- ICW Group (Woodland Hills, CA)
- …everyday! Learn more about why you want to be here! **PURPOSE OF THE JOB** This Claims Specialist is responsible for handling complex claims with a focus on ... claims to an equitable resolution within Company standards. The Claims Specialist works with a sense of urgency, understands insurance coverage concepts, and… more
- Sedgwick (Long Beach, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Claims Specialist , Professional Liability **PRIMARY PURPOSE** **:** To analyze ... complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case… more
- Carrington (Anaheim, CA)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses ... identified during the Quality Review Process, communicating findings to Loss Specialist for remediation. Ensure Loss Specialist provides corrections as… more
- ICW Group (Woodland Hills, CA)
- …and workflows for Audit & Compliance program. + Works closely with training specialist and claims management staff to correct deficiencies and address technical ... purpose of this job is to supervise functions of claims internal controls and to monitor team activities with...is responsible for the development and execution of the Claims audit program, identifying trends and promoting continuous improvement.… more
- Prime Healthcare (Anaheim, CA)
- …imaging. For more information visit www.westanaheimmedctr.com. Responsibilities The Patient Account Specialist is responsible for submitting claims to the ... when assigned. Under the supervision of the Director, the Patient Account Specialist is also responsible for accurate and timely payment analysis of managed… more
- University of Southern California (Alhambra, CA)
- … Specialist " analyze, investigate, mitigate, and resolve all coding-related ' claims denials' and ' claims rejections,' specific to ICD-10-CM, ICD-10-PCS, ... the denial management process for coding-related denials, triage denied claims to distinguish coding-related denials versus clinical-related denials, evaluating … more
- University of Southern California (Newport Beach, CA)
- The Clinical Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient ... other infused treatments as needed in assigned service line. The Specialist will be instrumental in obtaining written documentation, submitting tracking, reporting… more
- TEKsystems (Canoga Park, CA)
- JobTitle: Retro Claims Reviewer Location: West Hills/Canoga Park 91304 Compensation: LVN $38-$40 hourly RN $45-$50 hourly Overview: The Retro Claims Reviewer is ... responsible for auditing and reviewing medical claims to ensure accuracy, regulatory compliance, and proper adjudication. This role is ideal for a Licensed… more
- Otsuka America Pharmaceutical Inc. (Long Beach, CA)
- …everyday health. In its evolved customer engagement model, a Neuroscience Specialist engages healthcare providers (HCPs) using in-person, virtual, and digital tools, ... patient care and provide a superior experience. The Neuroscience Specialist will report directly to the respective Area Business...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Belcan (North Hollywood, CA)
- Contracts Administrator Specialist Job Number: 360078 Category: Administrative Description: Job Title: Contracts Administrator Specialist Pay Rate: $50 /hr DoE ... analyzes and responds to complex issues including the validity of customer claims and development of Parker assertions. * Provides support to assigned programs,… more
- CDM Smith (Irvine, CA)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs… more
- TEKsystems (Canoga Park, CA)
- …to hire an experienced RN or LVN with an active license to help address claims retro review. This role focuses on reviewing inpatient and outpatient claims for ... Responsibilities: + Perform detailed utilization reviews for inpatient and outpatient claims . + Prepare medical records for medical directors and provide… more
- BluePearl (Irvine, CA)
- **BluePearl Pet Hospital is hiring for an Employee Relations Specialist - Veterinary for our** **West** **Division!** **Pay: $84,302 - $114,900** Under the direction ... of the Manager of P&O, West Division, the Veterinary Associate Relations Specialist is primarily responsible for advising and guiding managers, advocating our… more
- Option Care Health (Sun Valley, CA)
- …best and brightest talent in healthcare. **Job Description Summary:** The Specialist , Patient Registration is responsible for facilitating new patient's transition ... Care Health makes it easy to transition care. The Specialist , Patient Registration works in conjunction with Sales to...+ Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork… more
- Southland Industries (Garden Grove, CA)
- **POSITION SUMMARY** The Senior Benefits Specialist supports the design, administration, and continuous improvement of employee benefits programs, with an emphasis ... while maintaining responsibility for day-to-day operations and employee engagement. The Specialist partners with Finance and HR leadership to ensure programs remain… more
- Allied Universal (Irvine, CA)
- …communities and customers we serve. Allied Universal(R) is hiring a Senior Benefits Specialist . The Senior Benefits Specialist provides support for Health & ... qualifying life event changes, beneficiaries, disability, accident and death claims , and National Support Orders, Employee and Wage verifications, maintain… more
- Parker Hannifin Corporation (Irvine, CA)
- Contract Specialist II Location : Irvine, CA, United States Job Family : Program Management Job Type : Regular Posted : Jul 11, 2025 Job ID : 58308 Back to Search ... all, our team members share in Parker's success. JOB SUMMARY The Contracts Specialist II is responsible for the management and administration of assigned contracts… more
- Cedars-Sinai (Torrance, CA)
- …Hospitals! **What will I be doing in this role?** The Revenue Cycle Specialist III works under general supervision and following established practices, policies, and ... Duties include but are not limited to, reviewing and submitting claims to payors, performing account follow-up activities, updating information on patient… more
- Carrington (Anaheim, CA)
- …completes the Set-up bankruptcy filings process, Motion for Reliefs, Proof of Claims , Transfer of Claims , Reaffirmations, Notice of Final Cures, Post-Petition ... the set-up bankruptcy filings, Motion for Reliefs, Proof of Claims , Transfer of Claims , Reaffirmations, Notice of Final Cures, Post-Petition Fee notices, Payment… more
- Medtronic (Irvine, CA)
- …of US and International promotional labeling material, including the creation of a claims matrix database and claims objects. + Lead AI/ML adoption in ... content and claims management to support automation and enhance process efficiency....Promotional labeling + Proficiency with Veeva PromoMats, Ad Promo/MLR claims , and material review and approval systems + Excellent… more