Current jobs related to Insurance Claims Specialist - Los Angeles, California - Prosum


  • Los Angeles, California, United States Zenith Insurance Company Full time

    Job SummaryZenith Insurance Company is seeking a skilled Workers' Compensation Claims Specialist to join our team. As a key member of our claims team, you will be responsible for investigating, analyzing, and determining the extent of company liability concerning claims and attempting to effect settlement with claimants.Key ResponsibilitiesInvestigate and...


  • Los Angeles, California, United States AXA Group Full time

    Job Summary:We are seeking a skilled Insurance Claims Specialist to join our team at AXA XL. As a Construction Defect Claims Handler, you will be responsible for handling and resolving complex claims, working closely with our clients to provide expert knowledge and guidance.Key Responsibilities:• Technical claims management and evaluation of applicable AXA...


  • Los Angeles, California, United States MedPOINT Management Full time

    Job DescriptionMedPOINT Management is seeking a skilled Claims Adjuster to join our team. The ideal candidate will have experience in a managed care environment and strong organizational and mathematical skills.Duties and Responsibilities Accurately review all incoming adjustment requests to verify necessary information is available. Meet production...


  • Los Angeles, California, United States Zenith Insurance Company Full time

    This role is a key part of Zenith Insurance Company's hybrid work schedule, offering flexibility to work from home on select days of the week in accordance with the in-office schedule established by regional executive leadership. The selected candidate must be able to report to the regional branch office on a weekly basis.Job SummaryInvestigate and...


  • Los Angeles, California, United States Volt Full time

    Job Title: Medical Claims SpecialistVolt is seeking a highly skilled Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will play a critical role in ensuring timely and accurate payment of medical claims.Key Responsibilities:Review and analyze medical claims to identify potential issues and discrepancies.Communicate with payors...

  • Claims Adjuster

    4 weeks ago


    Los Angeles, California, United States Allstate Insurance Company Full time

    We offer a wide range of insurance products, including home, auto, and accident and health insurance, through a network of independent agents and directly to consumers.This role involves creating comprehensive estimates of damages for material damage claims, ensuring proper disposition and adherence to regulatory compliance and fair claims practices.As a...


  • Los Angeles, California, United States Sunrise Systems, Inc. Full time

    Job Title: Claims AdjusterLocation: Los Angeles, CA 90071Duration: 3+ months contract to begin withPosition Type: Hourly contract Position (W2 only)Note:Job schedule-40 hours on site Job hours-8:00-4:30 Interview process-WEBEX prescreen/Then in-person interview Summary:The main function of a Workers' Compensation Claims Adjuster is to investigate, analyze,...


  • Los Angeles, California, United States Medix Full time

    Job SummaryAt Medix, we are seeking a highly skilled Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will play a critical role in ensuring the accuracy and efficiency of our claims processing operations.Key ResponsibilitiesReview claims for accuracy and completeness, ensuring that all necessary information is included.Expedite...


  • Los Angeles, California, United States Starr Insurance Companies Full time

    Job SummaryStarr Insurance Companies is a leading insurance and investment organization, providing commercial property and casualty insurance to businesses worldwide. We are seeking a skilled Claims and Litigation Counsel to join our team.Key ResponsibilitiesAssist the claims department in addressing all aspects of the legal claims function, including...


  • Los Angeles, California, United States Ethos Risk Services Full time

    Job Title: Special Investigations Unit Field Investigator Job Description: We are seeking a highly skilled and experienced Special Investigations Unit Field Investigator to join our team at Ethos Risk Services. As a Field Investigator, you will be responsible for conducting thorough investigations into insurance claims, identifying potential fraud and...


  • Los Angeles, California, United States Chubb Full time

    Job SummaryAs a Senior Claim Specialist at Chubb, you will play a critical role in resolving workplace claims in a collaborative and paperless environment. With a strong analytical mindset and excellent communication skills, you will work closely with defense counsel and insureds to negotiate settlements and resolve discrimination, harassment, and other...


  • Los Angeles, California, United States Automobile Club of Southern California Full time

    Claims Litigation Specialist OpportunityAn exciting opportunity to be part of a dynamic in-house legal team for a well-established and successful organization offering a great culture, commitment to legendary service, and competitive compensation package.We are seeking an experienced Claims Litigation Specialist to join our team. The successful candidate...


  • Los Angeles, California, United States Aspire General Insurance Full time

    Aspire General Insurance Company is committed to delivering exceptional service and affordable specialty auto coverage to drivers. Our company values are centered around ABLE, which stands for always doing the right thing, being yourself, learning and evolving, and executing.We are seeking a highly skilled Bodily Injury Claims Adjuster to join our team. The...


  • Los Angeles, California, United States The Accident Guys Full time

    Job Title: Personal Injury Claims SpecialistAbout the Role:We are seeking a highly skilled Personal Injury Claims Specialist to join our team at The Accident Guys. As a Personal Injury Claims Specialist, you will be responsible for managing a high volume of cases, providing exceptional customer service, and working closely with clients to ensure their claims...


  • Los Angeles, California, United States AXA Group Full time

    Job SummaryAXA XL is seeking a highly skilled Senior Construction Claims Specialist to join our team. As a key member of our Construction Defect Claims team, you will be responsible for handling and resolving complex, highly specialized, and high exposure Primary and Excess Construction Defect claims.Key ResponsibilitiesInvestigate and evaluate complex...


  • Los Angeles, California, United States Frish Law Group, APLC Full time

    Job SummaryWe are seeking a highly skilled Personal Injury Claims Specialist to join our team at Frish Law Group, APLC. As a key member of our personal injury team, you will play a critical role in assisting clients who have been injured in various types of accidents, including car crashes, slip/trip and falls, bike crashes, motorcycle crashes, and other...


  • Los Angeles, California, United States MedPOINT Management Full time

    Job SummaryThe Medical Claims Specialist is responsible for the accurate and timely adjustment of hospital risk claims, ensuring compliance with regulatory requirements and contractual obligations. This role involves researching and reviewing claims, collaborating with providers and other departments to resolve issues, and suggesting process improvements to...


  • Los Angeles, California, United States Frish Law Group, APLC Full time

    Job DescriptionFrish Law Group, APLC is seeking a skilled Personal Injury Claims Specialist to join our team. As a key member of our personal injury team, you will work closely with clients who have been injured in various accidents, including car crashes, slip/trip and falls, bike crashes, motorcycle crashes, and other personal injuries. This is a hybrid...


  • Los Angeles, California, United States Allstate Insurance Company Full time

    At Allstate Insurance Company, we're seeking a skilled Field Claims Consultant to join our team. As a Field Claims Consultant, you will be responsible for creating comprehensive estimates of damages for 1st and 3rd party material damage claims, leading to proper disposition. This role is utilized as a peer mentor, having mastered our processes and obtained...


  • Los Angeles, California, United States Wilshire Law Firm Full time

    Property Damage Specialist Role At Wilshire Law Firm, we are seeking a skilled Property Damage Specialist to join our Personal Injury PreLitigation department. As a key member of our team, you will have the opportunity to assist clients in resolving their property damage claims. Key Responsibilities: Communicate with clients regarding their property damage...

Insurance Claims Specialist

1 month ago


Los Angeles, California, United States Prosum Full time
Job Summary:

A skilled Billing Specialist is required to maintain a current understanding of billing and coding guidelines to ensure claims are consistently billed properly. The primary accountability for this role is to support Soarian Financials Billing Edits and Billing Processes for the company.

Key Responsibilities:

Review and resolve claim edits in the billing scrubber for all government and non-government payers
Submit claims within hours of creation date
Coordinate rebill requests from internal Compliance department, collections team, audit team, customer service, HIM, and vendors among other areas
Serve as liaison between Revenue Cycle areas and the billing agency to resolve problematic claim edits
Conduct all duties in a professional and timely manner

Requirements:
Minimum two (2) years' experience in medical insurance billing required (preferably in facility billing)
Soarian Financials experience required