some personal lines claims more
    The Hartford (10/30/25)
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  • Regional General Adjuster, Field - Large Loss…

    Sedgwick (Sacramento, CA)
    …and review new claims and maintain data integrity in the claims system. + Conduct claim file activities including evaluations, investigations, litigation ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Regional General Adjuster, Field - Large Loss Property...your adjuster knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +… more
    Sedgwick (10/15/25)
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