- Zurich NA (Woodland Hills, CA)
- Auto Litigation Claims Specialist 113285 Zurich is currently seeking an Auto Litigation Claims Specialist II. At Zurich North America Claims , we ... or Woodland Hills. Job Responsibilities: Under moderate direction, the Auto Litigation Claims Specialist II handles single and multi-party personal or commercial… more
- Providence (Mission Hills, CA)
- **Description** The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non-contracted, per ... rate etc.) and adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of compliance issues as they relate to claims… more
- Illumination Foundation (Santa Ana, CA)
- …across Orange County, Los Angeles County and the Inland Empire. Job Description The Claims Specialist is responsible for accuracy of claims submission, ... and eligibility verification, accuracy of client information. In addition, the Claims Specialist is also responsible for keeping up to date accounts receivable… more
- Lincoln Financial Group (Los Angeles, CA)
- …**The Role at a Glance** We are excited to bring on a highly motivated **Group Claims Specialist ** to support our ever-growing claims organization in a work ... support our west coast employer groups. _Background details_ As a Group Claims Specialist , you will support our Short Term Disability or Integrated Absence… more
- Lincoln Financial Group (Glendale, CA)
- … Specialists to staff our ever-growing claims organization. As a Leaves Claims Specialist , you will be responsible for administering and managing leave ... more about a Day in the Life (https://www.youtube.com/watch?v=vbSYiXOPSII&feature=youtu.be) of a Claims Specialist at Lincoln Financial Group! **What you'll be… more
- LA Care Health Plan (Los Angeles, CA)
- Claims Documentation Specialist II Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 Position Type: ... safety net required to achieve that purpose. Job Summary The Claims Documentation Specialist II is responsible for creating, editing and updating documents that… 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
- Providence (Mission Hills, CA)
- **Description** Responsible for processing medical claims . Resolves complex, difficult or non-routine claims requiring special handling in accordance with ... policy guidelines. Reviews and authorizes payment and final disposition of claims requiring adjustment and claims benefit determination for reinsurance… more
- Robert Half Accountemps (Costa Mesa, CA)
- Description We are looking for a Medical Collections Specialist to join our team in Costa Mesa, California. The role will focus on working with insurance companies, ... and accounts. The successful candidate will be responsible for evaluating claims , initiating appeals for underpayments, reviewing and completing payor and patient… 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
- 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
- City National Bank (Los Angeles, CA)
- **PAYMENTS CLAIM SPECIALIST ** **WHAT IS THE OPPORTUNITY?** The Payment Claims Specialist is responsible for the investigation and processing of payment fraud ... claims and disputes with precision and quality. They must...of miss/near miss opportunities etc. A successful Payment Claim Specialist will be able to navigate multiple technologies while… more
- Robert Half Accountemps (Covina, CA)
- …managing CMS1500 forms, working on claim edits, submitting, and following up on claims . The Medical Billing Specialist must have experience with claims ... Description The role of the Medical Billing Specialist will include handling day-to-day medical billing procedures,… more
- Conduent (Los Angeles, CA)
- … Specialist ** **Pay $18-20hr based on experience** The Insurance/Collections Specialist is responsible for analyzing medical claims data, seeking ... timely, maximum call time is achieved, and ensures quality results. Insurance-Collections Specialist will handle the collection/recovery of medical claims with… more
- USAA (Los Angeles, CA)
- …makes us so special! **The Opportunity** We are seeking a dedicated Property Adjuster Specialist located in **Orange County, CA** to join our field Team. As a ... Insurance Property Adjuster Specialist , you will work within established guidelines and framework...to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will… more
- LA Care Health Plan (Los Angeles, CA)
- Coordination of Benefits Validation Specialist II Job Category: Administrative, HR, Business Professionals Department: Claims Integrity Location: Los Angeles, ... that purpose. Job Summary The Coordination of Benefits (COB) Validation Specialist ensures the accurate coordination of healthcare benefits for individuals covered… more
- Robert Half Accountemps (Baldwin Park, CA)
- Description We are seeking a Medical Billing Specialist in the healthcare industry located in Baldwin Park. This position is a contract to permanent opportunity, ... claim edits, and ensuring accurate and timely processing of claims . Responsibilities: * Handle claim edits, investigate denied ...of at least 2 years as a Medical Billing Specialist in the healthcare sector * Proficient knowledge in… more
- The County of Los Angeles (Los Angeles, CA)
- ENVIRONMENTAL HEALTH SPECIALIST III Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3049497) Apply ENVIRONMENTAL HEALTH SPECIALIST III ... class receive administrative and technical lead from a Chief, Environmental Health Specialist and may receive technical lead from an Environmental Health … more
- The County of Los Angeles (Los Angeles, CA)
- ENVIRONMENTAL HEALTH SPECIALIST II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1240253) Apply ENVIRONMENTAL HEALTH SPECIALIST II ... Requirements SELECTION REQUIREMENTS Certificate* as a Registered Environmental Health Specialist issued by the California Department of Public Health. *CERTIFICATE… more
- The County of Los Angeles (Los Angeles, CA)
- ENVIRONMENTAL HEALTH SPECIALIST IV Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3074682) Apply ENVIRONMENTAL HEALTH SPECIALIST IV ... program and provides staff assistance to a Chief Environmental Health Specialist . CLASSIFICATION STANDARDS: Positions allocable to this class receive administrative… more