- 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 ... 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 Integrity Provider Remediation Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full ... safety net required to achieve that purpose. Job Summary The Manager , Claims Integrity Provider Remediation is responsible for development and implementation of… more
- AIG (Los Angeles, CA)
- …and professional service with empathy and efficiency. How you will create an impact As the Claims Account manager , you will be the p rimary Claims contact ... Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our… 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 (Cerritos, 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
- 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
- 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
- Guidehouse (Gardena, CA)
- …You Will Do** **:** The **Insurance Patient Account Representative - Commercial Claims ** is an extension of a client's business office staff. Representatives are ... from home._** **_Questions regarding this position, you may contact Chris Rivera ( Manager , Talent Acquisition) at ###_** **Essential Job Functions** + Commercial … 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
- Emanate Health (Covina, CA)
- …the #19 ranked company in the country. **J** **ob Summary** The Ambulatory Billing Manager is responsible for ensuring all professional claims are billed out to ... requesting bridge routines, and building account checks. The Ambulatory Billing Manager is responsible for evaluating employee work performance, timekeeping, and… 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
- 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
- LA Care Health Plan (Los Angeles, CA)
- Community Health Program Manager II (ALD) Job Category: Clinical Department: Community Health Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... net required to achieve that purpose. Job Summary The Community Health Program Manager II is responsible for supporting Community Health projects designed to improve… 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
- HUB International (La Palma, 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 ... 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… more
- Safran (Garden Grove, CA)
- Manager , Customer Support - AOG Company : Safran...of improvements * Serve as the focal for performance claims : coordinate with spares and repair teams to ... than 5 years Professional status : Professional, Engineer & Manager Spoken language(s) : English Fluent Salary range :...validate claim data, negotiate settlement with customer, track claims * Generate post visit reports and manage actions… more
- Ducommun (Gardena, CA)
- Program Manager The following describes in general terms the purpose and scope of the position. The Program Manager I is responsible for the execution of all ... in accordance with technical and contractual requirements, schedules and budgets. The Program Manager I is the focal point for the company for communications with… more
- Travelers Insurance Company (Diamond Bar, CA)
- …do and where you do it. **Job Category** Claim, Nurse - Medical Case Manager **Compensation Overview** The annual base salary range provided for this position is a ... to work planning, coordination of quality medical care on claims involving disability and medical treatment as well as...face to face time while working as a case manager . **What Will You Do?** + Meet with injured… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Business Insights Job Category: Management/Executive Department: Advanced Analytics Lab Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... to support the safety net required to achieve that purpose. Job Summary The Manager of Business Insights for Advanced Analytics Lab (AAL) is responsible for the… more