- EDI Staffing (Long Beach, CA)
- …Support the centralization of information for using OnBase for content management Support claims in load processes and procedures Lead all Encounter and EDI related ... with SQL Server 2012 Experience with Transactional Systems, specifically X12 Claims , Eligibility and Authorization transactions EZCAP and EZEDI experience preferred… more
- JobsRUs (Torrance, CA)
- …by preparing and maintaining required reports and policies, handling unemployment claims , and conducting required investigations. -Current knowledge of best practice ... including employment, promotion and transfer letters, and termination forms. -Manages WC Claims . -Managing Captive and liability claims -Representing the Company… more
- 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 Data Operations Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 Position Type: ... the safety net required to achieve that purpose. Job Summary The Manager of Claims Data Operations leads and manages the Technical Project Analysts and the… 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
- Jacobs (Los Angeles, CA)
- …engineers, then Jacobs is where you belong. We are looking for a driven Claims Manager to support our Aviation design team. Responsible for the review, ... evaluation and negotiating claims for all aspects of engineering projects. Expert in...dispute resolution, contract management, change management. Review and evaluate claims . Implementation of policy and procedures for claims… more
- Providence (Irvine, CA)
- …needs of the Providence Health System. This position reports to the Research Claims Manager and includes collaboration with several research entities within ... **Description** **Providence is calling a Claims Specialist who will work remotely within our...AK, CA, MT, OR, TX, or MT.** The Research Claims Specialist will support the Clinical Research billing and… more
- Marriott (Costa Mesa, CA)
- …and complexity of Worker's Compensation and General Liability cases as determined by Claims Unit Manager .) **Expected Contributions** + Investigate claims ... Number** 24069181 **Job Category** Finance & Accounting **Location** Western Casualty Claims Office, 3100 Bristol Street Suite 425, Costa Mesa, California, United… more
- Zurich NA (Woodland Hills, CA)
- …Team Manager 112861 Zurich is looking for an accomplished Workman's Compensation Claims Team Manager for our Northern or Southern CA regions. This position ... oversight, you'll lead and guide a team of technical Claims Professionals in managing low to high exposure ...Claims Professionals in managing low to high exposure claims in personal or commercial property/casualty lines of business.… more
- Randstad US (Long Beach, CA)
- …and negotiate settlements. Candidate must have at least 2 years of Workers Compensation Claims experience and the manager prefers SIP Certificate. salary: $55 - ... california workers compensation claims examiner. + long beach , california +...+ referenceAB_4531696 job details Now Hiring: California Workers Compensation Claims Examiner Are you ready for a life-changing opportunity?… 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
- Randstad US (Long Beach, CA)
- claims team lead. + long beach , california +...+ Years of experience: 5 years + Experience level: Manager Randstad is a world leader in matching great people ... business and financial operations occupations + referenceAB_4531701 job details Now Hiring: Claims Team Lead Apply today because openings are limited!! Overview To… more
- Illumination Foundation (Santa Ana, CA)
- …Orange County, Los Angeles County and the Inland Empire. Job Description The Claims Specialist is responsible for accuracy of claims submission, benefits and ... eligibility verification, accuracy of client information. In addition, the Claims Specialist is also responsible for keeping up to...continuing with the claim close out process. + Assist Manager and Associate Director in any projects related to… more
- Guidehouse (Gardena, CA)
- …from home._** **_Questions regarding this position, you may contact Chris Rivera ( Manager , Talent Acquisition) at ###_** **Essential Job Functions** + Hospital ... Claims + Account Review + Appeals & Denials +...with UB04, appeals & denials. + Hospital or EOB claims emphasis + PC skills in a Windows environment… more
- AutoNation, Inc. (Irvine, CA)
- …to avoid duplicate claims Provide a weekly report to the service manager regarding claim status Report any fraudulent manipulation of warranty claims Provide ... Service Warranty Administrator is responsible for reviewing and completing warranty claims . This includes preparing, recording, reconciling warranty claims and… more
- AECOM (Orange, CA)
- …Experience writing and negotiating change orders + Experience with dispute resolution and claims + Experience as Construction Manager or Resident Engineer on ... Join us. **Job Description** **AECOM** is seeking a Construction Manager - Zero Emission Bus Facilities to be based...to be based in Orange, CA. Description - Construction Manager will be the project lead in the field… more
- Marriott (Los Angeles, CA)
- …* Works with the unemployment services provider to respond to unemployment claims ; reviews provider reports for accuracy and corrects errors. * Prepares, audits ... * Ensures employee issues are referred to the Department Manager for resolution or escalated to the Director of...orientation, property meetings, bulletin boards, etc. * Conducts periodic claims reviews with Regional Claims office to… 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
