Claims Adjuster

Workers’ Compensation Claims Adjuster (Remote – CA Residents Only)
$50.00/hour | Full-Time | Mon–Fri, 8 AM–5 PM
Temporary Assignment
Remote (Must reside in California)
Client: Leading Third-Party Claims Administrator

Join a respected leader in claims administration and make an impact from the comfort of your home! We’re seeking an experienced Workers’ Compensation Claims Adjuster to manage complex California WC claims with precision and care.

What You’ll Do:
✔ Handle complex, high-exposure CA workers’ comp claims
✔ Develop action plans for timely resolutions
✔ Set and adjust reserves; negotiate and settle within authority
✔ Process benefits, manage litigation, and ensure compliance
✔ Communicate clearly with clients and claimants
✔ Document files accurately and escalate when needed

What You Bring:
✅ 3+ years of California WC claims experience (required)
✅ 5+ years in general claims or equivalent education
✅ Bachelor’s degree preferred; certifications a plus
✅ Strong knowledge of CA WC laws, litigation & recovery
✅ Proficient in Microsoft Office; excellent analytical & communication skills

Why Apply?
✨ Competitive pay: $50/hour
✨ 100% remote role (must live in California)
✨ Join a team that values excellence, empathy, and expertise

👉 Ready to take the next step in your claims career? Apply now!e today!

Pay Details: $50.00 per hour

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.adecco.com/en-us/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

  • The California Fair Chance Act
  • Los Angeles City Fair Chance Ordinance
  • Los Angeles County Fair Chance Ordinance for Employers
  • San Francisco Fair Chance Ordinance

Instructional Designer

Location US-Remote

ID2025-5896CategoryTraining Position TypeFull-Time

Overview

GovCIO is currently hiring for an Instructional Designer to support the RRL initiative at SWSC. This position is fully remote.

Responsibilities

Collaborates with and gathers course material from subject matter experts. Conducts analysis of program requirements and determines a strategic solution. Converts written materials and course content into interactive courseware. Provides a user-friendly interface for content contributors and end-users. Develops new e-learning programs or updates and maintains existing courseware in alignment with objectives. Keeps abreast of training and development research: adult learning theory, motivation theory, and new materials, methods, and techniques. May evaluate and/or oversee contractors or vendors to develop and/or administer training programs.

  • Must be able to collaborate with project managers, subject matter experts, and multimedia specialists.
  • Creates criteria for determining course effectiveness and makes improvements.
  • Selects or develops teaching aids such as demonstration models, multimedia visual aids, computer tutorials, and reference works.
  • May evaluate end-users to determine technological literacy, learning capacity, and teaching methodology.
  • Develops flowcharts and storyboards based on course materials
  • Must be knowledgeable and capable of operating various computer based training systems including distance learning and long range facilitated group discussions.
  • May be responsible for producing quick reference guides.

Qualifications

Bachelor’s with 0 – 2 years (or commensurate experience)

  • Clearance Required: Secret


Required Skills and Experience

  • NETC training experience

Preferred Skills and Experience

  • MTS qualified
  • US Navy/Marine Corps veteran

#NSS #TMK #DSG

Company Overview

GovCIO is a team of transformers–people who are passionate about transforming government IT. Every day, we make a positive impact by delivering innovative IT services and solutions that improve how government agencies operate and serve our citizens.

But we can’t do it alone. We need great people to help us do great things – for our customers, our culture, and our ability to attract other great people. We are changing the face of government IT and building a workforce that fuels this mission. Are you ready to be a transformer?

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender, gender identity or expression, sexual orientation, national origin, disability, or status as a protected veteran. EOE, including disability/vets.

Posted Pay Range

The posted pay range, if referenced, reflects the range expected for this position at the commencement of employment, however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, education, experience, and internal equity. The total compensation package for this position may also include other compensation elements, to be discussed during the hiring process. If hired, employee will be in an “at-will position” and the GovCIO reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, GovCIO or individual department/team performance, and market factors.

Posted Salary Range

USD $68,000.00 – USD $68,000.00 /Yr.

Engineering Manager

Job TitleEngineering Manager

Job Description

About The Position | Major goals and objectives and location requirements 

We’re looking for an Engineering Manager to lead our Internal Tools Platform teams, which focus on foundational frameworks and tools that enhance the development experience across the organization. You’ll guide a team of talented developers working primarily with JavaScript-based technologies, creating inner-sourced tools that empower developers across Dotdash Meredith. In this role, you’ll combine technical leadership with people management to drive innovation in developer tooling, mentor team members, and champion a culture of technical excellence.

Remote or Hybrid 3x a month 

In-office Expectations: This position offers remote work flexibility; however, if you reside within a commutable distance to one of our offices in New York, Des Moines, Birmingham, Los Angeles, Chicago, or Seattle, the expectation is to work from the office three times per month.

About The Team: | Internal Tools Platform

The Internal Tools Platform team is at the heart of developer experience at Dotdash Meredith, creating foundational frameworks and tools that empower developers across our organization. Our team builds and maintains JavaScript-based technologies that are inner-sourced throughout the company, including Vue component libraries, Node.js utilities, and innovative CLI tooling. We’re passionate about technical excellence and focus on delivering solutions that allow our developers to focus on solving business challenges rather than dealing with underlying complexities. As a central enabler of developer productivity, we collaborate closely with teams across the organization to understand their needs and create tools that streamline their workflows, while staying current with emerging technologies and best practices in the JavaScript ecosystem.

About The Positions Contributions:

Weight %

Accountabilities, Actions and Expected Measurable Results

40%

Team Leadership & Management: Lead and mentor 8+ individual contributors across multiple scrum teams, fostering technical excellence and career development

30%

Technical Vision & Strategy: Drive architectural direction for internal tools/frameworks, evaluate new technologies, maintain performance standards

20%

Innovation & Developer Experience: Guide POC development, champion developer workflow improvements, lead technical discussions

10%

Knowledge Management: Foster learning culture through documentation, onboarding, and mentorship programs

The Role’s Minimum Qualifications and Job Requirements

Education:

Bachelor’s degree in Computer Science or related field, or equivalent work experience

Experience:

  • 8+ years of web development experience
  • 6+ years of engineering management experience
  • Experience leading multiple engineering teams


Specific Knowledge, Skills, Certifications and Abilities:

  • Deep understanding of modern JavaScript ecosystem and developer tooling
  • Strong knowledge of TypeScript, Node.js, Vue/React, and related technologies- Experience with NestJS, Vuetify, Tailwind, Vite, and Deno- Strong background in API design (REST, GraphQL)- Proven track record of building high-performing teams- Experience translating business requirements into technical roadmaps- Excellent communication and leadership skills
  • Strong knowledge of TypeScript, Node.js, Vue/React, and related technologies
  • Experience with NestJS, Vuetify, Tailwind, Vite, and Deno
  • Strong background in API design (REST, GraphQL)
  • Proven track record of building high-performing teams
  • Experience translating business requirements into technical roadmaps
  • Excellent communication and leadership skills

% Travel Required (Approximate): 5%

It is the policy of Dotdash Meredith to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, the Company will provide reasonable accommodations for qualified individuals with disabilities. Accommodation requests can be made by emailing [email protected].

The Company participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: https://www.e-verify.gov/employees

Pay RangeSalary: $190,000 – $210,000

The pay range above represents the anticipated low and high end of the pay range for this position and may change in the future. Actual pay may vary and may be above or below the range based on various factors including but not limited to work location, experience, and performance. The range listed is just one component of Dotdash Meredith’s total compensation package for employees. Other compensation may include annual bonuses, and short- and long-term incentives. In addition, Dotdash Meredith provides to employees (and their eligible family members) a variety of benefits, including medical, dental, vision, prescription drug coverage, unlimited paid time off (PTO), adoption or surrogate assistance, donation matching, tuition reimbursement, basic life insurance, basic accidental death & dismemberment, supplemental life insurance, supplemental accident insurance, commuter benefits, short term and long term disability, health savings and flexible spending accounts, family care benefits, a generous 401K savings plan with a company match program, 10-12 paid holidays annually, and generous paid parental leave (birthing and non-birthing parents), all of which may vary depending on the specific nature of your employment with Dotdash Meredith and your work location. We also offer voluntary benefits such as pet insurance, accident, critical and hospital indemnity health insurance coverage, life and disability insurance.

Coding Analysis Technology Specialist

Description

Introduction

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Coding Analysis Technology Specialist with Parallon you can be a part of an organization that is devoted to giving back!

Benefits

Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
  • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
  • Free counseling services and resources for emotional, physical and financial wellbeing
  • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  • Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  • Family support through fertility and family building benefits with Progyny and adoption assistance.
  • Referral services for child, elder and pet care, home and auto repair, event planning and more
  • Consumer discounts through Abenity and Consumer Discounts
  • Retirement readiness, rollover assistance services and preferred banking partnerships
  • Education assistance (tuition, student loan, certification support, dependent scholarships)
  • Colleague recognition program
  • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Work from Home family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Coding Analysis Technology Specialist to help us reach our goals. Unlock your potential!

Job Summary and Qualifications

 In this work from home position as a Coding Analysis Technology Specialist, you will be responsible for conducting research to identify root causes and process improvements for Natural Language Processing (NLP) opportunities with 3M 360 Encompass CAC, creation of operational updates or revisions, and technical coding educational as required/when needed. You will also help to coordinate and perform the day-to-day computer-assisted coding analysis as a member of the Coding Analysis Technology Team (CATT).  

 What you will do in this role:  

  • Analyze/Monitor 360 Encompass coding precision and recall. This group is not analyzing coding. The focus is on tuning the NLP through the investigation of focus areas as defined by CATT Sr. Manager and or Lead.  
  • Analyze NLP Precision & Recall Outcomes on all patient types as assigned. Analysis by patient type/code set may be established by Sr. Manager/Lead but rotation of assigned types will occur.  
  • Identify end-user system acceptance behavior to escalate as needed.  
  • Perform deep dive into NLP trends for all patient types as defined by the practice leader and Sr. Manager.  
  • Monitor and perform deep dives on NLP tuning work orders.  
  • Monitor NLP enhancement system changes (content updates, section/region changes, document scoping changes, etc.).  
  • Report NLP enhancements as needed.  
  • Aide Sr. Manager and Lead by providing weekly newsflash content that may include but is not limited to a summary of outcomes, reports, analysis, and research. 

What qualifications you will need:   

  • Minimum of 3 years acute care inpatient/outpatient ICD-10 coding experience required  
  • Minimum of 3 years of coding auditing/monitoring experience is strongly preferred  
  • Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) preferred 
  • Certified Coding Specialist (CCS) preferred 
  • Associate’s degree in HIM/HIT required, bachelor’s degree strongly preferred. Extensive relevant experience may substitute education preferences 

Please visit our Parallon HCA Healthcare Coding Landing Page for more information on Coding Opportunities.  CLICK HERE for more information on Parallon HCA Coding 

Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

“There is so much good to do in the world and so many different ways to do it.”- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

Be a part of an organization that invests in you! We are reviewing applications for our Coding Analyis Technology Specialist opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Claims Systems Senior Analyst – eviCore – Remote

Claims Systems Senior Analyst – eviCore – Remote

LocationRemote, US  CategoryCustomer Service & Claims  Posted Date:04/15/2025  Job Id25003934

Apply Now  Save

Do you want to Improve the health and vitality of those we serve? EviCore, a line of business within the Cigna Group is hiring a Claims System Senior Analyst. This highly technical systems role requires the review of our claims processing system to ensure all configurations were input correctly into the system per the specifications of the provider. The Claims System Senior Analyst will have in depth knowledge of the eviCore claims systems and products. As the Subject Matter Expert, you’ll partner with the Systems Configuration Associates, internal departments, external clients and vendors to ensure configurations have met client requirements and quality standards.

What you’ll do:

  • Resolve non-routine issues escalated from leadership, business, clients and junior team members and act as a subject matter expert (SME) to business and IT for eviCore claims product setups/processes
  • Collaborate with internal and external clients to understand, and evaluate processes, procedures, job aids and identify solutions for procedural gaps
  • Analyze business and user requirements to design solutions and system configurations, specifications, create test plans/use cases perform SI testing, end to end testing and continuously improve adjudication automation and accuracy
  • Partner with technology and analytics teams to develop new data sources for reporting and act as liaison between business and technology to execute project initiatives, and resolve issues
  • Provide support with production issues as needed

What you’ll need to succeed:

  • High School Diploma or GED required, bachelor’s degree preferred
  • 5+ years of healthcare claims lifecycle; configuration design, editing, claims system requirements, and analysis – REQUIRED
  • 3+ years of experience in MS ACCESS – REQUIRED
  • 3+ years of advanced experience with MS EXCEL – REQUIRED
  • 3+ years of experience with SQL and SQL querying, REQUIRED
  • 3+ years of experience with database management systems, creating test plans/use cases, and SDLC models, REQUIRED
  • 3+ years of experience with MC400, McNet and RC3 systems, Preferred
  • 3+ years of experience with claims adjudication, claims data types and editing rules (ICD, CPT/HCPC, NCCI, MPPR, OPPS, RBRVS, FFS), preferred

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 53,900 – 89,800 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.