Top Operations & Support Jobs in Los Angeles, CA

Manage workers’ compensation medical-only claims from setup through closure, including investigations, compensability decisions, reserves, medical benefits, utilization review, lien resolution, and claim mitigation. Provide guidance to agents and insureds, maintain regulatory compliance, identify claims requiring indemnity conversion, and support improvements to claims processes and customer service. The role is remote within the United States.

Provides timely customer service and issue resolution for payroll partners and insureds through email and platform channels. Handles policy issuance, billing and agency questions, cancellations, renewals, escalations, and complex requests while meeting service-level agreements. Builds partner relationships, advocates for customer needs, identifies process improvements, and supports onboarding, peer training, system testing, and maintenance of standard operating procedures and training resources.

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.

Director of Premium Audit responsible for leading departmental transformation and operational excellence, developing strategies, managing teams, and overseeing audit processes in alignment with business objectives.

The Senior Manager, Underwriting leads the New Business Underwriting team, ensuring performance, service delivery, and development of underwriters while driving process improvements and managing team dynamics.

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.