- LA Care Health Plan (Los Angeles, CA)
- Manager , Claims Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Los Angeles, CA, US, 90017 Position Type: Full ... support the safety net required to achieve that purpose. Job Summary The Manager , Claims directs the efforts of others in the achievement of the strategic,… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Claims Integrity Provider Remediation (ALD- 24 months) Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 ... safety net required to achieve that purpose. Job Summary The Manager , Claims Integrity Provider Remediation is responsible for development and implementation of… more
- TEKsystems (Whittier, CA)
- …Job Description: + The claims examiner reports directly to the claims manager . + primarily responsible for the processing functions (operation, adjudication, ... Top Hospital Network is Hiring a Medical Claims Examiner!! Title : Claims Examiner Pay : 22-25/hr Location : Whittier, CA Duration: 3 month Contract - Potential… more
- TEKsystems (Whittier, CA)
- Description: The claims examiner reports directly to the claims manager . They are primarily responsible for the processing functions (operation, ... adjudication, and payment) of UB-92 and HCFA-1500 claims that are received from PHP affiliated medical groups...graduate or equivalent required. * Minimum of 2 years claims ADJUDICATION related experience in ambulatory, acute care hospital,… more
- Travelers Insurance Company (Diamond Bar, CA)
- …. Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity where ... **What Is the Opportunity?** Under general supervision, manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate… more
- Elevance Health (Woodland Hills, CA)
- ** Manager II Grievance/Appeals - Claims Support** **Location: *CA Residential Requirement** This position will work a hybrid model (remote and office). Ideal ... California within 50 miles of one of our PulsePoint locations. The ** Manager II Grievance/Appeals** is responsible for management oversight of grievances and appeals… more
- Crawford & Company (Brea, CA)
- …is not a job post. Position Summary Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims . Documents and ... and ensures proper and timely closing of files. Makes decisions on claims within delegated limited authority. Responsibilities + Conducts investigations of claims… more
- Social Security Administration (Montebello, CA)
- …II and/or Title XVI cases and on public fraud issues in specific claims and post-entitlement cases, provides lead role in technical training and mentoring other ... most effective use of software/systems to process specific complex claims and post-entitlement actions. Requirements Conditions of Employment Qualifications… more
- Social Security Administration (Whittier, CA)
- …by SSA; and use state of-the-art technology to access and update claims information. Requirements Conditions of Employment Qualifications Applicants must have 52 ... health benefits and/or social service programs; developing, processing, or authorizing claims ; explaining benefit related programs to the general public and… more
- Emanate Health (Covina, CA)
- …the #19 ranked company in the country. **J** **ob Summary** The Ambulatory Billing Manager is responsible for ensuring all professional claims are billed out to ... requesting bridge routines, and building account checks. The Ambulatory Billing Manager is responsible for evaluating employee work performance, timekeeping, and… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Shared Services Program Manager II (Limited Duration- 12 months)) Job Category: Administrative, HR, Business Professionals Department: Claims Data and ... required to achieve that purpose. Job Summary The Enterprise Shared Services Program Manager II is responsible for leading and managing a portfolio of strategic and… more
- Crawford & Company (Brea, CA)
- …FROM HOME CAREER OPPORTUNITY! + Seeking candidates with experience managing CA WC claims ! + SIP is a requirement! + Bonus Opportunities! + Multiple Employee ... supervises the investigation, management, and timely disposition of Workers Compensation claims within account, carrier and/or company guidelines, and assists the VP… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Customer Solution Center Appeals and Grievances Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... support the safety net required to achieve that purpose. Job Summary The Manager , Customer Solution Center Appeals and Grievances is responsible for the centralized… more
- HUB International (Los Angeles, CA)
- …play a vital role in supporting our clients with day-to-day account management, claims management, and underwriting services that ensure they have what they need to ... and provide them with innovative insurance solutions. The Personal Lines Account Manager provides critical support to clients, manages 2 books of insurance business… more
- Dignity Health (Los Angeles, CA)
- …requests and collaborates with other key stakeholders to implement learnings from claims . Oversees the coordination of all legal documents related to hospital ... appropriate. + Coordinates the requests from the system office claims team (related to litigated claims ) and...system office claims team (related to litigated claims ) and collaborates with other key stakeholders to implement… more
- Sedgwick (Los Angeles, CA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Client Service Manager | Remote **PRIMARY PURPOSE** : To manage accounts of multiple client ... in one of the following areas: workers compensation, liability and disability claims management + Strong understanding of client location coding parameters, banking… more
- Unilever (West Hollywood, CA)
- Manager , Product Development West Hollywood,CA HOURGLASS COSMETICS - Product Development Manager Connected by creativity and driven by purpose. Hourglass ... and mission on our website hourglasscosmetics.com The Product Development Manager reports to the Director of Product Development. The...at the start of new development to ensure desired claims and copy are supported by formulation and ingredients… more
- Travelers Insurance Company (Diamond Bar, CA)
- …do and where you do it. **Job Category** Claim, Nurse - Medical Case Manager **Compensation Overview** The annual base salary range provided for this position is a ... to work planning, coordination of quality medical care on claims involving disability and medical treatment as well as...face to face time while working as a case manager . **What Will You Do?** + Meet with injured… more
- Kimpton Hotels & Restaurants (Los Angeles, CA)
- …Employee Action Committees, Housekeeping Appreciation Week, Employee of the Month/ Manager of the Quarter, Kimpton Moments Recognition, Kimpton Professional Women's ... including effective case management of Workers' Compensation and Unemployment claims to minimize liability and expense exposure. Guarantee adherence to… more
- HUB International (Covina, CA)
- …a generous 401k plan and more! **THE OPPORTUNITY:** We are seeking an experienced Account Manager who is able to manage small groups under 100 and large groups under ... for client questions and issues. Responsibilities: * Develops client relationships with HR Manager /Directors as well as C-Suite * Develops a plan to meet client's… more