- UnitedHealth Group (Irvine, CA)
- …equity on a global scale. Join us to start Caring. Connecting. Growing together. Claims Representative within Manual Claims department focusing on DMR's and ... all lines of business. This position focuses on both claims processing efficiency and accuracy in order to meet...delays could also be impacted. Skills needed include understanding claims processing and the RxCLAIM and web view applications.… more
- Sedgwick (Pasadena, CA)
- …in Financial Services & Insurance Industry Advancement Program | Workers Compensation Claims Representative Trainee | Pasadena, CA PRIMARY PURPOSE: To be ... the ability to analyze workers compensation, general liability or disability claims and determine benefits due. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Attendance… more
- Alameda Alliance For Health (Alameda, CA)
- …to ensure action, cooperation, and compliance of managed care operations. Member Services Representative I This position which requires the ability to work as a team ... to be promoted to a Member Services II or III role. Member Services Representative I staff may be eligible for promotion to Member Services Representative … more
- TEKsystems (Los Angeles, CA)
- *This position is in Northridge, CA* Job Title: Member Services Representative - Call Center Support Job Description: As a Member Services Representative , you ... and health plan representatives. Resolve inquiries related to benefits, claims , eligibility, and other healthcare-related topics. Accurately document call details… more
- Pasona NA, Inc. (Torrance, CA)
- Sales Representative - Japanese Bilingual #57088 Job Num: 57088 h5 Job Description TITLE: Sales Representative - Japanese Bilingual - Entry Level Welcome! Pay: ... service queries by troubleshooting problems and responding to end user questions and claims . 18. Assists with marketing tasks which include but not limited to,… more
- Vanessa Vargas - State Farm Agent (Chino Hills, CA)
- …Paid time off Training & development ROLE DESCRIPTION: As a Customer Service Representative - State Farm Agent Team Member with Vanessa Vargas - State Farm ... policy information. Assist customers with policy changes and updates. Process insurance claims and follow up with customers. Maintain accurate records of customer… more
- Maria Galli - State Farm Agent (Whittier, CA)
- …advancement Paid time off Training & development ROLE DESCRIPTION: As a Customer Service Representative - State Farm Agent Team Member with Maria Galli - State Farm ... policy information. Assist clients with policy changes and updates. Process insurance claims and follow up with clients. Maintain accurate records of customer… more
- El Camino Health (Mountain View, CA)
- …Shift Day: 8 hours Job Description Unit Specific Duties Listed Below Billing Ensures claims are billed timely and accurately using the Hospital Claims Scrubber ... the phone or in person. Follow Up Follows up on unpaid and denied claims for account resolution. Resolves accounts by contacting managed care entities, other third… more
- Miltenyi Biotec (San Diego, CA)
- …This individual will function as the legal and compliance representative on the Promotional Review Committee (PRC/MLR), support compliant commercialization ... Medical Affairs, and Regulatory teams on labeling, disease awareness, advertising claims , and fair balance. Provide real-time legal and compliance guidance on… more
- Riverside County, CA (Riverside, CA)
- …anticipates, identifies and resolves problems in accounting operations. *Prepares claims and expenditure reports; prepares analytical reports on revenues and ... social security information from the document(s). A Human Resources Representative will review the materials and determine if you...of experience do you possess in the preparation of claims and expenditure reports? None Less than one year… more
- City of Hermosa Beach, CA (Hermosa Beach, CA)
- …as needed, including but not limited to workers' compensation and liability claims . Performs related work as required. QUALIFICATIONS GUIDELINES Knowledge, Skills & ... and selection, employee benefit plans, workers' compensation and general liability claims , and salary and performance evaluation programs; personnel policies and… more
- University of Southern California (Arcadia, CA)
- …Under the direction of the Admitting Manager, the Patient Access Representative is responsible for interviewing incoming patients (inpatient and outpatient) to ... within the institution. It is the responsibility of the Patient Access Representative to uphold the highest service standards regarding patient care. Making… more
- Community Health Center Network, Inc. (San Leandro, CA)
- …to the following HIPAA protected information data sets." 1. MSO Membership 2. MSO Claims 3. MSO Referral/Auth. 4. MSO Capitation 5. Data Warehouse 6. Chart Audit/QI ... CERTIFICATES AND/OR LICENSES None PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully… more
- ARROWHEAD PRODUCTS CORPORATION (Los Alamitos, CA)
- …requests (such as but not limited to lead-time quotes, order status, cancellation claims ) in a timely, proficient manner. Identify and notify Customer Service when a ... each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations… more
- San Bernardino Superior Court (San Bernardino, CA)
- …litigants on matters including, but not limited to, family law, small claims , landlord-tenant and guardianship. Employees in this class typically report to a ... with code requirements; conducts legal research; reviews/assesses factual matters and claims related to cases. Provides information and educational materials to the… more
- Sonoma-Marin Area Rail Transit (Petaluma, CA)
- …as District representative for receipt of subpoenas, lawsuits, depositions, and claims ; maintains a variety of logs; responds to Public Records Act requests, in ... coordination with legal counsel and other District departments, as necessary. *Provides executive assistance to the General Manager; oversees General Manager's calendar and schedules and coordinates meetings, appointments, and travel; reviews a variety of… more
- La-Z-Boy (Mission Viejo, CA)
- …systems and administrative procedures What is important to us in a Sales Representative : A willingness and ability to learn quickly, follow proven processes and care ... online will documentation preparation Help with better health care choices, like claims , billing, fee negotiation, and RNs who can explain diagnoses and treatments.… more
- Silgan (Woodland Hills, CA)
- …tariffs, freight, and metal in transit. Process all mill and vendor claims , lead collections, and compile monthly reports for executive review. Review, accrue, ... their supervisor in compliance with Federal and State Laws. Requirements are representative of minimum levels of knowledge, skills and/or abilities. To perform this… more
- Mark Hoogs - State Farm Agent (Moraga, CA)
- …from prospective customers, etc.) Liaise with Underwriters, Service Team and Claims Department to answer questions, resolve various policy or claim issues, ... but not required (unlicensed candidates may apply for the Customer Service Representative role) Highly ethical, honest and reliable; positive can-do attitude and… more
- Balboa Bay Resort & Club (Newport Beach, CA)
- …current MSDS. Continuously evaluates and develops processes that reduce guest liability claims . Actively involved in addressing and resolving any such claims . ... each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations… more
