- 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 (Mission Hills, CA)
- **Description** Working under the direction of the Manager , Claims , this position has direct responsible for the supervision of staff and for overseeing the ... day-to-day operations of the Claims Processing and UM Denial Letter Units. Additional responsibilities...3 years Experience in a leadership role within medical claims related field. + 5 years Experience in medical/institutional… more
- TEKsystems (Whittier, CA)
- …an Hour POSITION SUMMARY: The claims examiner reports directly to the claims manager . They are primarily responsible for the processing functions (operation, ... Large Healthcare Group is looking for an experienced Claims Adjudicator to work onsite in Whittier, CA....Must have at least 2 years experience in healthcare claims adjudication. Schedule: M-F, 7 am to 3:30 PM… 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
- Elevance Health (Los Angeles, 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
- 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
- Providence (Anaheim, CA)
- **Description** Working under the direction of the Manager IT Application, this position is responsible for receiving and entering documents into the inventory ... Associate Inventory Clerk is also responsible for filing these claims in the Inventory Room for First In, First...duties in accordance with guidelines set forth in the Claims Industry to ensure compliance with AB1455 and departmental… 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
- 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
- Amgen (Thousand Oaks, CA)
- …other innovative, driven professionals in this meaningful role. **Value & Access Insights, Manager ** **Live** **What you will do** Let's do this. Let's change the ... pharmaceutical ecosystem and data sets including medial and pharmacy claims (ex. IQVIA LAAD, Symphony Claims ), prescription...and pharmacy claims (ex. IQVIA LAAD, Symphony Claims ), prescription (ex. IQVIA NPA), outlet (ex. IQVIA DDD)… more
- Allied Universal (Woodland Hills, CA)
- …Allied Universal is looking to hire a Regional Human Resources Manager . This position is responsible for employee relations, employment compliance, unemployment ... claims , and monitoring of employment status for the employees...of that designated area. With a focus on investigations, manager and supervisor training, and compliance. This position will… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Customer Solution Center Appeals and Grievances Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... support the safety net required to achieve that purpose. Job Summary The Manager , Customer Solution Center Appeals and Grievances is responsible for the centralized… more
- HUB International (Los Angeles, CA)
- …play a vital role in supporting our clients with day-to-day account management, claims management, and underwriting services that ensure they have what they need to ... and provide them with innovative insurance solutions. The Personal Lines Account Manager provides critical support to clients, manages 2 books of insurance business… more
- HUB International (Los Angeles, CA)
- …play a vital role in supporting our clients with day-to-day account management, claims management, and underwriting services that ensure they have what they need to ... with innovative insurance solutions. We are seeking an experienced Small Group Account Manager who works collaboratively with the Producer managing a book of clients… more
- Dignity Health (Los Angeles, CA)
- …requests and collaborates with other key stakeholders to implement learnings from claims . Oversees the coordination of all legal documents related to hospital ... appropriate. + Coordinates the requests from the system office claims team (related to litigated claims ) and...system office claims team (related to litigated claims ) and collaborates with other key stakeholders to implement… more