Top Operations & Support Jobs in Los Angeles, CA

Leads workers’ compensation claims adjusters and specialists, providing technical and jurisdictional oversight for denials, payments, settlements, reserves, audits, and complex claims. Manages workflows, caseloads, escalations, compliance, performance, hiring, and employee development. Partners with the Claims Manager to meet departmental goals and improve claim outcomes, processes, and customer experiences.

Conducts quality audits across underwriting, premium audit, and customer service departments; analyzes review data to identify trends and training opportunities; helps develop and deliver training; maintains process, authority, and governance documentation; facilitates calibration and quality meetings; coaches employees on procedures, systems, regulations, and expectations; and supports process improvement and implementation of new workflows.

Manage workers’ compensation premium audit operations, including internal teams, vendors, quality, compliance, productivity, and customer escalations. Develop audit strategies, improve processes, optimize workflows and technology, analyze performance trends, and partner with Product, Engineering, Analytics, Compliance, Legal, Claims, Underwriting, Billing, and Customer Service. Lead team development, resolve complex disputes, and communicate operational insights to senior leadership.

Manage catastrophic and large-loss workers’ compensation claims from setup through closure. Responsibilities include investigations, compensability decisions, reserving, statutory benefit administration, litigation management, settlement negotiation, structured settlements, Medicare Set-Asides, and exposure mitigation. The role provides claim guidance to agents and customers, presents large-loss updates, attends mediations and trials, mentors junior adjusters, and improves claims processes and protocols.

Manage end-to-end California workers' compensation claims, including complex/high-exposure files. Conduct investigations, determine compensability, set reserves, manage medical and indemnity benefits, control litigation and legal costs, negotiate settlements, and provide excellent service to agents and insureds while mentoring junior adjusters and improving claims processes.

Manage workers' compensation claims end-to-end, focusing on high-dollar, high-exposure and complex files. Make compensability and reserving decisions, administer benefits, control litigation and legal costs, negotiate settlements, and deliver strong customer service to agents and insureds. Mentor junior adjusters and improve claims processes while complying with statutory requirements.

Lead and scale Pie's claims adjudication function for workers' compensation across jurisdictions. Own strategy execution, team structure, KPIs, budgets, large-loss settlements, regulatory compliance, and claims technology adoption. Partner with Claims, Underwriting, Actuarial, Product, Finance, Legal and external stakeholders to drive improved claims outcomes, loss ratios, and customer experience while building senior talent and governance for adjudication operations.

Manage workers' compensation claims end-to-end for California: investigate, determine compensability, set reserves, administer benefits, control litigation, negotiate settlements, and provide claims guidance to agents and insureds while ensuring regulatory compliance and excellent customer service.