Top 234 claims representative Jobs in long beach ca

Workers Compensation Specialist
Confidential —Orange County, CA
- $25 - $40 an hour
- Full-time
- Background check
- Spanish
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
11d
Patient Account Representative
Insight Global —Torrance, CA
- $25 - $28 an hour
- Contract
- Background check
- Writing skills
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
7d
Denials Representative
Insight Global —Torrance, CA
- $25 - $28 an hour
- Contract
- Background check
- Writing skills
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
13d
Call Center Member Service Representative
United Faith Ministries Inc —Orange, CA
- $25 an hour
- Overtime
- Microsoft Outlook
- Computer literacy
- Research
- Health insurance
- Dental insurance
Quick Apply
Claims Representative (IAP) - Workers Compensation Training Program | Long Beach, CA
Sedgwick —Long Beach, CA
- Office
- High school diploma or GED
- Bachelor's degree
- Health savings account
- Disability insurance
12d
Revenue Cycle Manager - Healthcare (FQHC Community Clinic)
Hurtt Family Health Clinic —Tustin, CA
- $85,000 a year
- Full-time
- 5 years
- HIPAA
- Finance
- 403(b) matching
- Health savings account
Quick Apply
Member Services Representative (Chinese Speaking)
ASTIVA HEALTH INC —Orange, CA
- $24 - $29 an hour
- Full-time
- Mid-level
- In-person
- 2 years
- Health insurance
- Dental insurance
Quick Apply
Insurance Customer Service Representative
SJL Insurance Service, Inc. —Monterey Park, CA
- From $21 an hour
- Email
- Bilingual
- Customer service
- No background check
- Health insurance
- Paid time off
Quick Apply
Bilingual Insurance Customer Service Representative (English/ Spanish) We train from A to Z!
Academy Automobile Insurance Services, Inc. —Inglewood, CA
- $20 - $24 an hour
- Full-time
- Bilingual
- Background check
- Spanish
- Health insurance
- Dental insurance
Quick Apply
Customer Service and Order Processor
Spectrum Medical Imaging Company —Santa Monica, CA
- $55,000 - $70,000 a year
- Full-time
- Background check
- Customer service
- Office
- Health insurance
- Dental insurance
Quick Apply
Medicare Hospital Biller
Ethos Management (Servicing AHMC Hospitals) —Alhambra, CA
- $23 - $26 an hour
- 8 hour shift
- Microsoft Excel
- HIPAA
- Office
- Health insurance
- Dental insurance
Quick Apply
Customer Service Representative (Bilingual Mandarin or Cantonese/English)
KCAL Insurance Agency —Hacienda Heights, CA
- From $20 an hour
- 8 hour shift
- Spanish
- Microsoft Outlook
- Customer service
- Profit sharing
- Paid holidays
Quick Apply
Member Services Representative (Korean Speaking)
ASTIVA HEALTH INC —Orange, CA
- $24 - $29 an hour
- Full-time
- Bilingual
- Customer service
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Vehicle Claims Administrator - Subrogation
Athens Services —Los Angeles, CA
- $28 - $35 an hour
- Full-time
- Writing skills
- Mid-level
- Administrative experience
- Health insurance
- 401(k)
Quick Apply
5d
Workers' Compensation Claims Adjuster - III
Professional Search —California
- Up to $60 an hour
- Temporary
- Remote
- 5 years
- Conflict management
- Senior level
- Health savings account
- Health insurance
Quick Apply
Medical Management Assistant
SCAN Health Plan —Long Beach, CA
- $20.14 - $27.77 an hour
- Full-time
- Remote
- Background check
- High school diploma or GED
- Older adults
- Wellness program
- Paid holidays
Quick Apply
5d
Customer Service Representative - State Farm Agent Team Member
Erica Ruiz - State Farm Agent —Long Beach, CA
- $55,000 - $65,000 a year
- Full-time
- Office
- Children
- Communication skills
- Health insurance
- 401(k)
Quick Apply
Specialist, Appeals & Grievances (Must commute to Long Beach, CA)
Molina Healthcare, Inc. —Long Beach, CA
- $20.25 - $36.77 an hour
- Full-time
- Medical office experience
- Research
- Mid-level
- Health insurance
Claims Specialist, Workers Compensation - West Region
Liberty Mutual —Long Beach, CA
- $61,000 - $113,000 a year
- Full-time
- Bachelor of Science
- Mid-level
- Office
Customer Service Representative - State Farm Agent Team Member
Chris Barredo - State Farm Agent —Long Beach, CA
- $20 - $23 an hour
- Full-time
- Office
- Communication skills
- Entry level
- Health insurance
- Paid time off
Quick Apply

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Workers Compensation Specialist

Confidential
Orange County, CA

Quick Apply

Job Details

Full-time
$25 - $40 an hour
11 days ago

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Spanish
Teamwork
Workers' compensation insurance knowledge
DOT (Department of Transportation) regulations
Attention to detail
Workers' compensation
Business Administration
Business
Associate's degree
Stakeholder relationship building

Full Job Description

WORKERS’ COMPENSATION SPECIALIST

The Workers’ Compensation Specialist to manages and administers the company’s workers’ compensation program and ensures compliance with applicable federal and California state regulations. This role is responsible for the employee injury process coordinating with carriers and medical providers, attorneys, maintaining accurate claims documentation, and supporting modified duty and return-to-work efforts.

The ideal candidate will bring hands-on experience with workers’ compensation administration, strong communication skills, a collaborative working style, and a commitment to supporting injured employees while protecting the company’s legal and financial interests. This position interacts with operations, Human Resources, safety, and external partners to ensure timely, compliant, and efficient claims handling.

Responsibilities

· Manage workers’ compensation claims from initial incident reporting through resolution, ensuring timely submission and documentation.

· Ensure full compliance with California workers’ compensation laws, OSHA reporting requirements, and internal company policies.

· Serve as the main point of contact between the company, employees, insurance carriers, third-party administrators, medical providers, and legal representatives.

· Review incident reports, gather statements, and support investigations to determine compensability.

· Maintain organized and confidential claims files, documentation, and system entries.

· Monitor claim progress, medical status, benefit payments, and litigation activity when applicable; engage in settlement negotiations and make recommendations.

· Coordinate and track return-to-work and light-duty programs in partnership with supervisors and Human Resources.

· Prepare regular reporting for leadership on claims status, trends, costs, and risk exposure.

· Assist with safety initiatives by identifying trends, participating in injury prevention discussions, and manage wellness programs.

· Support internal and external audits, including insurance carrier and regulatory reviews; assess third-party performance and schedule case reviews.

· Manage workers’ compensation processes, policies, and related communication practices; maintain knowledge of relevant and current legislation

Qualifications/Knowledge/Critical Skills

· Associate’s or Bachelor’s degree in Human Resources, Business Administration, Risk Management, or related field preferred.

· Minimum of 3–5 years of experience managing workers’ compensation claims or working in a risk/insurance-related role; transportation experience preferred

· Strong working knowledge of California workers’ compensation regulations and claims processes.

· Experience collaborating with third-party administrators and insurance carriers.

· Excellent communication skills, with the ability to interact professionally and empathetically with employees and stakeholders.

· Must be bilingual (Spanish)

· Strong organizational, analytical, and record-keeping abilities with high attention to detail.

· Proficiency in Microsoft Office Suite and familiarity with HR or claims management systems.

· Ability to manage multiple priorities, maintain confidentiality, and work effectively in a fast-paced environment.

Physical Demands/Environmental Factors

· While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear

· Occasionally required to stand and walk

· Some travel required

Compensation

The Workers’ Compensation Administrator position offers a competitive hourly rate in line with market compensation for the Southern California region. The hourly range for this position is $25.00 to $40.00 per hour, depending on experience (DOE). In addition, the company provides a comprehensive benefits package that includes medical, dental, and vision insurance, a 401k plan with employer matching, paid time off, and life insurance coverage. Final compensation will be determined based on the candidate’s experience, qualifications, and demonstrated skills.

PLEASE NOTE: This job description is not exhaustive and is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee.

Pay: $25.00 - $40.00 per hour

Benefits:

401(k)
401(k) matching
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance

Experience:

Workers' compensation: 3 years (Required)
Logistics: 1 year (Preferred)
DOT (Department of Transportation) regulations: 1 year (Preferred)

Language:

Spanish (Required)

Work Location: In person

Quick Apply

Refine Your Search

claims representative jobs in long beach ca

Workers Compensation Specialist

Patient Account Representative

Denials Representative

Call Center Member Service Representative

Claims Representative (IAP) - Workers Compensation Training Program | Long Beach, CA

Revenue Cycle Manager - Healthcare (FQHC Community Clinic)

Member Services Representative (Chinese Speaking)

Insurance Customer Service Representative

Bilingual Insurance Customer Service Representative (English/ Spanish) We train from A to Z!

Customer Service and Order Processor

Medicare Hospital Biller

Customer Service Representative (Bilingual Mandarin or Cantonese/English)

Member Services Representative (Korean Speaking)

Vehicle Claims Administrator - Subrogation

Workers' Compensation Claims Adjuster - III

Medical Management Assistant

Customer Service Representative - State Farm Agent Team Member

Specialist, Appeals & Grievances (Must commute to Long Beach, CA)

Claims Specialist, Workers Compensation - West Region

Customer Service Representative - State Farm Agent Team Member

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