- Emanate Health (Covina, CA)
- …the oversight of HCC Program and STAR measures coding related functions. The coding specialist will work with the IPA Director, Health Plan, and MSO personnel on HCC ... achieves or improves upon 4.0 STAR rating. The coding specialist is responsible for education to external physician offices... will be responsible to review medical records and claims data to ensure external physicians are documenting correctly… more
- ICW Group (Woodland Hills, CA)
- …everyday! Learn more about why you want to be here! **PURPOSE OF THE JOB** This Claims Specialist is responsible for handling complex claims with a focus on ... claims to an equitable resolution within Company standards. The Claims Specialist works with a sense of urgency, understands insurance coverage concepts, and… more
- Illumination Foundation (Santa Ana, CA)
- …Angeles County and the Inland Empire. Job Description The role of a Billing Claims Specialist involves overseeing the billing process for customers or patients, ... ensuring accurate billing and claims submissions. In addition, the Claims specialist is also responsible for keeping account receivables for CalAIM current,… more
- Philadelphia Insurance Companies (Mission Viejo, CA)
- …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Specialist to join our team! Summary: Investigate, evaluate and settle more complex first ... and third party commercial auto insurance claims . A typical day will include the following: Thoroughly...investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Travel is… more
- Prime Healthcare (Ontario, CA)
- …new members to join our corporate team! Responsibilities The Patient Account Specialist is responsible for submitting claims to the appropriate intermediaries ... when assigned. Under the supervision of the Director, the Patient Account Specialist is also responsible for accurate and timely payment analysis of managed… more
- Insight Global (Irvine, CA)
- …communication. The specialist will assist with intake coordination, billing & claims management, and interacting with caregivers, serving as the primary point of ... in the Orange County area is seeking a Billing/Intake Specialist . The role requires onsite training in Ontario for...caught up to speed in the role. The Billing/Intake Specialist serves as a critical link between administrative operations… more
- UIC Government Services and the Bowhead Family of Companies (Corona, CA)
- …AI/ML & LLM (AR/PA IT) Bowhead seeks a Sr. Data Scientist - AI/ML & LLM Specialist to join our team supporting the AR/PA IT Program at Naval Surface Warfare Center - ... California. The Sr. Data Scientist - AI/ML & LLM Specialist will work directly with the client analyzing complex...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- CDM Smith (Rancho Cucamonga, CA)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs… more
- Walgreens (Rialto, CA)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Robert Half Accountemps (Irvine, CA)
- Description We are looking for a skilled Medical Collections Specialist to join our team in Irvine, California. This is a Contract-to-Permanent position, offering an ... required documentation via mail or other channels to support claims processing. * Stay informed about commercial and managed...platforms, Epic Software, and IBM AS/400 to ensure efficient claims and collections processes. * Support the team by… more
- L3Harris (Canoga Park, CA)
- …sea and cyber domains in the interest of national security. Job Title: Specialist , Procurement (Buyer) Job Code: 28921 Job Location: Canoga Park, CA Job Schedule: ... 9/80 Job Description: The Procurement Specialist plans and implements activities related to the procurement of raw materials, goods and services. Compiles and… more
- Allied Universal (Irvine, CA)
- …and eligibility. **Job Description:** Allied Universal(R) is hiring a Senior Benefits Specialist . The Senior Benefits Specialist provides support for Health & ... qualifying life event changes, beneficiaries, disability, accident and death claims , and National Support Orders, Employee and Wage verifications, maintain… more
- TORKLAW (Irvine, CA)
- …those in need? Join us at TORKLAW! We're seeking a standout Case Records Specialist who thrives on challenges, excels in organization, and never loses sight of the ... overarching goals. As a Case Records Specialist , you will be a critical role in gathering,...medical summaries, document packets, and supporting materials for litigation, claims , and settlements. + Collaborate with attorneys, project leads,… more
- Parker Hannifin Corporation (Irvine, CA)
- Contract Specialist II Location : Irvine, CA, United States Job Family : Program Management Job Type : Regular Posted : Jul 11, 2025 Job ID : 58308 Back to Search ... all, our team members share in Parker's success. JOB SUMMARY The Contracts Specialist II is responsible for the management and administration of assigned contracts… more
- Medtronic (Irvine, CA)
- …of US and International promotional labeling material, including the creation of a claims matrix database and claims objects. + Lead AI/ML adoption in ... content and claims management to support automation and enhance process efficiency....Promotional labeling + Proficiency with Veeva PromoMats, Ad Promo/MLR claims , and material review and approval systems + Excellent… more
- Carrington (Anaheim, CA)
- …Bankruptcy Ledger Experience Required to be Considered!** The Bankruptcy Ledger Specialist will be responsible for completing and monitoring ledgers through the ... high degree of accuracy, for all Bankruptcy processes including Acquisitions, Proof of Claims , Notice of Final Cures, Motions for Relief, Agreed Orders, Notices of… more
- Carrington (Anaheim, CA)
- …join our amazing team and work on-site in Anaheim!** The Loss Mitigation Specialist will be responsible for educating borrowers on CMS' Loss Mitigation alternatives ... home ownership and avoiding foreclosure, including Loan Modifications, Partial Claims , Repayment Plans, Forbearances and Reinstatements. Perform all duties in… more
- Parker Hannifin Corporation (Irvine, CA)
- Purchasing Specialist - Fluid Systems Division Location : IRVINE, CA, United States Job Family : Procurement Job Type : Regular Posted : Oct 30, 2025 Job ID : 60727 ... between suppliers and company personnel. Negotiates and settles damage claims , rejections, losses, return of materials, over-shipments, cancellations and engineering… more
- Acosta Group (Corona, CA)
- …to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you ... incur to your direct supervisor as soon as possible following an incident resulting in an injury. **QUALIFICATIONS** _Education/Experience:_ High school diploma or general education degree (GED); or one to three months' related experience and/or training; or… more
- Banc of California (Santa Ana, CA)
- …(ACH) transactions, Large on-us & Unusual items, Stop payment, ATM/Mobile/RDC Deposits, Check Claims , Fraud alerts for Wire, ACH & Debit Card, Wire Transfer. + ... Performs all above listed items with higher limits and at times, can approve/verify on behalf of the manager and stays within Operational Transactional Signing Authority. Can be cross trained and supported other team's functions. + Assists and supports Branch… more
