Top 23410 Authorization representative Jobs

Workers' Compensation Claim Representative II
CCMSI —Irvine, CA
- $60,000 - $80,000 a year
- Remote
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Disability insurance
Authorization Representative
Therapeutic Associates Physical Therapy —Remote
- $17 - $20 an hour
- Full-time
- Remote
- Customer service
- Medical office experience
- Physical & Rehabilitation Medicine
- Profit sharing
- Wellness program
Quick Apply
Authorization Specialist - Revenue Cycle Management
Vital Care Infusion Services —Remote
- $18.92 - $23.46 an hour
- Full-time
- Remote
- Writing skills
- English
- Mid-level
- Health savings account
- Paid holidays
Quick Apply
Scheduling and Prior Authorization Representative- Remote
McKenzie Health —Watford City, ND
- Weekends as needed
- Remote
- Background check
- Word processing
- Computer literacy
- 403(b) matching
- Employee assistance program
Quick Apply
14d
Medical Order Specialist (REMOTE)
Aveanna Healthcare —Oklahoma City, OK
- $17 - $19 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- Administrative experience
- Paid holidays
- Dental insurance
Quick Apply
Billing Representative
Reliable Respiratory —Portland, ME
- $30 - $35 an hour
- Full-time
- Remote
- 18 years or older
- Computer literacy
- Research
Quick Apply
Pharmacy Care Representative - Work From Home Pennsylvania
CVS Health —Pennsylvania
- $17.00 - $28.46 an hour
- Overtime
- Remote
- Microsoft Excel
- Microsoft Outlook
- Windows
- Paid holidays
- Health insurance
Patient Benefits Coordinator
CCRM Fertility —Arizona
- $18 - $24 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- High school diploma or GED
Quick Apply
Pharmacy Care Representative - Work From Home Texas (MST or CST)
CVS Health —Texas
- $17.00 - $28.46 an hour
- Overtime
- Remote
- Microsoft Excel
- Microsoft Outlook
- Windows
- Paid holidays
- Health insurance
Pre-Registration Specialist, Per Diem
Samaritan —Washington, DC
- $21.10 - $26.26 an hour
- Part-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
Quick Apply
Insurance Authorization Specialist II
SYSTEM West Virginia University Health System —Remote
- Full-time
- Remote
- Microsoft Outlook
- Computer literacy
- Basic math
Pharmacy Care Representative - Work From Home Michigan
CVS Health —Michigan
- $17.00 - $28.46 an hour
- Overtime
- Remote
- Microsoft Excel
- Microsoft Outlook
- Windows
- Paid holidays
- Health insurance
Intake Care Representative - Evernorth - Remote
The Cigna Group —Florida
- Online Application
- Remote
- Medical office experience
- Administrative experience
- High school diploma or GED
Documentation and Authorization Specialist
Symbria —Woodridge, IL
- Full-time
- Microsoft Outlook
- Research
- Mid-level
- 401(k)
- Paid time off
Intake Representative - ALBUQUERQUE, NM
COMAGINE HEALTH —New Mexico
- $20 - $23 an hour
- Remote
- Mid-level
- High school diploma or GED
- Ability to sit for extended periods
- Paid parental leave
- Health insurance
Quick Apply
Remote Healthcare Call Center Representative
Conduent Commercial Solutions, LLC —Remote
- $16 an hour
- Weekends as needed
- Remote
- Background check
- Computer literacy
- High school diploma or GED
- Paid training
- Paid holidays
Member Services Representative
Versant Health —Remote
- $19 - $21 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- High school diploma or GED
- Paid holidays
- Health insurance
Customer Service Representative
Firstsource Healthcare —Remote
- $15 an hour
- 8 hour shift
- Remote
- Computer literacy
- Writing skills
- Typing
- Dental insurance
- Work from home
Patient Access Rep I - ED LD Registration and Operations - Part-Time, 8 Hour Shifts, Nights & Weekends
Cedars-Sinai —Los Angeles, CA
- $24.00 - $31.96 an hour
- 8 hour shift
- High school diploma or GED
- Organizational skills
- Fair chance
8d
Financial Clearance Representative Associate, Retail Pharmacy Prior Authorization
Optum —Minneapolis, MN
- $16 - $29 an hour
- Full-time
- Remote
- 18 years or older
- Customer service
- Pass drug screening
13d

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Workers' Compensation Claim Representative II

CCMSI -
Irvine, CA

Apply Now

Job Details

$60,000 - $80,000 a year

Benefits

Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Employee stock ownership plan
Opportunities for advancement
Life insurance

Qualifications

Confidential information handling
Writing skills
Client rapport building
Workers' compensation insurance knowledge
Client management
Technical Proficiency

Full Job Description

Overview

Workers' Compensation Claim Representative II
Location: Irvine, CA - reporting remotely
Schedule: 8:00am - 4:30pm (PST)
Salary Range: $60,000 - $80,000 (depending on experience)

Build Your Career With Purpose at CCMSI

At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.

We don’t just process claims—we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work®, and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day.

Job Summary

We are seeking an experienced and motivated California Workers’ Compensation Claim Representative II to manage a diverse portfolio of claims with professionalism, empathy, and strong technical skill. You will take ownership of a dedicated account specializing in warehouse and trucking-related claims. With 5–10 years of experience, you’ll bring seasoned judgment to claim investigations, compensability decisions, and timely resolution strategies. This role provides an excellent opportunity to deepen your expertise and serves as a developmental step toward more senior claim positions. As a Claim Representative II, you’ll play a key role in delivering an exceptional client experience and upholding CCMSI’s high standards for quality claim service.

Responsibilities

When we hire Workers’ Compensation Adjusters at CCMSI, we look for detail‑driven problem‑solvers who balance empathy with sound judgment, navigate complex regulations with confidence, and deliver fair, timely outcomes that support injured workers and strengthen client trust.

Investigate and adjust workers compensation claims in accordance with established claims handling procedures using CCMSI guidelines and direct supervision.
Perform TD/PD/AWW calculations to ensure accurate indemnity payments in accordance with applicable workers’ compensation laws and guidelines.
Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ongoing workers compensation claims. Negotiate any disputed bills for resolution.
Authorize and make payment of workers compensation claims utilizing a claim payment program in accordance with industry standards and within settlement authority.
Negotiate settlements with claimants and attorneys in accordance with client's authorization.
Assist in selection and supervision of defense attorneys.
Assess and monitor subrogation claims for resolution.
Prepare reports detailing claims, payments and reserves.
Provide reports and monitor files, as required by excess insurers.
Compliance with Service Commitments as established by team.
Delivery of quality claim service to clients.

Qualifications

Required Qualifications

Self‑starter with strong organizational skills and the ability to work with minimal supervision.
Proven ability to coordinate, prioritize, and manage multiple responsibilities.
Flexibility, initiative, and adaptability in a fast‑paced, rapidly changing environment.
Strong discretion and ability to maintain confidentiality.
Ability to work effectively as part of a team.
Reliable, predictable attendance within client service hours.
Responsiveness to internal and external client needs.
Ability to communicate clearly and professionally, both verbally and in writing.
5 to 10 years of Workers’ Compensation claims management experience or equivalent combination of experience and education.
Proficiency with Microsoft Office programs (Word, Excel, Outlook, etc.).
California Adjuster’s license is required - SIP is required

Preferred Qualifications

Associate degree is preferred but not required.
Experience handling liens and subrogation matters is highly preferred, though not required.
Bilingual (Spanish) proficiency — highly valued for communicating with claimants, employers, or vendors, but not required.

Why You’ll Love Working Here

4 weeks (Paid time off that accrues throughout the year in accordance with company policy) + 10 paid holidays in your first year
Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance
Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP)
Career growth: Internal training and advancement opportunities
Culture: A supportive, team-based work environment

How We Measure Success

At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by:

Quality claim handling – thorough investigations, strong documentation, well-supported decisions
Compliance & audit performance – adherence to jurisdictional and client standards
Timeliness & accuracy – purposeful file movement and dependable execution
Client partnership – proactive communication and strong follow-through
Professional judgment – owning outcomes and solving problems with integrity
Cultural alignment – believing every claim represents a real person and acting accordingly

This is where we shine, and we hire adjusters who want to shine with us.

Compensation & Compliance

The posted salary reflects CCMSI’s good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay.

CCMSI offers comprehensive benefits including medical, dental, vision, life, and disability insurance. Paid time off accrues throughout the year in accordance with company policy, with paid holidays and eligibility for retirement programs in accordance with plan documents.

Visa Sponsorship: CCMSI does not provide visa sponsorship for this position.
ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process.
Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations.

Background checks, if required for the role, are conducted only after a conditional offer and in accordance with applicable fair chance hiring laws.

Our Core Values

At CCMSI, we believe in doing what’s right—for our clients, our coworkers, and ourselves. We look for team members who:

Lead with transparency We build trust by being open and listening intently in every interaction.
Perform with integrity We choose the right path, even when it is hard.
Chase excellence We set the bar high and measure our success. What gets measured gets done.
Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own.
Win together Our greatest victories come when our clients succeed.

We don’t just work together—we grow together. If that sounds like your kind of workplace, we’d love to meet you.

#EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #CaliforniaJobs #CareerGrowth #InsuranceJobs #ESOP #LI-Remote #IND123

Apply Now

Refine Your Search

authorization representative jobs

Workers' Compensation Claim Representative II

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I want to receive the latest job alert for authorization representative

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Overview

Build Your Career With Purpose at CCMSI

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