accounting clerk - liability claims

case manager

catastrophic / field nurse case manager Jobs in Los Angeles

catastrophic / field nurse case manager

claims attorney 4 hourly Jobs in Los Angeles

claims attorney 4 hourly

clinical care coordinator Jobs in Los Angeles

clinical care coordinator

complex claims consultant healthcare

CNA Insurance

<div><p>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.</p><p></p>
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.<p></p><p><b>
JOB DESCRIPTION:</b></p><p></p><p><b>
Essential Duties &amp; Responsibilities</b></p><p><i>
Performs a combination of duties in accordance with departmental guidelines:</i></p><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><p></p><p><i>
May perform additional duties as assigned.</i></p><p></p><p><b>
Reporting Relationship</b></p><p>
Typically Director or above<br>
<br>
<b>Skills, Knowledge &amp; Abilities</b></p><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><p></p><p><b>
Education &amp; Experience</b></p><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><p></p><p>
#LI-KC2</p><p>
#LI-Hybrid</p><p></p><p><i>
I</i><i>n certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In </i><i>District of Columbia</i><i>,</i><i> </i><i>California, Colorado, Connecticut, </i><i>Illinois</i>, <i>Maryland</i><i>, </i><i>Massachusetts</i>,<i> New York and Washington,</i> <i>the national base pay range for this job level is</i><i> $72,000 to $141,000 </i><i>annually. Salary</i><i> 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 </i><i>cnabenefits.com</i><i>.</i></p><p></p><p>
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.</p></div>

Complex Claims Consultant, Healthcare

NPAworldwide

<div>
 <strong>
  Job Description
  <br/>
  <br/>
 </strong>
 In this role, you will assist with translating medical services into standardized billing codes, preparing claims for insurance reimbursement, supporting patient billing questions, and performing essential administrative tasks that keep clinical operations running smoothly. No prior medical office experience is required, but strong attention to detail and communication skills are essential.
 <br/>
 <br/>
 <strong>
  Key Responsibilities
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Translate medical procedures and diagnoses into standardized billing and coding formats
  </li>
  <li>
   Prepare and submit insurance claims with accuracy
  </li>
  <li>
   Review claims for completeness and correct coding errors when necessary
  </li>
  <li>
   Communicate with patients regarding billing questions, payment options, and payment plans
  </li>
  <li>
   Verify insurance information and update billing records
  </li>
  <li>
   Work closely with medical providers and administrative teams to ensure accurate claim documentation
  </li>
  <li>
   Perform general office tasks such as data entry, document processing, and file management
  </li>
  <li>
   Support ongoing billing, reimbursement, and coding workflow as assigned
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Qualifications
  <br/>
  <br/>
 </strong>
 <strong>
  Qualifications
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   High School diploma or equivalent
  </li>
  <li>
   MediClear or equivalent HIPAA certification (required)
  </li>
  <li>
   Strong attention to detail and accuracy
  </li>
  <li>
   Excellent communication and customer service skills
  </li>
  <li>
   Organized, dependable, and eager to learn
  </li>
  <li>
   Ability to manage multiple tasks in a structured office environment
  </li>
  <li>
   Basic computer proficiency; comfort with data entry
   <br/>
   <br/>
  </li>
 </ul>
 Preferred (Not Required)
 <br/>
 <br/>
 <ul>
  <li>
   Interest in medical billing, coding, or healthcare administration
  </li>
  <li>
   Coursework or certificates in billing/coding (optional)
  </li>
  <li>
   Experience in customer service or administrative roles
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Why Is This a Great Opportunity
  <br/>
  <br/>
 </strong>
 <strong>
  Benefits &amp; Career Growth
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   On-the-job training
  </li>
  <li>
   Opportunities for advancement within the organization
  </li>
  <li>
   Supportive, professional work environment
  </li>
  <li>
   Health insurance options
  </li>
  <li>
   Long-term stable career path in healthcare administration
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Salary Type
 </strong>
 : Hourly
 <br/>
 <br/>
 <strong>
  Salary Min
 </strong>
 : $ 22
 <br/>
 <br/>
 <strong>
  Salary Max
 </strong>
 : $ 32
 <br/>
 <br/>
 <strong>
  Currency Type
 </strong>
 : USD
</div>


Entry-Level Medical Billing & Coding Assistant

USAA

<div><b>Location</b> Los Angeles, California
<div><div><div><b>Job ID</b></div><div>
R0116648</div></div>
<div><div><b>Date posted</b></div><div>
04/09/2026</div></div>
</div><div><p><b>Why USAA?</b></p><p>
At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.</p><p></p><p>
Embrace a fulfilling career at USAA, where our core values &ndash; honesty, integrity, loyalty and service &ndash; define how we treat each other and our members. Be part of what truly makes us special and impactful.</p><p></p><p><b>
The Opportunity</b></p><p>
As a dedicated Sr. Field Auto Appraiser, you will within defined guidelines and framework responsible for the investigation, negotiation, evaluation and appraisal of vehicle damage claims for both repairable and total loss vehicles to ensure estimate accuracy in compliance with state laws and regulations. Accountable for delivering exceptional member service through setting appropriate expectations, proactive communications, advice, and empathy.</p><p></p><p><b>
What you'll do:</b></p><ul><li><p>
With the use of digital tools, evaluates and appraises highly complex auto physical damage claims in accordance with the terms and conditions of the contract, corporate guidelines and state laws and regulations.</p></li><li><p>
Investigates claim damages including communicating with the insured, internal claims adjusters, and third parties/vendors. May require face-to-face interactions with members and third parties.</p></li><li><p>
Reviews facts of loss and vehicle damage to determine if subrogation opportunities exist and ensures all supporting physical damage documentation is in the claim.</p></li><li><p>
Demonstrates advanced knowledge of P&amp;C insurance industry products, services, contracts, and internal processes/systems/procedures to ensure compliance with laws, regulations, and policy provisions.</p></li><li><p>
Reviews claims/suppliers for fraud indicators and refers to Special Investigations Unit for handling, if applicable.</p></li><li><p>
Maintains accurate and current claim file documentation throughout the claims process for complex claims.</p></li><li><p>
Maintains high standards of productivity through effective desk management, timely follow ups, and accurate mapping of repair plan and timeline for repair in support of fast and accurate claims adjudication.</p></li><li><p>
Responsible for reviewing additional damages received from repair facilities to either complete a supplement or triage to field provider method of inspection.</p></li><li><p>
May serve as a subject matter expert representative for disputed claims or trials. Serves as a resource to team members on escalated issues of a routine nature.</p></li><li><p>
Partners with vendors and internal business partners to facilitate the highest complexity claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and compliance.</p></li><li><p>
Proactively provides policyholders with information regarding their coverage, repair estimate or total loss valuation, and claims/repair process while setting appropriate expectations.</p></li><li><p>
Supports workload surges and catastrophe (CAT) response operations as needed, including required on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.</p></li><li><p>
May be assigned CAT deployment travel with minimal notice during designated CATs.</p></li><li><p>
Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.</p></li><li><p>
Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.</p></li></ul><p></p><p><b>
What you have:</b></p><ul><li><p>
High School Diploma or General Equivalency Diploma.</p></li><li><p>
2 years of auto appraising experience.</p></li><li><p>
Proficient knowledge of P&amp;C insurance policy contracts and coverages, auto parts distribution process and claim appraisal process and procedures.</p></li><li><p>
Advanced working knowledge of estimating losses using CCC or similar estimating platforms.</p></li><li><p>
Demonstrated written and verbal skills to communicate with members, claimants, repair facilities, and other internal and external stakeholders.</p></li><li><p>
Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.</p></li></ul><p></p><p><b>
Physical Demand Requirements:</b></p><ul><li><p>
May require the ability to operate a company vehicle within assigned territory.</p></li><li><p>
May require the ability to reach, handle, squat, bend, climb, and keen as needed to complete inspections of damaged vehicles.</p></li><li><p>
May require the ability to work outdoors in inclement weather conditions; May be exposed to working in body shop and/or salvage yard environments up to 25% of the time.</p></li><li><p>
May be required to meet all USAA safe driving requirements including verification of driving record through MVR &amp; possession of valid driver&rsquo;s license.</p></li></ul><p></p><p>
The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.</p><p></p><p>
The salary range for this position is: $61,110 - $116,800<b>.</b></p><p><b>
Compensation:</b> USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
</p><p></p><p>Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.</p><p></p><p>
The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.</p><p></p><p><b>
Benefits:</b> At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.</p><p></p><p>
For more details on our outstanding benefits, visit our benefits page on USAAjobs.com</p><p></p><p><i>
Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.
</i></p><p></p><p><i>USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.</i></p></div></div>

Sr. Auto Appraiser - Field

Lampkin Brown

<p><b>Independent Consultant &ndash; OCM / Project Management / Digital Adoption (Partner Network)</b></p><p><b>Location:</b> Remote / Flexible (Client-based engagements)<br/><b>Engagement Type:</b> Independent Consultant (1099 / Fractional / Project-Based)</p><p><b>About Lampkin Brown</b></p><p>Lampkin Brown is a business and technology consulting firm focused on driving enterprise transformation through <b>Organizational Change Management (OCM), PMO leadership, and Digital Adoption strategies</b>. We partner with clients across industries to deliver measurable outcomes in large-scale transformation initiatives, system implementations, and operational improvements.</p><p>We are expanding our <b>partner consultant network</b> and are seeking experienced, high-impact professionals to collaborate on client engagements.</p><p><b>Role Overview</b></p><p>We are looking for <b>strategic, execution-oriented consultants</b> with expertise in <b>OCM, Project/Program Management, and Digital Adoption</b> to support transformation initiatives across our client portfolio.</p><p>This is not a traditional full-time role&mdash;it is an opportunity to join a <b>curated network of trusted advisors</b> who are deployed on high-impact engagements aligned to their expertise.</p><p>You will play a key role in helping organizations <b>navigate complex change, drive user adoption, and deliver business value</b> from transformation initiatives.</p><p><b>Key Responsibilities: Organizational Change Management (OCM)</b></p><ul><li>Develop and execute <b>end-to-end OCM strategies</b> aligned to business and transformation objectives</li><li>Conduct <b>stakeholder analysis, change impact assessments, and readiness evaluations</b></li><li>Design and deliver <b>communication, engagement, and training strategies</b></li><li>Support leadership alignment and drive adoption across all levels of the organization</li></ul><p><b>Project / Program Management (PMO)</b></p><ul><li>Lead or support <b>project and program delivery</b> for transformation initiatives (e.g., ERP, HRIS, digital platforms)</li><li>Establish and manage <b>PMO governance, reporting, and execution frameworks</b></li><li>Ensure delivery <b>on time, within scope, and aligned to business outcomes</b></li><li>Manage risks, dependencies, and cross-functional coordination</li></ul><p><b>Digital Adoption &amp; Transformation</b></p><ul><li>Drive <b>user adoption strategies</b> for new systems, tools, and processes</li><li>Partner with business and technology teams to improve <b>end-user experience and utilization</b></li><li>Leverage tools and methodologies (e.g., <b>WalkMe, Whatfix, Pendo, Enablement frameworks</b>) where applicable</li><li>Identify opportunities for <b>process optimization and continuous improvement</b></li></ul><p><b>Client &amp; Advisory Engagement</b></p><ul><li>Facilitate <b>workshops, leadership sessions, and working groups</b></li><li>Provide <b>thought leadership and strategic advisory</b> to senior stakeholders</li><li>Contribute to <b>business development, proposals, and solutioning</b> as needed</li><li>Represent Lampkin Brown with professionalism and a <b>client-first mindset</b></li></ul><p><b>Ideal Experience &amp; Background</b></p><ul><li>7&ndash;15+ years in <b>OCM, Project Management, Digital Transformation, or Management Consulting</b></li><li>Proven experience supporting <b>large-scale transformation initiatives</b> (e.g., SAP, Workday, Salesforce, custom platforms)</li><li>Strong background in <b>business analysis, process improvement, and stakeholder engagement</b></li><li>Demonstrated ability to <b>operate independently in client-facing environments</b></li><li>Experience working in <b>consulting firms (Big 4 or boutique)</b> is a plus</li></ul><p><b>Core Capabilities</b></p><ul><li>Organizational Change Management (Prosci or similar methodologies preferred)</li><li>Project / Program Management (PMP or equivalent experience preferred)</li><li>Digital Adoption &amp; End-User Enablement</li><li>Executive communication and stakeholder management</li><li>Analytical thinking with ability to translate insights into action</li><li>Workshop facilitation and storytelling</li></ul><p><b>What We&rsquo;re Looking For</b></p><ul><li>Consultants who are <b>practitioners&mdash;not just advisors</b></li><li>Individuals who can <b>bridge strategy and execution</b></li><li>Professionals who thrive in <b>ambiguous, fast-moving environments</b></li><li>A strong <b>ownership mindset and accountability for outcomes</b></li><li>Interest in building a <b>long-term partnership relationship</b>, not just one-off gigs</li></ul><p><b>Why Join Our Network</b></p><ul><li>Access to <b>high-impact transformation engagements</b></li><li>Opportunity to work alongside <b>experienced consulting leaders</b></li><li>Flexible, project-based work aligned to your expertise</li><li>Ability to contribute to and shape <b>client solutions and delivery approaches</b></li><li>Long-term collaboration potential with a growing consulting firm</li></ul><p>If you&rsquo;re a seasoned consultant in <b>OCM, PMO, or Digital Adoption</b> looking to partner on meaningful transformation work, we&rsquo;d love to connect.</p><p>Apply to join our consultant network at: <b>partners.lampkinbrown.com</b></p><p>Job Type: Contract</p><p>Pay: $75.00 - $100.00 per hour</p><p>Work Location: Hybrid remote in Los Angeles, CA 90041</p>

Independent Consultant – OCM / Project Management / Digital Adoption

<div><p>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.</p><p></p><p><b>
JOB DESCRIPTION:</b></p><p></p><div><div><p>
When you join the Cardinal, a CNA brand, National Accounts Property, Wholesale team as an Excess &amp; Surplus Underwriting Consultant, you are responsible for the overall management, business development, analysis and monitoring of a highly complex book of business. You will be recognized as a technical expert in underwriting ground-up monoline policies. Under general management direction, you will work within broad limits of authority on assignments requiring a high degree of technical complexity and coordination.</p></div><p></p><div><p>
This hybrid role will work 4 days per week in the market from our local offices in California, Arizona, Colorado, or Texas.</p></div><p></p><div><p><b>
Essential Duties &amp; Responsibilities</b><br>
Performs a combination of duties in accordance with departmental guidelines:</p></div><div><ul><li><p>
Works on highly complex underwriting risks employing diagnostic and systematic analysis to assess acceptability. Develop specialized endorsement language for highly complex risk.</p></li></ul></div><div><ul><li><p>
Determines appropriate pricing of complex risks for assigned book of business based on financial and competitive analysis in line with compliance requirements and with little oversight needed from superiors.</p></li></ul></div><div><ul><li><p>
Makes recommendations on underwriting policy and pricing strategy.</p></li></ul></div><div><ul><li><p>
Analyzes quality, quantity, and profitability of highly complex risks underwritten; prepares and presents reports to management.</p></li></ul></div><div><ul><li><p>
Markets products and services through agencies or through the brokerage community and makes field visits.</p></li></ul></div><div><ul><li><p>
Develops and maintains agency and/or broker relationships with large producers within the assigned territory to reach positive and profitable outcomes on complex, high-risk business.</p></li></ul></div><div><ul><li><p>
Keeps current on state/territory issues and regulations, industry activity and trends. May participate in industry trade groups.</p></li></ul></div><div><ul><li><p>
Mentors and guides less experienced underwriters and assists in the development of underwriting training.</p></li></ul></div><div><ul><li><p>
Utilizes advanced functionality in relevant CNA systems to perform day-to-day activities.</p></li></ul></div><div><ul><li><p>
Responsible for special underwriting projects and presentations.</p></li></ul></div><p></p><div><p><b><br>
Reporting Relationship</b><br>
Manager or above</p></div><p></p><div><p><b>
Skills,</b><b> </b><b>Knowledge</b><b> </b><b>and Abilities</b><br>
1. Advanced technical expertise, underwriting skill and high level of knowledge of insurance and underwriting principles, practices and procedures.<br>
2. Strong communication, negotiation and presentation skills. Ability to effectively interact with all levels of CNA's internal and external business partners.<br>
3. Advanced analytical and problem-solving skills, with the ability to manage and prioritize multiple projects.<br>
4. Ability to deal with ambiguous situations and issues.<br>
5. Creativity in resolving unique and challenging business problems.<br>
6. Knowledge of Microsoft Office Suite and other business-related software.<br>
7. Demonstrated leadership skills.</p></div><p></p><div><p><b>
Education and Experience</b><br>
1. Bachelor's degree or equivalent experience. Professional designations preferred.</p></div></div><div><p>
2. Typically, a minimum eight years underwriting experience.</p></div><p></p><div><p><br>
As determined by CNA and depending on the applicant&rsquo;s experience and/or qualifications, candidates may be hired into one of three Underwriter positions: Underwriting Specialist, Underwriting Consultant, or Underwriting Consulting Director. Typically, 3-10+ years of related experience.</p></div><p></p><div><p><br>
#LI-MA1</p></div><div><p>
#LI-Hybrid</p></div><p></p><p><i>
I</i><i>n certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In </i><i>District of Columbia</i><i>,</i><i> </i><i>California, Colorado, Connecticut, </i><i>Illinois</i>, <i>Maryland</i><i>, </i><i>Massachusetts</i>,<i> New York and Washington,</i> <i>the national base pay range for this job level is</i><i> $72,000 to $141,000 </i><i>annually. Salary</i><i> 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 </i><i>cnabenefits.com</i><i>.</i></p><p></p><p>
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.</p></div>

Underwriting Consultant, Natioanl Accounts Property, Wholesale

Trust Heating and Air Conditioning

<p><b>Role Overview</b></p><p>We are seeking a high-level Operations Manager to bridge the gap between technical field excellence and strategic financial management. This role is designed for a veteran of the HVAC industry who possesses a sharp mind for business and the ability to navigate complex insurance claims. You will be the primary strategist responsible for ensuring our projects are executed with technical precision while maximizing profitability through effective insurance coordination.</p><p><b>Key Responsibilities</b></p><p><b>1. </b>Insurance Strategy &amp; Advocacy</p><p>Liaison with Carriers: Act as the primary point of contact for partnered insurance companies.</p><p>Claim Optimization: Analyze damaged systems and policy coverage to determine the best course of action (repair vs. replacement) to benefit both the company&rsquo;s bottom line and the client&rsquo;s needs.</p><p>Documentation Mastery: Oversee the creation of detailed reports, photo documentation, and technical justifications required to secure maximum approval for claims.</p><p>Strategic Advisory: Provide daily recommendations to ownership on which jobs to prioritize based on &quot;money-wise&quot; and &quot;work-wise&quot; analysis.</p><p><b>2. </b>Technical Operations Oversight</p><p>Workflow Efficiency: Manage scheduling and dispatch to ensure the right technicians are on the right jobs.</p><p>Quality Control: Conduct periodic site visits and review completed work to ensure it meets both company standards and insurance requirements.</p><p>Technical Support: Serve as a subject matter expert for field crews when they encounter complex installation or diagnostic issues.</p><p><b>3.</b> Business &amp; Financial Management</p><p>Job Costing: Review labor and material costs against insurance payouts to maintain healthy margins.</p><p>Process Improvement: Identify bottlenecks in the &quot;insurance-to-install&quot; pipeline and implement solutions to speed up turnaround times.</p><p>Required Qualifications</p><p>HVAC Expertise: Minimum of 5&ndash;7 years in the HVAC industry, with a deep understanding of residential and commercial systems.</p><p>Insurance Knowledge: Proven experience working with insurance adjusters, navigating Xactimate (or similar estimating software), and understanding the claims process.</p><p>Communication Skills: The ability to translate technical HVAC jargon into &quot;business logic&quot; for insurance partners and &quot;actionable steps&quot; for ownership.</p><p>Decision-Making: A strong &quot;ownership mindset&quot;&mdash;the ability to look at a project and decide if it is worth the labor hours versus the projected revenue.</p><p><b>Why Join Us?</b></p><p>This is a pivotal leadership role within the company. You won&rsquo;t just be managing people; you will be the engine driving our financial and operational strategy. We offer a competitive salary, performance-based incentives, and the opportunity to shape the future of our service mode</p><p><b>Requirements</b></p><ul><li>Proven management experience in facilities management or industrial maintenance environments with supervisory responsibilities.</li><li>Strong mechanical knowledge related to HVAC systems, electrical experience including high voltage and low voltage systems.</li><li>Familiarity with Programmable Logic Controllers (PLCs), schematics interpretation, and troubleshooting control systems.</li><li>Experience working with CMMS platforms for scheduling and tracking maintenance activities.</li><li>Excellent leadership skills with the ability to supervise teams effectively while fostering a safety-first culture.</li><li>Knowledge of manufacturing processes and industrial environments is highly desirable.</li><li>Ability to read electrical schematics, use diagnostic tools such as ohmmeters effectively, and perform complex troubleshooting.</li><li>Strong communication skills in English for clear reporting and collaboration across departments.</li><li>Project management skills to oversee system upgrades or new installations from conception through completion. Join us as an HVAC Manager where your expertise will directly impact operational excellence! We&rsquo;re committed to empowering our team members through ongoing development opportunities while ensuring a safe, innovative work environment that values your leadership in facilities management.</li></ul><p>Pay: $18.00 - $20.00 per hour</p><p>Benefits:</p><ul><li>Relocation assistance</li></ul><p>Work Location: On the road</p>

HVAC manager

Argo Group

<div><p><b>Company
</b></p>Argo Group
<p></p><p>Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needs of businesses. The Argo entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc.<br>
</p><p><br>
<b>Job Description
</b></p><p></p><div><div><p><b>Business Title(s): </b>TEMP <b>- </b>Workers&rsquo; Compensation Claims Adjuster
</p></div><div><p><b>Employment Type: </b>Contingent Worker
</p></div><div><p><b>FLSA Status: </b>Non-E xempt
</p></div><div><p><b>Location: </b>In-Office or Remote<br>
<br>
</p></div><div><p><b>Summary:
</b><br>
We are looking for a highly capable Workers' Compensation Claims Adjuster to help us on a temporary assignment with an estimated end date of May 29, 2026, and can work from anywhere in the United States. If this role is filled so the individual can work five days a week in any of the following offices, we can consider this a temp-to-hire assignment: Albany (NY), Chicago (IL), Houston (TX), Los Angeles (CA), New York City (NY), Omaha (NE), Richmond (VA), Rockwood (PA), or Springfield (MO) . This role will adjudicate indemnity workers' compensation claims of higher technical complexity for our customers in the states of AZ and CA . As this is a temporary assignment, only government mandated benefits will be provided.<br>
<br>
</p></div><div><p>Employees in this role are required to accurately record all hours worked and submit timesheets in accordance with company policy. Overtime may be assigned as business needs dictate , and employees are expected to work overtime when required .<br>
<br>
</p></div><div><p><b>Essential Responsibilities </b><b>:
</b></p></div><div><ul><li><p>Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical complexity, with a direct impact on departmental results.
</p></li></ul></div><div><ul><li><p>Resolving issues that are generalized and typically not complex, but require understanding of a broader set of issues.
</p></li></ul></div><div><ul><li><p>Reporting to senior management and underwriters on claims trends and developments.
</p></li></ul></div><div><ul><li><p>Investigating claims promptly and thoroughly.
</p></li></ul></div><div><ul><li><p>Analyzing claims forms, policies and endorsements, client instructions, and other records to determine whether the loss falls within the policy coverage.
</p></li></ul></div><div><ul><li><p>Investigating claims promptly and thoroughly, including interviewing all involved parties.
</p></li></ul></div><div><ul><li><p>Managing claims in litigation.
</p></li></ul></div><div><ul><li><p>Managing diary timely and complete tasks to ensure that cases move to the best financial outcome and timely resolution.
</p></li></ul></div><div><ul><li><p>Properly setting claim reserves.
</p></li></ul></div><div><ul><li><p>Identifying , assigning, and coordinating the assignment and coordination of expertise resources to assist in case resolution.
</p></li></ul></div><div><ul><li><p>Preparing reports for file documentation.
</p></li></ul></div><div><ul><li><p>Applying creative solutions which result in the best financial outcome.
</p></li></ul></div></div><div><div><ul><li><p>Negotiating settlements.
</p></li></ul></div><div><ul><li><p>Completing telephone calls and written correspondence to/from various parties (insured, claimant, etc.).
</p></li></ul></div><div><ul><li><p>Having an appreciation and passion for strong claim management.<br>
<br>
</p></li></ul></div><div><p><b>Qualifications / Experience Required:
</b></p></div><div><ul><li><p>A practical knowledge of adjudicating workers' compensation claims through:
</p></li></ul></div><div><ul><li><p>A minimum of five years&rsquo; experience adjudicating workers' compensation claims in one or more of the following jurisdictions : AZ and CA.
</p></li></ul></div><div><ul><li><p>Bachelor&rsquo;s degree from an accredited university required . Two or more insurance designations or four additional years of related experience adjudicating indemnity claims beyond the minimum experience required above may be substituted in lieu of a degree.
</p></li></ul></div><div><ul><li><p>CA Self-Insurance certification required
</p></li></ul></div><div><ul><li><p>Must have good business acumen ( i.e. understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers&rsquo; ability to be profitable).
</p></li></ul></div><div><ul><li><p>Must have excellent communication skills and the ability to build lasting relationships.
</p></li></ul></div><div><ul><li><p>Exhibit natural curiosity
</p></li></ul></div><div><ul><li><p>Desire to work in a fast-paced environment.
</p></li></ul></div><div><ul><li><p>Excellent evaluation and strategic skills required .
</p></li></ul></div><div><ul><li><p>Strong claim negotiation skills a must .
</p></li></ul></div><div><ul><li><p>Must possess a strong customer focus.
</p></li></ul></div><div><ul><li><p>Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.
</p></li></ul></div><div><ul><li><p>Ability to articulate the financial value of your work at multiple responsibility levels inside our clients&rsquo; business which may include CEO.
</p></li></ul></div><div><ul><li><p>Must work independently and demonstrate the ability to exercise sound judgment.
</p></li></ul></div><div><ul><li><p>Demonstrates inner strength. Has the courage to do the right thing and demonstrates it on a daily basis.
</p></li></ul></div><div><ul><li><p>Intellectual curiosity. Consistently considers all options and is not governed by conventional thinking.
</p></li></ul></div></div><div><div><ul><li><p>Proficient in MS Office Suite and other business-related software.
</p></li></ul></div><div><ul><li><p>Polished and professional written and verbal communication skills.
</p></li></ul></div><div><ul><li><p>The ability to read and write English fluently is required .
</p></li></ul></div><div><ul><li><p>Must demonstrate a desire for continued professional development through continuing education and self-development opportunities.<br>
<br>
</p></li></ul></div><div><p>The base salary range provided below is for hires in those geographic areas only and will be commensurate with candidate experience. Pay ranges for candidates in other locations may differ based on the cost of labor in that location. In addition to base salary, all employees are eligible for an annual bonus based on company and individual performance as well as a generous benefits package.
</p></div><div><ul><li><p><b>Colorado outside of Denver metro, Maryland, Nevada, and Rhode Island Pay Ranges: </b>$ 30.89 - $44.33 per hour
</p></li></ul></div><div><ul><li><p><b>California outside of Los Angeles, San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, Washington State, and New York State (including Westchester County) Pay Ranges: </b>$ 34.03- $48.79 per hour
</p></li></ul></div><div><ul><li><p><b>Los Angeles, New York City and San Francisco metro areas Pay Ranges: </b>$ 37.12 - $49.18 per hour<br>
<br>
</p></li></ul></div><div><p><b>About Working in Claims at Argo Group
</b></p></div><div><ul><li><p>Argo Group does not treat our claims or our claims professionals as a commodity. The work we offer is challenging, diverse, and impactful.
</p></li></ul></div><div><ul><li><p>Our Adjusters and Managers are empowered to exercise their independent discretion and, within broad limits and authority, be creative in developing solutions and treat each case as the unique situation it is.<br>
<br>
</p></li></ul></div><div><ul><li><p>We have a very flat organizational structure, enabling our employees have more interaction with our senior management team, especially when it relates to reviewing large losses.<br>
<br>
</p></li></ul></div><div><ul><li><p>Our entire claims team works in a collaborative nature to expeditiously resolve claims. We offer a work environment that inspires innovation and is open to employee suggestions. We even offer rewards for creative and innovative ideas.<br>
<br>
</p></li></ul></div><div><ul><li><p>We believe in building an inclusive and diverse team, and we strive to make our office a welcoming space for everyone. We encourage talented people from all backgrounds to apply.<br>
</p></li></ul></div></div><p></p><div><p><b><i>PLEASE NOTE:
</i></b></p><p>Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas.
</p><p></p><p>If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at 210-321-8400.
</p><p></p><p><b>Notice to Recruitment Agencies:
</b><br>
Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited. BWS and / or its affiliates will not be responsible for any fees associated with unsolicited submissions.
</p><p></p><p>We are an Equal Opportunity Employer. We do not discriminate on the basis of age, ancestry, color, gender, gender expression, gender identity, genetic information, marital status, national origin or citizenship (including language use restrictions), denial of family and medical care leave, disability (mental and physical) , including HIV and AIDS, medical condition (including cancer and genetic characteristics), race, religious creed (including religious dress and grooming practices), sex (including pregnancy, child birth, breastfeeding, and medical conditions related to pregnancy, child birth or breastfeeding), sexual orientation, military or veteran status, or other status protected by laws or regulations in the locations where we operate. We do not tolerate discrimination or harassment based on any of these characteristics.
</p><p></p><p>The collection of your personal information is subject to our HR Privacy Notice
</p><p></p><p><b>Benefits and Compensation
</b></p><p>We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program&mdash;including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.</p></div></div><p></p>

Workers' Compensation Claims Adjuster (CONTRACT)

Explore 252+ Complex claims consultant healthcare in Los Angeles this April. Find roles across top companies and apply now to boost your career.