Clever Care Health Plan: Provides Medicare Advantage plans combining Western and Eastern medicine.
1+ YOEAssociate degree and one year of related experience, or equivalent education and experience. Requires medical terminology, CMS claims guidance, coding knowledge, analytical skills, attention to detail, and MS Office proficiency.
Microsoft PowerPoint, Microsoft Excel, Microsoft Word, CPT, HCPCS, ICD-10, CMS
AvonRisk: Provides third-party claims administration and risk management services.
High school diploma or GED, or 1–2 years of related experience and training, with problem-solving, customer service, teamwork, claims administration, and clerical support skills.
High school diploma or equivalent required; proficiency in Microsoft Word, Microsoft Excel, databases, systems, and vendor software; strong attention to detail and ability to manage multiple priorities.
5+ YOERequires 5+ years of related experience, statutory and medical terminology knowledge, analytical and communication skills, complex claims management ability, and proficiency in Word and Excel. Jurisdictional licenses may be required.
Microsoft Word, Microsoft Excel, 10-key, fax machine, copier, printer
LSMA Management: Provides comprehensive administrative and operational support for medical practices.
2+ YOETwo years healthcare claims processing/adjudication; high school diploma; knowledge of CPT, HCPCS, ICD-10; experience with claims systems/EDI preferred.
CPT, HCPCS, ICD-10, Revenue Codes, EDI, Claims Systems, Microsoft Office, Google Workspace
#8813.00 JPA Claims Services Manager - California Schools Joint Powers Authority, San Bernardino
San Bernardino, California, United States
OnsiteFull Time
San Bernardino County Superintendent of Schools: Provides educational leadership and support services to school districts.
4+ YOE4+ MgmtBachelor’s degree; 4 years of workers’ compensation claims experience including staff supervision; 3 years analyzing claims data; 2 years facilitating professional development workshops.
Claims Consultant -Life Sciences or Cyber/Technology E&O (Hybrid)
New York City or Plymouth or Boston or Canton or Anaheim or Englewood or Chicago or Irvine or United States or Canada or United Kingdom
$123k-$163k/yrHybridFull Time
Intact Insurance Specialty SolutionsToronto Stock Exchange: IFC: Provides specialized property and casualty insurance and risk services.
7+ YOEJuris Doctor required, 7+ years of specialized claims handling experience, and Life Sciences or Cyber/Technology E&O expertise. Must independently manage complex claims, analyze coverage, and communicate positions.
Verda Healthcare: Provides Medicare Advantage plans to underserved ethnic communities.
5+ YOE5+ years of healthcare claims operations experience; Bachelor’s degree; strong knowledge of claims systems and EDI; liaison between business and IT.
EDI, Claims systems, UAT, Test case development, CMS regulations
2+ YOERequires 2+ years of claims experience, ideally in general liability, auto, or property claims, plus an active P&C license or claims certification. Strong organization, math, communication, and technology skills required.
Knight Insurance Group: Provides specialty property and casualty insurance and underwriting services.
8+ YOE3+ MgmtMinimum 8 years of claims experience, 3+ years supervising claims teams; strong leadership, communication, writing, and analytical skills; experience with personal auto, BI and PD claims; proficient with claims management software and Microsoft Office.
State Controller's Office: California's fiscal controller managing state financial operations and assets.
Direct and coordinate review and processing of statewide damage and tort claims, investigate and evaluate liability claims, support Legal Office attorneys, process claims ≤$12,500, represent department in Small Claims Court, and meet Analyst II minimum qualifications.
Providence: Non-profit health system providing comprehensive medical and social services.
5+ YOERequires five years of professional and facility claims processing experience, knowledge of claims audits, payment timeliness regulations, compliance, and provider dispute resolution.
Hankey Group: Diversified automotive, financial services, and technology conglomerate.
5+ YOE3+ Mgmt5+ years claims handling experience and 3+ years supervising claims teams; strong leadership, communication, writing, analytical skills; knowledge of insurance regulations; proficient with claims management software and Microsoft Office.
Providence: Provides comprehensive healthcare services through hospitals, clinics, and health plans.
5+ YOEFive years of professional and facility claims processing experience; familiarity with claims audits, payment and denial timeliness legislation, compliance rules, and provider dispute resolution tracking.
Arthur J. Gallagher & Co.NYSE: AJG: Global insurance brokerage and risk management services provider.
5+ YOEHigh school diploma and 5 years related claims experience; state adjuster licenses/certifications as required; knowledge of industry standards; computer experience with claims software; analytical, negotiation, and communication skills.
5+ YOE5+ years claims handling experience, knowledge of workers' compensation, state claims adjuster certification, strong communication, leadership, analytical skills, and Microsoft Excel proficiency.
AIDS Healthcare Foundation: Global nonprofit providing HIV/AIDS medical care and advocacy services.
3+ YOEPreferred 3–5 years of claims management experience; responsible for supervising claims staff, ensuring accurate processing, managing denials and appeals, and maintaining regulatory compliance.
MSIG USATokyo Stock Exchange: 8725: Provides commercial property and casualty insurance and risk services.
1+ YOEHigh school diploma, 1+ years administrative or claims support experience (insurance preferred), strong organization, knowledge of multi-jurisdictional claims deadlines, and ability to manage mail, records, and vendor coordination.
Cowbell: Provides AI-powered adaptive cyber insurance and risk monitoring for businesses.
2+ YOEJD required; 2–5 years of claims handling experience including at least 1 year of cyber experience. Requires adjuster licenses, coverage analysis, claim evaluation, negotiation, organization, and presentation skills.