- LA Care Health Plan (Los Angeles, CA)
- Claims Examiner II (Temporary) Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... support the safety net required to achieve that purpose. Job Summary The Claims Examiner II is responsible for the accurate and timely processing of direct… more
- LA Care Health Plan (Los Angeles, CA)
- Claims Examiner I Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11329 ... support the safety net required to achieve that purpose. Job Summary The Claims Examiner is responsible for the accurate and timely processing of direct contract… more
- Sedgwick (Los Angeles, CA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | West Hills, CA | CA Claims Exp. ... some of the world's best brands? + Apply your examiner knowledge and experience to adjudicate complex customer ...examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +… more
- Randstad US (Long Beach, CA)
- california workers compensation claims examiner . + long beach , california + posted may 9, 2024 **job details** summary + $55 - $60 per hour + temporary + ... occupations + referenceAB_4531696 job details Now Hiring: California Workers Compensation Claims Examiner Are you ready for a life-changing opportunity? Are you… more
- Kelly Services (Pasadena, CA)
- …evolving.** We at Kelly(R) hear you, and we're here for you! We're seeking a Claims Examiner to work remotely at a global legal administration and litigation ... of experience in worker's compensation + Bachelor's degree + Workers Compensation Claims Examiner (3+ years of California WC experience) + Must have SIP… more
- ManpowerGroup (Los Angeles, CA)
- Our client, Legal Industry is seeking a Claims Examiner to join their team. As a Legal Claims Examiner you will be part of the Restructuring services ... which will align successfully in the organization. **Job Title: Legal Claims Examiner ** **Location: El Segundo, Ca** **Pay Range: up to $28.00hr** **What's… more
- Sedgwick (Los Angeles, CA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | Roseville, CA (CA Claims Exp. Required) ... **PRIMARY PURPOSE** : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims … more
- Sedgwick (West Hills, CA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | West Hills, CA Are you looking for an ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high… more
- Sedgwick (Long Beach, CA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | Roseville or Long Beach, CA California workers' ... compensation claims handling experience required **PRIMARY PURPOSE** : To analyze...: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high… 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
- Insight Global (Los Angeles, CA)
- …Plan based in Los Angeles is in the immediate need of a Medical Claims Representative. The Medical Claims Representative will be responsible for speaking with ... the phone and troubleshooting any of the participants bills or claims . The Medical Claims Representative will be tasked with answering inquiries regarding EOBs… more
- UCLA Health (Los Angeles, CA)
- …and the review and adjudication of professional, ancillary, and institutional claims for services rendered in our inpatient, ambulatory and outpatient settings. ... complex claim issues as well as train others on claims processes and workflows. Salary Range: $28.23 - $40.44...or equivalent + Four or more years of medical claims payment experience in an HMO setting + Expertise… more
- Sedgwick (Los Angeles, CA)
- …training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a ... with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and… more
- Sedgwick (Pasadena, CA)
- …training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a ... with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and… more
- Sedgwick (West Hills, CA)
- …training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a ... with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and… more
- Randstad US (Long Beach, CA)
- …training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a ... with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and… more
- The Walt Disney Company (Anaheim, CA)
- …understanding from all parties. + Partner and communicate with the Workers' Compensation claims examiner to verify work status changes based on accommodations ... discussions, so that the claims examiner can determine what benefits may be due to the cast member. + Maintain detailed and accurate accounts of accommodation… 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 ... Discounts! Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established authority on… more
- LA Care Health Plan (Los Angeles, CA)
- Manager, Claims Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11073 Salary ... required to achieve that purpose. Job Summary The Manager, Claims directs the efforts of others in the achievement...to track and trend the metrics associated with the examiner and auditor production and prepare and present written… 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