<p><br></p><ul><li><strong>Position: Claims Adjuster - Workers' Compensation - Trainee (CONTRACT ROLE)</strong></li><li><strong>Location: </strong>9200 Oakdale Avenue 8th Floor Chatsworth, Chatsworth, California, 91311, United States</li><li><strong>Type: 100% ONSITE</strong></li><li><strong>Hourly Pay Range: $30 per hour </strong></li></ul><p>Job Description:</p><p>MAJOR DUTIES RESPONSIBILITIES:</p><p>Duties may include but are not limited to:</p><p>- Compensability investigations in regards to Workers Compensation claims</p><p>- Handle new losses verifies accuracy of information</p><p>- Deals with insureds clients and other customers</p><p>- Complete claim investigation via phone and email to injured workers medical providers and employers.</p><p>- Handles jurisdictional notices payment of benefits scheduling medical appointments completion and filing of necessary forms</p><p>- Review medical reports and information to determine compensability of claims.</p><p>- Work with Special Investigation Unit when necessary</p><p>- Direct attorney representation to strategize case resolution</p><p>- Handles other administrative duties for the team as assigned</p><p><br></p><p><br></p>
<p>We are looking for a dedicated Personal Injury Claims Representative to join our team in the Lawrenceville, New Jersey area. In this role, you will manage complex personal injury protection claims, ensuring compliance with company policies and regulatory requirements. This position requires a detail-oriented individual with strong analytical skills and a commitment to delivering high-quality service.</p><p><br></p><p>Salary is 58,240 - 76,960.</p><p><br></p><p>Benefits include medical, dental, vision insurance, PTO, life insurance, and 401k. </p><p><br></p><p>Responsibilities:</p><p>• Investigate assigned claims, confirm coverage, verify eligibility, and determine the appropriate course of action.</p><p>• Evaluate gathered information to assess claim validity, injury extent, and potential exposure.</p><p>• Establish and maintain accurate reserves for each claim based on exposure estimates.</p><p>• Coordinate medical case reviews, independent medical examinations, or expert consultations when necessary.</p><p>• Respond to inquiries and concerns from subscribers, claimants, attorneys, and healthcare providers.</p><p>• Document claim files comprehensively and maintain an organized follow-up system for timely reporting.</p><p>• Ensure claims are managed in alignment with the organization's Decision Point Review Plan.</p><p>• Collaborate with internal departments and external specialists to optimize claim outcomes.</p><p>• Oversee loss adjustment expenses and manage vendor activities to ensure efficient and necessary work completion.</p><p>• Adhere to guidelines outlined in the Unfair Claim Practices Acts and other relevant regulations.</p>
<p>A well-established and busy law firm in <strong>Edina, MN</strong> is seeking a <strong>Litigation Legal Administrative Assistant</strong> to join its growing team. This is an expansion role offering the opportunity to contribute meaningfully to the success of the firm in a collaborative and supportive environment.</p><p><br></p><p><strong>Hybrid schedule:</strong> 1 day/week remote after training.</p><p><br></p><p><strong><u>Responsibilities:</u></strong></p><ul><li>Provide comprehensive administrative and litigation support to attorneys</li><li>Prepare, format, and file legal documents, including electronic filing in state and federal courts</li><li>Review, organize, and summarize medical records</li><li>Track and manage deadlines related to court filings, discovery responses, and other case milestones</li><li>Coordinate communication with clients, witnesses, insurance adjusters, court personnel, and opposing counsel</li><li>Maintain electronic and physical case files and assist with general litigation-related administrative tasks</li><li>Other administrative duties as assigned</li></ul><p><br></p><p><br></p>
We are looking for a dedicated Medical Claims Specialist to join our healthcare team in Federal Way, Washington. This long-term contract position involves working to resolve medical claims efficiently while ensuring compliance with insurance policies and regulations. The role requires strong analytical skills and attention to detail to address complex issues and maintain high productivity standards.<br><br>Responsibilities:<br>• Conduct detailed benefit verification for patient insurance coverage to ensure accurate claims submission.<br>• Investigate and resolve unpaid or denied claims by analyzing root causes and utilizing available resources.<br>• Communicate effectively with insurance payers to address claim issues and facilitate timely payment.<br>• Interpret insurance contracts and regulations, ensuring compliance with state and employer-specific requirements.<br>• Participate in virtual meetings promptly, adhering to meticulous standards and security protocols.<br>• Utilize secure systems to manage sensitive data in a remote environment.<br>• Verify insurance authorizations and approvals accurately to support seamless claim processing.<br>• Collaborate with team members to resolve complex payment barriers and ensure smooth operations.<br>• Manage and resolve a set number of complex accounts daily, meeting productivity expectations.<br>• Respond promptly to supervisor and leadership inquiries during work hours, maintaining a high level of accountability.
<p>We are currently seeking an experienced <strong>Workers Compensation Lost Time Senior Claim Examiner</strong> to join our team in the Los Angeles, CA area. As a <strong>Workers Compensation Lost Time Senior Claim Examiner</strong>, you will handle a caseload of lost time workers compensation claims originating primarily from California. This <strong>Workers Compensation Lost Time Senior Claim Examiner</strong> role is an on-site position located in Los Angeles and focuses on delivering high-quality claims service in a fast-paced, customer-driven environment.</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Manage all aspects of lost time workers compensation claims from initiation through closure.</li><li>Conduct three-part investigations, including statements from insureds, claimants, and medical providers.</li><li>Determine claim compensability based on investigation outcomes.</li><li>Administer statutory medical and indemnity benefits timely and accurately.</li><li>Communicate denials and updates to insureds, claimants, attorneys, and involved parties.</li><li>Set and adjust reserves within authority, escalating when necessary.</li><li>Collaborate with legal counsel on hearings and litigation matters.</li><li>Direct vendors and medical case managers on return-to-work strategies.</li><li>Comply with all state and regulatory reporting requirements.</li><li>Refer appropriate claims for subrogation and maximize recovery efforts.</li><li>Partner with internal teams (nurses, investigators, case managers) for optimal claim outcomes.</li><li>Prepare clear, professional documentation and reports.</li></ul><p><br></p>
<p>A well-established and busy law firm in Edina, MN, is seeking a Litigation Paralegal to join its growing team. This is an expansion role offering the opportunity to contribute meaningfully to the success of the firm in a collaborative environment.</p><p><br></p><p>1 day/week remote after training.</p><p><br></p><p><strong>Responsibilities:</strong></p><ul><li>Provide comprehensive support to attorneys managing a full litigation caseload</li><li>Review, analyze, and summarize medical records</li><li>Track and manage deadlines related to court filings, discovery responses, and other case milestones</li><li>Coordinate communication with clients, witnesses, insurance adjusters, and opposing counsel</li></ul><p><br></p>
<p>We are seeking a <strong>Senior Workers’ Compensation Claim Representative</strong> to join our team in Los Angeles, CA. This is an on-site, full-time temporary role. The <strong>Senior Workers’ Compensation Claim Representative</strong> will be responsible for managing all aspects of lost time claims for California, ensuring superior customer service and compliance with state regulations. As a <strong>Senior Workers’ Compensation Claim Representative</strong>, you’ll work closely with attorneys, vendors, and internal teams to deliver high-quality claims management services.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Manage workers' compensation lost time claims from start to closure</li><li>Conduct comprehensive investigations and evaluate compensability</li><li>Communicate claim decisions to insureds, claimants, and attorneys</li><li>Administer statutory medical and indemnity benefits throughout claim lifecycle</li><li>Set and adjust reserves within authority limits</li><li>Collaborate with attorneys on hearings and litigation strategies</li><li>Direct nurse case managers, rehabilitation vendors, and telephonic case managers</li><li>Ensure compliance with all statutory filing requirements</li><li>Pursue subrogation opportunities where applicable</li><li>Maintain detailed file notes and participate in claim reviews</li></ul><p><br></p>
<p>Our client is looking for a dedicated Bodily Injury Claims Representative in the Lawrenceville, NJ area to manage non-litigation auto insurance claims, including uninsured and underinsured motorist cases. This role requires a strong understanding of insurance policies and the ability to assess claims effectively. </p><p><br></p><p>Salary is 60,000 - 79,000. </p><p><br></p><p>Benefits include medical, dental, and vision coverage, PTO, life insurance, and 401k. </p><p><br></p><p>Responsibilities:</p><p>• Investigate claims thoroughly to validate their authenticity, assess policy coverages, and determine if special investigations are necessary.</p><p>• Set appropriate reserves based on claim details and adjust them as new information becomes available.</p><p>• Negotiate settlements with claimants, attorneys, and other involved parties while adhering to company policies.</p><p>• Issue accurate payments promptly and ensure all transactions align with regulatory standards.</p><p>• Recognize potential fraud or questionable claims and escalate them to the special investigation unit when required.</p><p>• Maintain organized records and follow up regularly to ensure claims are resolved in a timely manner.</p><p>• Ensure compliance with state and local regulations, including NJ, PA, and Michigan Unfair Claims Practices guidelines.</p><p>• Complete other assigned duties as needed to support the claims process.</p>
We are looking for a detail-oriented Automotive Claims Representative to join our team in Rockville Centre, New York. In this role, you will handle a variety of accounting tasks and ensure that claims are processed efficiently and accurately. The ideal candidate thrives in a structured environment and has a solid understanding of accounts payable, accounts receivable, and invoice processing.<br><br>Responsibilities:<br>• Process and manage automotive claims with accuracy and attention to detail.<br>• Handle accounts payable and accounts receivable transactions in a timely manner.<br>• Use QuickBooks to maintain and update financial records.<br>• Review and process invoices to ensure proper documentation and compliance.<br>• Enter data efficiently into accounting systems while maintaining accuracy.<br>• Communicate with clients and vendors to address inquiries and resolve discrepancies.<br>• Assist in reconciling accounts to ensure balanced financial records.<br>• Support the team in preparing reports and documentation as required.<br>• Monitor deadlines and prioritize tasks to meet organizational goals.
We are looking for a dedicated Damage Claims Analyst to join our team in Indianapolis, Indiana. This long-term contract position offers an excellent opportunity to address a backlog of damage claims with precision and efficiency. If you have expertise in claims processing and a strong background in casualty and property damage claims, we encourage you to apply.<br><br>Responsibilities:<br>• Review and analyze damage claims to ensure accuracy and compliance with company standards.<br>• Process casualty and property damage claims efficiently using SAP systems.<br>• Investigate claims thoroughly to determine liability and assess damages.<br>• Communicate with clients, adjusters, and other stakeholders to gather necessary documentation and information.<br>• Maintain organized records of claims and ensure all documentation is complete.<br>• Resolve claims disputes by negotiating settlements where appropriate.<br>• Collaborate with team members to prioritize and address backlog cases.<br>• Ensure compliance with insurance regulations and company policies during claims processing.<br>• Provide timely updates to management regarding claim statuses and progress.<br>• Utilize analytical skills to identify trends or issues within claims processing workflows.
We are looking for a dedicated Claims Associate to join our team on a long-term contract basis in Sunrise, Florida. In this role, you will handle medical claims processing, member communications, and ensure compliance with industry standards. This position offers an opportunity to utilize your expertise in medical claims and billing while providing excellent customer service.<br><br>Responsibilities:<br>• Process new claims by setting them up, completing required forms, scanning documents, and ensuring all claims are accurately processed.<br>• Communicate with healthcare providers to gather additional documentation needed for claim evaluations.<br>• Assess coverage for submitted claims, verifying details through internal systems and attaching supporting documents.<br>• Send clear and thorough correspondence to members explaining the claim adjudication process.<br>• Provide empathetic and detail-oriented customer service, actively listening to member concerns.<br>• Act as a subject matter expert on benefit coverage and product knowledge, assisting members with inquiries.<br>• Maintain strict confidentiality and follow data security and authentication protocols when handling sensitive information.<br>• Organize and prioritize tasks to meet established service standards and benchmarks.<br>• Collaborate effectively in a fast-paced environment to ensure timely claim resolutions.<br>• Ensure compliance with relevant policies, procedures, and regulations while managing member and payment information.
<p><strong>Property & Casualty Insurance Administrator</strong></p><p> 📍 Albany, NY</p><p> 🕒 Full-Time | Temp-to-Hire</p><p><br></p><p>A small, family-run financial management firm in Albany, NY is seeking a dependable and detail-oriented <strong>Property & Casualty Insurance Administrator</strong> to join their team. This is a temp-to-hire opportunity with long-term potential in a collaborative, relationship-driven office.</p><p><br></p><p>This role is focused primarily on supporting and managing existing accounts. You’ll play a key role in ensuring policies are accurate, organized, and properly maintained while providing attentive service to established clients.</p><p><br></p><p><strong>What You’ll Be Doing:</strong></p><ul><li>Maintaining and streamlining existing P& C accounts to ensure accuracy and completeness</li><li>Overseeing current accounts and ensuring all documentation is organized, compliant, and up to date</li><li>Managing and strengthening client relationships by ensuring proper coverage and ongoing policy integrity</li><li>Preparing and processing policy changes, endorsements, certificates, and renewals</li><li>Assisting with quoting for new and existing policies as needed</li><li>Responding to client inquiries and resolving policy-related questions</li><li>Supporting internal team members with administrative and account management tasks</li></ul><p><strong>What We’re Looking For:</strong></p><ul><li>Prior experience in a Property & Casualty insurance office preferred</li><li>Active P& C license or certification strongly preferred</li><li>If not currently licensed, willingness to obtain certification (training and support available for the right candidate)</li><li>Experience with quoting and policy processing is a plus</li><li>Strong attention to detail and organizational skills</li><li>Professional communication skills and client-service mindset</li><li>Ability to work independently in a small-office environment</li></ul><p><strong>Why This Opportunity?</strong></p><ul><li>Join a stable, family-owned firm with strong local roots</li><li>Supportive and team-oriented culture</li><li>Opportunity for permanent hire</li><li>Competitive pay based on experience</li></ul><p>If you enjoy insurance operations, take pride in accuracy, and value working in a close-knit professional environment, this could be a great next step.</p>
<p>We are looking for a dedicated and experienced Case Manager to oversee statewide programs and lead multidisciplinary teams in Sacramento, California. This role will involve managing strategic initiatives, optimizing care delivery, and ensuring compliance with healthcare standards. As this is a Contract to permanent position, it offers an excellent opportunity for detail-oriented growth and long-term career development.</p><p><br></p><p>Responsibilities:</p><p>• Provide leadership and direction to teams, including care managers, supervisors, and program staff across the state.</p><p>• Ensure programs align with policies, CalAIM standards, and Medi-Cal Managed Care Plan requirements.</p><p>• Develop and refine protocols, workflows, and training materials while driving quality improvement initiatives.</p><p>• Collaborate with internal departments, health plans, and community organizations to enhance member experiences and outcomes.</p><p>• Monitor and improve key performance metrics related to outreach, engagement, care planning, and service delivery.</p><p>• Oversee accurate and timely reporting, including encounter data, care coordination logs, and audits.</p><p>• Manage hiring, training, supervision, and performance evaluations for leadership and frontline staff.</p><p>• Promote a trauma-informed and culturally responsive approach to service delivery.</p><p>• Conduct regular site visits and virtual check-ins to support team operations statewide.</p>
We are looking for a dedicated and organized Paralegal to join our team in Sacramento, California. In this role, you will manage legal cases, ensuring smooth communication and coordination between clients, neutrals, and internal teams. Your expertise will contribute to the efficient handling of mediation, arbitration, and private judging cases from initiation to resolution.<br><br>Responsibilities:<br>• Oversee case files for mediation, arbitration, and private judging, ensuring timely progress and resolution.<br>• Coordinate schedules and communication with neutrals to facilitate smooth legal proceedings.<br>• Apply legal terminology and processes effectively to maintain accuracy and compliance.<br>• Handle billing, retainer assessments, and client communications with attention to detail.<br>• Identify and resolve issues as they arise, collaborating with team leaders and consultants.<br>• Uphold internal service standards and best practices in all case management activities.<br>• Participate in team training sessions, check-ins, and meetings to stay informed and aligned with organizational goals.
