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Claims examiner Jobs in Downey, CA

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Claims examiner • downey ca

Last updated: 2 days ago

Remote Insurance Experts - AI Trainer ($50-$60 per hour)

MercorSouth Gate, California, US
Remote
Full-time

Role Overview** - Mercor is seeking senior insurance professionals to build evaluation tasks for AI systems operating in Fortune 500 enterprise insurance and risk contexts.The workflows are calibra... Show more

Remote Medical Billing Manager - AI Trainer ($80-$80 per hour)

MercorNorwalk, California, US
$80.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Billing and Claims Managers to support the evaluation of AI too... Show more

Project Coordinator

PM2CM, Inc.Monterey Park, CA, United States
Full-time

The Project Coordinator supports the PMO Program Manager and Risk Analyst by handling project cost, schedule and contract?related controls to mitigate risk, support claims and monitor performance o... Show more

Dental and Ortho Insurance Biller Treatment Coordinator

Downey Smile CenterDowney, CA, US
$25.00 hourly
Full-time

The Dental Office Biller manages patient accounts, processes insurance claims, and ensures efficient billing operations within a dental practice.This role requires a detail-oriented individual with... Show more

Commercial Lines Account Manager

GpacLakewood, California, United States
Full-time

Commercial Lines Account Manager.Active Property & Casualty License.Manage a portfolio of complex commercial insurance accounts from new business through renewal.Analyze client exposures and re... Show more

Lead - Claims Examiner

Astrana HealthMonterey Park, CA, United States
$25.00 hourly
Full-time

We are currently seeking a highly motivated Lead - Claims Examiner.This role will report to the Sr.Manager - Claims and enable us to continue to scale in the healthcare industry.This is a hybrid ro... Show more

Finance/Accounting - Claims Examiner

E-talentnetworkWhittier, CA, United States
Full-time

Must have listed claims reimbursement experience Must have DOFR Must have processed lab claims Will Need References to Submit.Will Need References to Submit.Will Need References to Submit.SHIFT: Mo... Show more

Non-Clinical - Finance/Accounting/Claims Examiner # 26-06718

US Tech SolutionsWhittier, CA, United States
Full-time

Must have listed claims reimbursement experience.Must have processed lab claims.The claims examiner reports directly to the claims manager.They are primarily responsible for the processing function... Show more

Plans Examiner

BPR Consulting Group LLCBellflower, California, United States
Full-time +1

Life Safety Plans Examiner to join our growing company and serve our clients.Full time and part time opportunities are available for qualified candidates.The successful candidates must have experie... Show more

Building Official

BPR Consulting GroupDowney, CA, United States
Full-time

Building Official/Senior Plans Examiner.BPR Consulting Group is seeking an experienced and certified Building Official/Senior Plans Examiner to join our growing company and serve one of our key cli... Show more

Risk Manager

TradeJobsWorkForce90040 Commerce, CA, US
Full-time

Risk Manager Job Duties: Leads the identification, communication, measurement, and manag... Show more

 • Promoted

Non-Clinical - Finance/Accounting - Claims Examiner

Bestica HealthcareWhittier, CA, United States
Full-time

Must have listed claims reimbursement experience.Must have processed lab claims.Will need 3 supervisor references to submit.Location: 9557 Greenleaf Avenue, Whittier, CA.Shift: Monday - Friday - 07... Show more

Lead - Claims Examiner

Astrana Health, Inc.Monterey Park, CA, US
$27.00 hourly
Full-time
Quick Apply

We are currently seeking a highly motivated Lead - Claims Examiner.This role will report to the Sr.Manager - Claims and enable us to continue to scale in the healthcare industry.This is a hybrid ro... Show more

Senior Claims Specialist

Superior GrocersSanta Fe Springs, CA, United States
$80,000.00 yearly
Full-time

The Senior Claims Specialist will report directly to the Director of Risk Management.Duties include overseeing and monitoring the timely response and proper handling of General Liability, Auto and ... Show more

Project Coordinator

PM2CMMonterey Park, CA, US
Full-time
Quick Apply

The Project Coordinator supports the PMO Program Manager and Risk Analyst by handling project cost, schedule and contract‐related controls to mitigate risk, support claims and monitor performance o... Show more

Claims Examiner

Government JobsCompton, CA, United States
Permanent

Workers' Compensation Claims Examiner.Under general supervision, examines and adjusts claims for Workers' Compensation benefits; monitors claim expenditures; communicates with physicians, superviso... Show more

Claims Appraiser - Auto Estimatics

State FarmBellflower, CA, United States
$69,398.62 yearly
Full-time

Being good neighbors helping people, investing in our communities, and making the world a better place is who we are at State Farm.It is at the core of how we operate and the reason for our succe... Show more

HR Generalist - TalentZok

TalentZokParamount, CA, US
$82,000.00 yearly
Full-time

HR Generalist - TalentZokOVERVIEWAre you looking for a new career opportunity with an exciting company?! Then we've got the right team for you! In this role, you're responsible for the duti... Show more

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Remote Insurance Experts - AI Trainer ($50-$60 per hour)

Remote Insurance Experts - AI Trainer ($50-$60 per hour)

MercorSouth Gate, California, US
10 days ago
Job type
  • Full-time
  • Remote
Job description
  • Role Overview - Mercor is seeking senior insurance professionals to build evaluation tasks for AI systems operating in Fortune 500 enterprise insurance and risk contexts. - The workflows are calibrated to the underwriting complexity, regulatory stakes, and claims scale of Fortune 500 and large public insurance carriers. - Contributors design enterprise insurance scenarios, draft reference outputs, and write rubrics that capture how senior F500 insurance operators think. Key Responsibilities - Construct enterprise insurance scenarios spanning complex commercial underwriting, multi-stakeholder claims adjudication, and regulatory filing or compliance review cycles at F500 carriers. - Build insurance tasks across F500 underwriting and risk assessment, claims management, actuarial pricing and reserving, reinsurance strategy, and regulatory / compliance affairs. - Develop insurance operations scenarios involving tools such as Guidewire, Duck Creek, actuarial modeling platforms (SAS, R), and enterprise claims / policy administration systems in F500 stacks. - Apply enterprise insurance methodologies (actuarial risk modeling, loss reserving, ERM frameworks, NAIC compliance standards) and produce reference underwriting guidelines, claims strategies, and executive-level risk narratives. - Author rubrics that distinguish authentic enterprise insurance judgment from generic textbook or licensing-exam recall. Ideal Qualifications - 5+ years working in underwriting, claims, actuarial, or risk management at a Fortune 500 insurance carrier or reinsurer (State Farm, Allstate, Chubb, AIG, Berkshire Hathaway) or inside an F500 enterprise risk / insurance organization. - Direct ownership of F500-scale underwriting portfolios, claims operations, or actuarial pricing models. - Fluency in enterprise insurance tooling and methodologies, plus understanding of how F500 regulatory compliance, reinsurance treaties, and reserving practices actually work. - Prior rubric, actuarial / underwriting training curriculum, or claims documentation authorship is a plus.