- 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
- TEKsystems (Whittier, CA)
- …Job Description: + The claims examiner reports directly to the claims manager . + primarily responsible for the processing functions (operation, adjudication, ... Top Hospital Network is Hiring a Medical Claims Examiner!! Title : Claims Examiner Pay : 22-25/hr Location : Whittier, CA Duration: 3 month Contract - Potential… more
- TEKsystems (Whittier, CA)
- Description: The claims examiner reports directly to the claims manager . They are primarily responsible for the processing functions (operation, ... adjudication, and payment) of UB-92 and HCFA-1500 claims that are received from PHP affiliated medical groups...graduate or equivalent required. * Minimum of 2 years claims ADJUDICATION related experience in ambulatory, acute care hospital,… 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
- 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
- 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
- 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
- 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
- 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
- Axtria, Inc. (Thousand Oaks, CA)
- …minds in the industry. Position Description: We are currently hiring for Manager /Senior Manager level professionals for our Decision Science practice who ... XPONENT, NPA, NSP, 867, and others) and most of all claims data + Knowledge and expertise in claims data (anonymized patient-level claims data) and EHR data… more
- Crawford & Company (Brea, CA)
- …FROM HOME CAREER OPPORTUNITY! + Seeking candidates with experience managing CA WC claims ! + SIP is a requirement! + Bonus Opportunities! + Multiple Employee ... supervises the investigation, management, and timely disposition of Workers Compensation claims within account, carrier and/or company guidelines, and assists the VP… 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
- 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