Top 87 Senior claims specialist Jobs in Pasadena Ca

Senior Claims Specialist, Workers Compensation
Tokio Marine North America (TMNA) —Pasadena, CA
- $105,000 - $120,000 a year
- Full-time
- Hybrid work
- 5 years
- Senior level
- Medical terminology
- 401(k) matching
Quick Apply
Claims Auditor, Managed Care (remote)
Cedars-Sinai —Los Angeles, CA
- $27.74 - $43.00 an hour
- 8 hour shift
- Remote
- Mid-level
- High school diploma or GED
- Bachelor's degree
- Health insurance
- Dental insurance
Case Specialist
Prestige Legal Solution, P.C. —Los Angeles, CA
- $23 - $25 an hour
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Free parking
- AD&D insurance
Quick Apply
7d
Dental Practice Manager & Senior Treatment Coordinator
Dr. Marjan Mirani —Beverly Hills, CA
- $80,000 - $100,000 a year
- Weekends as needed
- Background check
- Private practice
- Dental office
- Free parking
- Health insurance
Quick Apply
Hospital Manager of Risk Management
Clinical Management Consultants —Altadena, CA
- $123,520 - $160,000 a year
- Full-time
- Acute care
- Hospital
- Critical & Intensive Care
- Health insurance
- Paid time off
General Liability Senior Technical Specialist
Travelers —Diamond Bar, CA
- $94,400 - $155,800 a year
- Hybrid work
- Residential
- High school diploma or GED
- Analysis skills
- Wellness program
- Continuing education credits
Workers Compensation Claims Specialist, Complex & Settlement Focus
CNA Insurance —Brea, CA
- $54,000 - $103,000 a year
- Full-time
- Hybrid work
- Mid-level
- Organizational skills
- Experience equivalent to degree accepted
Senior Claims Specialist
Superior Grocers —Santa Fe Springs, CA
- $80,000 - $95,000 a year
- Microsoft Word
- Spanish
- 5 years
- Health insurance
- Dental insurance
Quick Apply
Senior Claims Specialist
Westfield Insurance —Los Angeles, CA
- Full-time
- Hybrid work
- Microsoft Excel
- 6 years
- Microsoft Outlook
Senior Patient Biller & Appeals Specialist
UCLA Health —Los Angeles, CA
- $30.49 - $40.20 an hour
- Medical office experience
- Mid-level
- Quality control
5d
Senior Construction Defect Technical Claims Specialist
Argo Group —Los Angeles, CA
- $137,496 - $198,084 a year
- Full-time
- 7 years
- English
- Bachelor's degree
- Health insurance
- Dental insurance
Senior Employee Relations Specialist
Divergent —Los Angeles, CA
- $109,240 - $150,210 a year
- Office
- Analysis skills
- Bachelor's degree
- Paid parental leave
- Paid holidays
Quick Apply
Senior Litigation Specialist, SLU
Tokio Marine Management Inc. —Pasadena, CA
- $130,000 - $140,000 a year
- Full-time
- Hybrid work
- Senior level
- Communication skills
- Commercial
- 401(k) matching
Quick Apply
Senior Risk Control Consultant
The Travelers Companies, Inc. —Glendale, CA
- $104,000 - $171,700 a year
- Hybrid work
- 7 years
- Driver's License
- Senior level
- Wellness program
- Paid holidays
Senior Revenue Cycle Specialist
FULGENT THERAPEUTICS LLC —El Monte, CA
- $52,541 - $68,000 a year
- Full-time
- Hybrid work
- Writing skills
- Research
- Office
Quick Apply
Senior Ergonomics Specialist
UCLA —Los Angeles, CA
- $78,500 - $116,000 a year
- Full-time
- Hybrid work
- Background check
- 18 years or older
- 5 years
Financial Clearance Specialist IV - Admitting - Full Time 8 Hour Variable Shift (Non Union)
Keck Medical Center of USC —Glendale, CA
- $26 - $34 an hour
- 8 hour shift
- Background check
- Hospital
- Medical office experience
Occupancy Specialist
FPM - Affordable Housing —Pasadena, CA
- $26 an hour
- Part-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Senior Manager, Claims Adjustments
L.A. Care Health Plan —Los Angeles, CA
- $117,509 - $188,015 a year
- Full-time
- 5 years
- Office
- Master's degree
- Wellness program
- Health insurance
Corporate Senior Benefits Specialist (on-site)
AHMC Healthcare —Alhambra, CA
- $26.87 - $34.15 an hour
- Full-time
- Microsoft Outlook
- 5 years
- HIPAA
- Disability insurance
- Dental insurance

I want to receive the latest job alert for senior claims specialist in pasadena ca

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

senior claims specialist jobs near pasadena ca

Senior Claims Specialist, Workers Compensation

Tokio Marine North America (TMNA) -
Pasadena, CA

Quick Apply

Job Details

Full-time
$105,000 - $120,000 a year

Benefits

401(k) matching

Qualifications

Insurance claims settlement negotiation
Claims negotiation
Workers' compensation insurance knowledge
Productivity software

Full Job Description

Description

Marketing Statement

About Tokio Marine:

Tokio Marine has been conducting business in the U.S. market for over a century and we are licensed in all states, Puerto Rico and the District of Columbia, and write all major lines of Commercial Property and Casualty Insurance. We provide unique insurance and risk management tools from our experienced staff of account executives, underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team of claim professionals. We work with major brokers and leading independent insurance agents throughout the United States to serve the world's largest and most distinguished organizations.

We are committed to creating value for our customers by providing ANSHIN (safety, security and peace of mind). We strive to be creative and passionate as we work towards our long-term success.

Tokio Marine Holdings is Japan's oldest, and one of the largest property and casualty insurers. Founded in 1879, TMNF operates worldwide in 47 countries. With annual revenues of approximately $50 billion and an A.M. Best rating of A++, one of the highest in the industry, we are one of the top 20 insurance providers worldwide.

Job Summary

Process Workers Compensation Medical and Indemnity Claims, monitor Workers Compensation cases and direct attorney and outside vendors assigned to these claims.

Essential Job Functions

Confirm coverage and policy information.
Establish proper loss reserve, negotiate loss settlement (when applicable) and bring cases to resolution.
Maintain control of outside vendors/attorneys and their expenses by directing assignments to them and limiting their scope to maximize cost effectiveness while minimizing delays in claims handling. Such vendors/attorneys must not be used unless pre-approved by the department manager.
Maintain compliance with Workers' Compensation procedure and requirements established by regulatory authorities.
Pursue Workers' Compensation liens and subrogation when appropriate.
Maintain compliance with claims practice rules and internal instructions.
Keep manager advised of significant developments in claims.
Answer correspondence and inquiries promptly from brokers/agents, insureds, claimants, doctors, attorneys, outside vendors, TMA employees, etc.
Responsible for complying with proper internal controls as necessary to conduct job functions and/or carry out responsibilities and/or administrative activities at Company.

Qualifications

College Degree Preferred
5 to 10 years of experience handling Workers' Compensation claims for a major insurance carrier
Must have applicable state licensing or the ability to obtain.
Knowledge of Workers' Compensation policy coverages
Knowledge of coding related to claims technical matters
Knowledge of legal, medical terms and meanings, civil and agency laws and related fields which may come within the purview of Workers' Compensation claims
Ability to negotiate settlement/resolution of claims in a timely and reasonable fashion
Proficient in Microsoft office
Good oral and written communication skills

Salary range $105,000 to $120,000. Ultimate salary offered will be based on factors such as applicant experience and geographic location. Our company offers a competitive benefits package and bonus eligibility on top of base.

TMA believes the perfect candidate is more than just a resume. If you don't meet every single requirement, but are still interested in the job, we encourage you to apply.

Benefits:

We offer a comprehensive benefit package, which includes a generous 401K match. Our rich history of outstanding results and growth allow us to focus our business plan on continued growth, new products, people development and internal career opportunities.

EEO Statement

Tokio Marine Management is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, or sexual orientation.

Work Location: Hybrid remote in Pasadena, CA 91101

Quick Apply

Refine Your Search

senior claims specialist jobs in pasadena ca

Senior Claims Specialist, Workers Compensation

Claims Auditor, Managed Care (remote)

Case Specialist

Dental Practice Manager & Senior Treatment Coordinator

Hospital Manager of Risk Management

General Liability Senior Technical Specialist

Workers Compensation Claims Specialist, Complex & Settlement Focus

Senior Claims Specialist

Senior Claims Specialist

Senior Patient Biller & Appeals Specialist

Senior Construction Defect Technical Claims Specialist

Senior Employee Relations Specialist

Senior Litigation Specialist, SLU

Senior Risk Control Consultant

Senior Revenue Cycle Specialist

Senior Ergonomics Specialist

Financial Clearance Specialist IV - Admitting - Full Time 8 Hour Variable Shift (Non Union)

Occupancy Specialist

Senior Manager, Claims Adjustments

Corporate Senior Benefits Specialist (on-site)

I want to receive the latest job alert for senior claims specialist in pasadena ca

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected