accounting manager

case manager

claims specialist ii

account coordinator

account manager

claims manager

Athens Administrators

ATHENS POSITION DETAILS Position Title: Division Claims Manager Department: Workers&rsquo; Compensation Reports To: Executive Vice President, Workers Compensation FLSA Status: Exempt Job Grade: 17 ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976. We foster an environment where employees not only thrive but consistently recognize Athens as a &ldquo;Best Place to Work.&rdquo; Immerse yourself in our engaging, supportive, and inclusive culture, offering opportunities for continuous professional growth. Join our nationwide family-owned company in Workers' Compensation, Property &amp; Casualty, Program Business, and Managed Care. Embrace a change and come make an impact with the Athens Administrators family today! POSITION SUMMARY Athens Administrators has an immediate need for a full-time Division Claims Manager to support our Workers Compensation department by leading a team of supervisors in our Southern California market. Management that lives less than 36 miles from the Orange, CA offices AND have a direct report in the office, are required to work once a week in the office. The remaining days can be worked remotely if technical requirements are met, and the employee resides in Southern California. Athens offices are open for business Monday-Friday from 7:30 a.m. to 5:30 p.m. local time. The schedule for this position is Monday-Friday. The Division Claims Manager is a key leader within Athens Administrators&rsquo; Workers&rsquo; Compensation division, responsible for overseeing the performance, development, and results of a team of Claims Supervisors and ancillary claims staff. This role serves as a strategic partner to senior leadership, clients, and internal stakeholders, ensuring high‑quality claims handling, operational excellence, and alignment with client expectations. PRIMARY RESPONSIBILITIES Our new hire should have the skills, ability, and judgment to perform the following essential job duties and responsibilities with or without reasonable accommodation. Additional duties may be assigned: Strategic &amp; Operational Leadership <ul><li>Serve as a member of the Senior Operations Group (SOG), collaborating with executives on company initiatives, process improvements, and performance goals.</li><li>Oversee claims operations to ensure regulatory compliance, consistent application of best practices, and high-quality claim outcomes.</li><li>Lead process optimization efforts, leveraging data and cross-departmental partnerships to enhance efficiency and client results.</li><li>Ensure accurate and consistent claims coding, reserve practices, diary maintenance, and overall file quality across the division.</li><li>Review audit results and incorporate findings into department quality initiatives.</li></ul>Team Leadership, Coaching &amp; Development <ul><li>Provide daily guidance, coaching, and direct supervision to Claims Supervisors and partial supervision to Hearing Representatives, Investigators, and other ancillary staff.</li><li>Lead staff meetings, communicate company priorities, and foster an open-door environment that encourages transparency and collaboration.</li><li>Oversee hiring processes in partnership with Human Resources, including candidate selection, interview evaluation, and feedback.</li><li>Set clear performance expectations and developmental goals and conduct formal performance evaluations.</li><li>Address employee relations issues promptly and consistently, working with HR as needed.</li><li>Support a culture that reflects Athens' values of integrity, collaboration, and service excellence.</li></ul>Client Relationship Management <ul><li>Manage key client relationships by being accessible, proactive, and solutions‑oriented.</li><li>Respond promptly to client inquiries and identify potential issues before they escalate.</li><li>Attend client meetings and present annual stewardship reports.</li><li>Document client interactions and meeting notes in appropriate shared systems.</li><li>Collaborate with the Sales Team on presentations for prospective clients.</li></ul>Claims Oversight &amp; Technical Expertise <ul><li>Provide daily direction on claim strategy, settlements, reserves, litigation planning, compensability decisions, and overall file handling.</li><li>Authorize settlement agreements and significant payments within assigned authority limits.</li><li>Work collaboratively with attorneys, investigators, and medical professionals to resolve complex or sensitive claims.</li><li>Ensure unit closing goals, reserve accuracy standards, and quality metrics are consistently achieved or exceeded.</li></ul>Training &amp; Knowledge Development <ul><li>Coordinate and deliver claims training for new and existing staff.</li><li>Promote continuous learning, professional development, and mastery of changing laws, practices, and internal procedures.</li></ul>ACCOUNTABILITIES Supervisory Responsibilities Supervising, scheduling, assigning, monitoring, and evaluating work of assigned staff are responsibilities for supervisory positions. <ul><li>Provide direct supervision to Claims Supervisors. Also provide partial direct supervision to ancillary staff, such as Hearing Representatives, investigators, etc.</li><li>Responsible for performance management of direct reports</li></ul>Fiscal Responsibilities <ul><li>Participate in budget development, forecasting, and cost-control initiatives.</li><li>Review and approve staff expense reports and educational reimbursement requests.</li><li>Ensure expenditures and resource allocation align with company objectives and financial responsibility.</li><li>Understand and enforce wage and hour laws applicable to supervised staff.</li><li>Accurately review and approve timecards when required.</li></ul>Managers in the Field Responsibilities: For designated branch locations, oversee facility operations including security, maintenance, safety, and parking coordination. ESSENTIAL POSITION REQUIREMENTS The requirements listed below are representative of the knowledge, skill, and/or ability required. While it does not encompass all job requirements, it is meant to give you a solid understanding of expectations. Education &amp; Professional Certifications <ul><li>High School Diploma or GED required; AA/AS or BA/BS strongly preferred.</li><li>Administrators Certificate from Self-Insurance Plans will be required within one year of employment if not already obtained</li><li>Must possess a current Experienced Indemnity Claims Adjuster Designation, provided by an insurer, as defined in California Code of Regulations, Title 10, Chapter 5, Subchapter 3, Section 2592.01(f)</li><li>Completion of IEA coursework or equivalent.</li></ul>Experience Requirements <ul><li>Minimum 3 years of supervisory experience, including hiring, training, coaching, developing, directing, and retaining staff.</li><li>Minimum 2 years of management experience in a Workers&rsquo; Compensation office.</li><li>Prior Workers&rsquo; Compensation claims handling experience, including reserve management, case valuation, and settlement negotiation.</li><li>Prior Third-Party Administrator (TPA) experience preferred.</li></ul>Technical &amp; Industry Knowledge <ul><li>Strong understanding of Workers&rsquo; Compensation laws, policies, procedures, and best practices.</li><li>Proficiency in evaluating claim exposure, quality file handling, and guiding claims to appropriate resolution.</li><li>Understanding of medical and legal terminology.</li><li>Proficient in Microsoft Office Suite; able to learn additional systems and leverage technology to improve efficiency.</li><li>Strong mathematical and analytical abilities.</li><li>Ability to type accurately and for sustained periods.</li></ul>Results &amp; Operational Excellence <ul><li>Ability to plan, organize, and delegate workload to ensure timely and high-quality outcomes.</li><li>Strong attention to detail; able to audit own work and participate in peer review.</li><li>Commitment to continuous improvement, process optimization, and adopting new methods or tools.</li><li>Demonstrated ability to adapt quickly to changing instructions, client needs, and business priorities.</li><li>Ability to meet or exceed audit standards, unit closing goals, diary timeliness, reserve accuracy, and other quality metrics.</li><li>Ability to use cross‑departmental resources to support strategic initiatives and drive results.</li><li>Demonstrates flexibility and composure in demanding, changing, or high‑pressure situations.</li></ul>Leadership, Coaching &amp; People Management <ul><li>Consistently demonstrates a positive attitude, cooperative spirit, and strong interpersonal effectiveness.</li><li>Skilled in developing staff through coaching, feedback, performance management, and formal development plans.</li><li>Maintains an open-door policy, fosters transparency, and encourages open communication.</li><li>Demonstrates self-awareness and accountability; models integrity, professionalism, and resilience.</li><li>Able to communicate organizational updates and leadership directives clearly to staff.</li><li>Skilled in managing employee relations issues and working collaboratively with HR to ensure timely, consistent actions.</li><li>Ability to support recruitment efforts through timely resume review, interview participation, and constructive candidate feedback.</li><li>Contributes to a respectful, compassionate, team-oriented culture consistent with company values.</li></ul>Client Relationship Management &amp; Service Commitment <ul><li>Strong client service orientation; responds promptly and works urgently to resolve issues.</li><li>Able to proactively manage client relationships, conduct service calls, and identify potential problems before they escalate.</li><li>Demonstrates integrity and consistently acts in the best interest of clients.</li><li>Ability to document client interactions and meeting notes in appropriate shared locations.</li></ul>Financial, Resource &amp; Operational Stewardship <ul><li>Manages staff resources, time, recognition funds, and operational tools efficiently.</li><li>Participates in annual budgeting and forecasting; able to anticipate and justify department expenses.</li><li>Uses monitoring and reporting mechanisms to control costs without compromising quality.</li><li>Identifies opportunities for cost savings or process efficiencies.</li><li>Understands and applies wage and hour regulations as they pertain to supervised staff.</li><li>When applicable, completes accurate, timely timecard reviews and approvals.</li></ul>Professionalism, Integrity &amp; Confidentiality <ul><li>Athens&rsquo; operations involve handling confidential, proprietary, and highly sensitive information, such as health records, client financials, and other personal data. Therefore, maintaining honesty and integrity is essential for all roles within the company.</li><li>Acts with integrity, honesty, and professionalism in all interactions and decisions.</li><li>Dependable, trustworthy, team‑oriented, and aligned with company values.</li></ul>Work Environment &amp; Travel Requirements <ul><li>Ability to attend frequent in‑office meetings and file reviews.</li><li>Willingness to attend off‑site client meetings and conferences.</li><li>Valid driver&rsquo;s license and availability for travel, including overnight.</li></ul>APPLY WITH US We look forward to learning about YOU! If you believe in our core values of honesty and integrity, a commitment to service and results, and a caring family culture, we invite you to apply with us. Please submit your resume and application directly through our website at http://www.athensadmin.com/careers/job-openings Feel free to include a cover letter if you&rsquo;d like to share any other details. All applications received are reviewed by our in-house Corporate Recruitment team. The Company will consider qualified applicants with arrest or conviction records in accordance with the Los Angeles Fair Chance Ordinance for Employers and the California Fair Chance Act. Applicants can learn more about the Los Angeles County Fair Chance Act, including their rights, by clicking on the following link: https://dcba.lacounty.gov/wp-content/uploads/2024/08/FCOE-Official-Notice-Eng-Final-8.30.2024.pdf This description portrays in general terms the type and levels of work performed and is not intended to be all-inclusive or represent specific duties of any one incumbent. The knowledge, skills, and abilities may be acquired through a combination of formal schooling, self-education, prior experience, or on-the-job training. Athens Administrators is an Equal Opportunity/ Affirmative Action employer. We provide equal employment opportunities to all qualified employees and applicants for employment without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, veteran status, disability, or any other legally protected status. We prohibit discrimination in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment or career development. THANK YOU! We look forward to reviewing your information. We understand that applying for jobs may not be the most enjoyable task, so we genuinely appreciate the time you've dedicated. Don&rsquo;t forget to check out our website at www.athensadmin.com as well as our LinkedIn, Glassdoor, and Facebook pages! Athens Administrators is dedicated to fair and equitable compensation for our employees that is both competitive and reflective of the market. The estimated rate of pay can vary depending on skills, knowledge, abilities, location, labor market trends, experience, education including applicable licenses &amp; certifications, etc. Our ranges may be modified at any time. In addition, eligible employees may be considered annually for discretionary salary adjustments and/or incentive payments. We offer a variety of benefit plans including Medical, Vision, Dental, Life and AD&amp;D, Long Term Care, Critical Care, Accidental, Hospital Indemnity, HSA &amp; FSA options, 401k (and Roth), Company-Paid STD &amp; LTD and more! Further information about our comprehensive benefits package may be found on our website at https://www.athensadmin.com/careers/why-work-here Pay: $150,000.00 - $167,000.00 per year Benefits: <ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee assistance program</li><li>Flexible schedule</li><li>Flexible spending account</li><li>Health insurance</li><li>Health savings account</li><li>Life insurance</li><li>Paid time off</li><li>Professional development assistance</li><li>Referral program</li><li>Vision insurance</li><li>Wellness program</li><li>Work from home</li></ul>Work Location: Remote

Division Claims Manager - Workers' Compensation

Law Offices of David Azizi

We are an established personal injury law firm looking for a case manager to join our team.POSITION:Full-time experienced Case Manager. PRIOR EXPERIENCE REQUIRED.This is NOT a remote position.PLEASE NOTE THAT WE WILL NOT CONSIDER YOUR RESUME IF YOU HAVE NO PRIOR PERSONAL INJURY CASE MANAGER EXPERIENCE. It is imperative the applicant be able to multi-task and have excellent client communication, customer service skills and management/supervision skills.DUTIES AND RESPONSIBILITIES:Overseeing as well as supervising case manager assistants to ensure that including but not limited to the following tasks are completed in a correct and efficient timely manner:Handling Personal injury Pre-Litigation claims from A-Z, including, but not limited to:-Initial client contact, Intakes- Sending letters of representation-Medical records request-Obtaining Police Reports/Relevant Evidence-Resolving PD and loss of use-Scheduling medical appointments and monitoring medical treatments- Confirming and obtaining medical records/bills-Reporting claims to Medi-Cal and Medi-Care for lien resolution-Preparing files for demand-Negotiation of injury claims- Continuing on into the litigation phase to further assistance in scheduling Medical Appointments and monitoring of medical treatments(PLEASE NOTE: Case Manager Assistants will assist you with the above listed tasks)PRIOR EXPERIENCE: REQUIREDSALARY/PAY:Very competitive pay, incentives, and bonuses based on experience.BENEFITS:401kHealth InsurancePlease note that only candidates who meet the specified qualifications will be contacted for an interview. Thank you for your interest in joining our team as a Case Manager.Job Type: Full-timePay: $32.00 - $40.00 per hourBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Health insurance</li><li>Paid time off</li></ul>Work Location: In person

Case Manager-Personal Injury

Netflix

<div>
 At Netflix, our mission is to entertain the world. Together, we are writing the next episode - pushing the boundaries of storytelling, global fandom and making the unimaginable a reality. We are a dream team obsessed with the uncomfortable excitement of discovering what happens when you merge creativity, intuition and cutting-edge technology. Come be a part of what&rsquo;s next.
 
 
 We are seeking a data-driven Risk Analyst to support and elevate our risk management capabilities. You will manage casualty claims directly while simultaneously leveraging analytics to drive strategic improvements across auto liability, general liability, and workers' compensation.
 
 
 This role involves leading internal and external claims processes and teams to positive results, deep-diving into claims data analysis to identify trends and improvements, enhancing risk mitigation strategies, and supporting process automation initiatives. Success requires a strong background in claims with proficiency in leveraging data to drive simple, intuitive, and actionable insights.
 
 
 This role reports to a Senior Manager within Risk Management and joins a technical risk team responsible for managing Netflix's insured and self-funded claims. The ideal candidate is a collaborative team player eager to &ldquo;roll up their sleeves&rdquo; and do hands-on work. They possess the ability to quickly build trust and effectively manage risk by working collaboratively with internal and external stakeholders.
 
 
 This is a demanding, fast-paced role within a high-performing team. The ideal candidate will exhibit curiosity, significant initiative, and a proactive approach to tackling challenges, consistently pushing for excellence in risk management.
 
 
 
 Key Responsibilities
 
 
 
 Claims Oversight &amp; Risk Mitigation
 
 
 <ul>
 <li>
 Manage WC, auto liability, and general liability claims, leading Third-Party Administrators (TPAs), insurers, and legal teams to positive results
 </li>
 <li>
 Build intuitive reports that enable analysis of claim drivers
 </li>
 <li>
 Recommend data-driven mitigation strategies to reduce claim costs, claims frequency, and improve outcomes.
 </li>
 <li>
 Collaborate with cross-functional teams (e.g., Finance, Legal, Safety) to ensure claims data is leveraged for operational improvements.
 </li>
 <li>
 Ensure compliance with insurance program requirements
 </li>
 <li>
 Ensure compliance with Netflix reserving philosophy, approve reserves and settlements within designated authority levels, escalating high-risk cases to the Senior Manager as necessary.
 </li>
 <li>
 Review and analyze claims for delays, denials, and other potential issues, providing guidance on resolutions.
 </li>
 <li>
 Drive claim reviews and manage/lead TPA within assigned claims inventory and support overall TPA management
 
 
 </li>
 </ul>
 Return to Work (RTW) Program Support
 
 
 <ul>
 <li>
 Drives and manages RTW within assigned claims. Supports the management and success of the RTW program, ensuring compliance with relevant regulations and assisting injured employees in their transition back to work.
 </li>
 <li>
 Collaborates with HR, Safety, and Legal teams to develop and implement effective RTW strategies and policies.
 </li>
 <li>
 Manages return to work for assigned claims, communicates work restrictions, and coordinates modified duty to reduce claims costs.
 
 
 </li>
 </ul>
 Data Analytics &amp; Reporting
 
 
 <ul>
 <li>
 Extract, clean, and structure large claims datasets to improve risk visibility and decision-making.
 </li>
 <li>
 Develop and maintain interactive dashboards and reports to track claims performance, cost trends, and loss projections.
 </li>
 <li>
 Leverage data analytics tools (e.g., SQL, Tableau, Power BI, Python, Excel) to identify risk exposure, claim patterns, and cost-saving opportunities.
 </li>
 <li>
 Identify opportunities to streamline and automate claim reporting processes and ensure data integrity in risk management platforms (e.g., Origami Risk, Riskonnect).
 </li>
 <li>
 Conduct deep-dive analyses on claim frequency, severity, legal spend, and loss development.
 </li>
 <li>
 Utilize predictive modeling and trend forecasting to support proactive risk management initiatives.
 </li>
 <li>
 Familiarity with actuarial fundamentals and actuarial reports.
 
 
 </li>
 </ul>
 
 
 Collaboration with Stakeholders
 
 
 
 
 <ul>
 <li>
 Develops strong partnerships and communicates/collaborates closely with internal Netflix teams, productions, and external partners (TPAs, brokers, physicians, vendors, and payroll companies).
 </li>
 <li>
 Provides guidance and support for loss prevention matters to ensure an open, proactive, and effective loss prevention culture.
 </li>
 <li>
 Supports operational/internal customer needs.
 </li>
 <li>
 Liaison (as appropriate) between Productions and TPAs.
 </li>
 <li>
 Maintains flexibility and openness to take on additional projects as needed.
 </li>
 <li>
 Presents to cross-functional partners on an ongoing basis for updates to the program, training, etc.
 
 
 </li>
 </ul>
 
 Qualifications &amp; Skills
 
 
 
 <ul>
 <li>
 Bachelor&rsquo;s Degree in Business/Finance preferred.
 </li>
 <li>
 7+ years of experience in risk management, casualty claims, and insurance (preferably with Workers&rsquo; Compensation and Auto liability exposure)
 </li>
 <li>
 Strong proficiency in data analysis and visualization tools (e.g., Excel, Power BI, Tableau, SQL, RMIS).
 </li>
 <li>
 Experience working with claims management systems (e.g., Origami Risk, Riskonnect, or similar)
 </li>
 <li>
 Knowledge of insurance policies, coverage interpretation, and claims handling best practices.
 </li>
 <li>
 Strong problem-solving and critical-thinking skills with a keen attention to detail.
 </li>
 <li>
 Excellent communication and collaboration skills, with the ability to present complex data to stakeholders.
 </li>
 <li>
 Strong project management skills.
 </li>
 <li>
 Highly analytical, with the ability to use data to drive desired results and support intelligent risk-taking.
 </li>
 <li>
 Ability to challenge the status quo and drive change where appropriate. Thrives on change, pace, action, and accountability combined with an ability to adjust to changing priorities.
 </li>
 <li>
 Ability to support and contribute to a high-performing team and lead external TPAs to desired results. Demonstrated high level of collaboration within a claims team and broader cross-functional partners.
 
 
 </li>
 </ul>
 
 Preferred Qualifications
 
 
 
 <ul>
 <li>
 Experience on a corporate casualty/liability claims team
 </li>
 <li>
 High level of organization, and the ability to multitask and manage time effectively.
 
 
 </li>
 </ul>
 Generally, our compensation structure consists solely of an annual salary; we do not have bonuses. You choose each year how much of your compensation you want in salary versus stock options. To determine your personal top of market compensation, we rely on market indicators and consider your specific job family, background, skills, and experience to determine your compensation in the market range. The range for this role is $170,000.00 - $265,000.00.
 
 
 Netflix provides comprehensive benefits including Health Plans, Mental Health support, a 401(k) Retirement Plan with employer match, Stock Option Program, Disability Programs, Health Savings and Flexible Spending Accounts, Family-forming benefits, and Life and Serious Injury Benefits. We also offer paid leave of absence programs. Full-time hourly employees accrue 35 days annually for paid time off to be used for vacation, holidays, and sick paid time off. Full-time salaried employees are immediately entitled to flexible time off. See more details about our Benefits here.
 
 
 Netflix is a unique culture and environment. Learn more here.
 
 
 Inclusion is a Netflix value and we strive to host a meaningful interview experience for all candidates. If you want an accommodation/adjustment for a disability or any other reason during the hiring process, please send a request to your recruiting partner.
 
 
 We are an equal-opportunity employer and celebrate diversity, recognizing that diversity builds stronger teams. We approach diversity and inclusion seriously and thoughtfully. We do not discriminate on the basis of race, religion, color, ancestry, national origin, caste, sex, sexual orientation, gender, gender identity or expression, age, disability, medical condition, pregnancy, genetic makeup, marital status, or military service.
</div>

Senior Analyst, Casualty Claims

CNA Insurance

<div>You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.
This individual contributor position works under general direction, and within broad authority limits, to manage commercial claims with high complexity and exposure for a specialized line of business. Responsibilities include the coordination of all claim resolution activities in accordance with company protocols, while achieving quality and customer service standards. Position requires regular communication with customers and insureds and may have regional, industry segment or company-wide scope of responsibility.
JOB DESCRIPTION:
Essential Duties &amp; Responsibilities
Performs a combination of duties in accordance with departmental guidelines:<ul><li>
Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
</li><li>Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively, achieving quality and cycle time standards, providing timely updates and responding promptly to inquiries and requests for information.</li><li>
Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following company's claim handling protocols.</li><li>
Leads focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.</li><li>
Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.</li><li>
Establishes and manages claim budgets by achieving timely claim resolution, selecting and actively overseeing appropriate resources, authorizing expense payments and delivering high quality service in an efficient manner.</li><li>
Realizes and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Claim, Recovery or SIU resources for further investigation.</li><li>
Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files are properly documented and claims are resolved and paid timely.</li><li>
Keeps senior leadership informed of significant risks and losses by completing loss summaries, identifying claims to include on oversight/watch lists, and preparing and presenting succinct summaries to senior management.</li><li>
Maintains subject matter expertise and ensures compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.</li><li>
Mentors, guides, develops and delivers training to less experienced Claim Professionals.</li></ul>
May perform additional duties as assigned.
Reporting Relationship
Typically Director or above 
 
Skills, Knowledge &amp; Abilities<ul><li>
Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.</li><li>
Strong communication and presentation skills both verbal and written, including the ability to communicate business and technical information clearly.</li><li>
Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems.
</li><li>Strong work ethic, with demonstrated time management and organizational skills.</li><li>
Ability to work in a fast-paced environment at high levels of productivity.</li><li>
Demonstrated ability to negotiate complex settlements.</li><li>
Experience interpreting complex commercial insurance policies and coverage.</li><li>
Ability to manage multiple and shifting priorities in a fast-paced and challenging environment.</li><li>
Knowledge of Microsoft Office Suite and ability to learn business-related software.</li><li>
Demonstrated ability to value diverse opinions and ideas.</li></ul>
Education &amp; Experience<ul><li>
Bachelor's Degree or equivalent experience Typically a minimum six years of relevant experience, preferably in claim handling Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable Prior negotiation experience Professional designations preferred (e.g. CPCU)</li></ul>
#LI-KC2
#LI-Hybrid
In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $72,000 to $141,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees &ndash; and their family members &ndash; achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA&rsquo;s benefits, please visit cnabenefits.com.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact leaveadministration@cna.com.</div>

Complex Claims Consultant, Healthcare

Los Angeles City Law

Our Personal Injury Law firm is in need of a Case Manager to join our tight knit team! Applicants must have five years of experience and are self starts who will be able to quickly and efficiently handle tasks assigned and shouldn&rsquo;t be afraid to ask questions. Attention to detail, excellent communication skills with a passion to help others. Organizational skills, the capacity to multitask, and work in a team environment with a professional attitude and work ethic is a must.Roles and duties include but are not limited to: (1) Medical work up of a case from A to Z including litigation files, (2) reading of medical reports, (3) assisting clients with the property damage portion of his/her claim, (4) opening claims with insurance companies, (5) conducting a case intake/research, (6) reaching out to witnesses for witness statements, and more!Job Type: Full-timePay: $50.00 - $75.00 per hourBenefits:<ul><li>401(k)</li><li>Free parking</li><li>Health insurance</li><li>Life insurance</li></ul>Work Location: In person

Personal Injury Case Manager

Los Angeles City Attorney

JOB
 The Budget & Finance Division includes the Business Office, Liability Claims, Litigation Expense Management Unit, Payroll, and Grants. The Division is responsible for preparing the annual budget, payroll, accounts payable, and supply management function of the Office. Among its other fiscal functions, this Division verifies that funds are available and that the payments are processed in a timely manner, compliant with City policies and Controller’s guidelines; processes all vendor, employee, and travel payments, deposits all monies received by the Office and prepares various reports for the City Controller, City Administrative Officer and other City departments relative to the status of budgetary accounts.
 
EXAMPLE OF DUTIES
 The responsibilities of this position include and are not limited to: Preparing and processing various accounting documents using the City’s Financial Management System (FMS);Recording all transactions involving liability payment requests using Microsoft Access, and generating and assigning record numbers;Setting up documentation in FMS for the ACH (Automatic Clearinghouse) approvals.Reviewing requests for payments and comparing entries against the case management system for accuracy and completeness;Communicating with litigation staff regarding submittals;Logging check information in the case management system;Assisting with data entry and quality control of information entered into the system;Scanning and photocopying liability and accounting documents;Preparing and distributing various reports for management; Interfacing with the Controller’s Office; Preparing and typing various memos; Answering telephone calls and inquiries via email;Delivery of various documents to City offices; Setting up and maintaining files; filing and preparing accounting files for records retention; and Other duties as assigned.
 
SUPPLEMENTAL INFORMATION
 Current LocationCity Hall East, 200 N. Main Street, Los Angeles. Position is subject to assignment at any location of the Office of the Los Angeles City Attorney. Probation Appointment to this exempt position (non-Civil-Service) will be subject to a one (1) year probationary period as required by Section 1050 of the City Charter. Successful completion of the one year probationary period will result in tenure with the office. Application and Deadline Interested candidates should go to: https://www.governmentjobs.com/careers/lacityattorney/to apply online by Monday, April 20, 2026. Qualified applicants will be invited to interview. Contact Questions? Please email atty.recruit@lacity.org.

Accounting Clerk - Liability Claims

Blue Cross and Blue Shield of Louisiana

<div>We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross.
Residency in or relocation to Louisiana is preferred for all positions.<div>
POSITION PURPOSE
Duties may include the following responsibilities or functions required to support the claims unit. Accurate processing of claims edits, determining primacy for the Coordination of Benefits (COB), adjusting previously paid claims and initiating procedures to recover funds on overpaid claims. Analyzing, investigating, and resolving problem cases; executing recovery processes; and completing special projects. Accountable for complying with all laws and regulations that are associated with duties and responsibilities.</div><div>
NATURE AND SCOPE<ul><li>
This role does not manage people</li><li>
This role reports to this job: SUPERVISOR, CLAIMS OPERATIONS</li><li>
Necessary Contacts: In order to effectively fulfill this position, the Claims Specialist II must be in contact with personnel in other Units: Various internal departments and staff including, but not limited to, Provider Services, Legal, Internal Audit, IT, other Benefits Operations Management and staff, Enrollment and Billing, Administrative Services, and District Offices. Various external entities including, but not limited to, Providers, Members, Lawyers, Groups, Commissioner of Insurance, other insurance companies, and other Plans.</li></ul></div><div>
QUALIFICATIONS 
 
Education<ul><li>
High School Diploma or equivalent required
</li></ul>Work Experience<ul><li>
2 years in medical claims processing required
</li><li>Coordination of Benefits (COB) processing experience preferred
</li></ul>Skills and Abilities<ul><li>
Strong analytical ability, that includes strong logical, systemic, and investigates thinking.
</li><li>Strong oral and written communication skills and human relations skills are necessary.
</li><li>Working knowledge of relevant PC software.
</li><li>Ability to prioritize multiple streams of work effectively.
</li></ul>Licenses and Certifications 
<ul><li>
None Required</li></ul></div><div> 
ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS<ul><li>
Reviews, researches, and makes necessary updates to claims that may include the following: recalculation of benefits to previously processed claims, the processing of claims edits, or initiation of refund requests, according to contractual benefits or provider reimbursement rules, ultimately providing a high degree of customer satisfaction.
</li><li>Achieves and maintains a clear understanding of all systems, applications, and procedures necessary to identify denial codes, edits, and processing codes pertaining to all claims (including our coordination with additional coverage plans) in order to process both coordinated and non-coordinated claims correctly. Requesting of medical records may be required.
</li><li>Communicates, both orally and in writing, with internal and external contacts in order to provide necessary and accurate information for the establishment of sound claim records. This may include, but is not limited to, the coordination of benefits (COB), medical record requests, etc.
</li><li>Review quality audits for correction or routing within 48 hours of receipt following departmental and corporate guidelines to ensure accuracy of claims processing and customer satisfaction.
</li><li>Researches, investigates, and determines the correct order of benefits for payment to be made by the applicable plans and makes necessary corrections to COB records. Communicates to appropriate department(s) when Medicare has determined primacy incorrectly and ensures a letter is generated to notify Medicare. Failure to report discrepancy could result in a daily fine up to $1,000.00.
</li><li>Analyzes, investigates, resolves problem cases (to include COB records, adjusting previously processed claims and requesting refund of overpaid claims). Reviews all previously processed claims to ensure consistency in payments to maximize recovery of overpayments following corporate and departmental guidelines to ensure financial stability.
</li><li>Executes procedures to recover funds from providers, subscribers, or beneficiaries where overpayments have occurred to ensure accuracy of claims processing and financial stability.
</li><li>Steps in and assists in any other capacity as deemed necessary (i.e., training, implementations, and documentation).
</li><li>May complete special projects as assigned by Management due to internal audit findings, multiple provider status changes, and system errors following corporate and departmental guidelines to ensure financial stability and customer satisfaction.
</li></ul>Additional Accountabilities and Essential Functions 
The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions<ul><li>
Perform other job-related duties as assigned, within your scope of responsibilities.
</li><li>Job duties are performed in a normal and clean office environment with normal noise levels.
</li><li>Work is predominately done while standing or sitting.
</li><li>The ability to comprehend, document, calculate, visualize, and analyze are required.
</li></ul></div>An Equal Opportunity Employer
All BCBSLA EMPLOYEES please apply through Workday Careers.
PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI)
Additional Information
Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the &quot;My Applications&quot; section in the Candidate Home section of your Workday account.
If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact recruiting@bcbsla.com for assistance.
In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free.
Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner.
Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.</div>

Claims Specialist II

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