- Banc of California (Santa Ana, CA)
- …(ACH) transactions, Large on-us & Unusual items, Stop payment, ATM/Mobile/RDC Deposits, Check Claims , Fraud alerts for Wire, ACH & Debit Card, Wire Transfer. + ... Performs all above listed items with higher limits and at times, can approve/verify on behalf of the manager and stays within Operational Transactional Signing Authority. Can be cross trained and supported other team's functions. + Assists and supports Branch… 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
- Emanate Health (Covina, CA)
- …the oversight of HCC Program and STAR measures coding related functions. The coding specialist will work with the IPA Director, Health Plan, and MSO personnel on HCC ... achieves or improves upon 4.0 STAR rating. The coding specialist is responsible for education to external physician offices... will be responsible to review medical records and claims data to ensure external physicians are documenting correctly… more
- 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
- Illumination Foundation (Santa Ana, CA)
- …Angeles County and the Inland Empire. Job Description The role of a Billing Claims Specialist involves overseeing the billing process for customers or patients, ... ensuring accurate billing and claims submissions. In addition, the Claims specialist is also responsible for keeping account receivables for CalAIM current,… 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
- Philadelphia Insurance Companies (Mission Viejo, CA)
- …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Specialist to join our team! Summary: Investigate, evaluate and settle more complex first ... and third party commercial auto insurance claims . A typical day will include the following: Thoroughly...investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Travel is… more
- Adecco US, Inc. (Ontario, CA)
- …assisting one of its top clients in their search for an **Workers Compensation Claims Specialist ** working in **ONTARIO, CA 91764 (Remote).** **Pay rate: - $50 ... 4:30 PM** **About the Role:** We're looking for a skilled Workers' Compensation Claims Specialist to handle complex claims and ensure fair and timely… more
- Southern California Edison (Rosemead, CA)
- …with defined criteria, practices, or protocols related to timekeeping, including disability claims . The Senior Specialist will also lead various projects on ... Join the Clean Energy Revolution Become a Payroll Senior Specialist at Southern California Edison (SCE) and build a...behalf of her leader.. As a Payroll Senior Specialist , your work will help power our planet, reduce… 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
- Prime Healthcare (Ontario, CA)
- …new members to join our corporate team! Responsibilities The Patient Account Specialist is responsible for submitting claims to the appropriate intermediaries ... when assigned. Under the supervision of the Director, the Patient Account Specialist is also responsible for accurate and timely payment analysis of managed… 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
- UIC Government Services and the Bowhead Family of Companies (Corona, CA)
- …AI/ML & LLM (AR/PA IT) Bowhead seeks a Sr. Data Scientist - AI/ML & LLM Specialist to join our team supporting the AR/PA IT Program at Naval Surface Warfare Center - ... California. The Sr. Data Scientist - AI/ML & LLM Specialist will work directly with the client analyzing complex...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… 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
- Insight Global (Irvine, CA)
- …communication. The specialist will assist with intake coordination, billing & claims management, and interacting with caregivers, serving as the primary point of ... in the Orange County area is seeking a Billing/Intake Specialist . The role requires onsite training in Ontario for...caught up to speed in the role. The Billing/Intake Specialist serves as a critical link between administrative operations… more
- Robert Half Accountemps (Irvine, CA)
- Description We are looking for a skilled Medical Collections Specialist to join our team in Irvine, California. This is a Contract-to-Permanent position, offering an ... required documentation via mail or other channels to support claims processing. * Stay informed about commercial and managed...platforms, Epic Software, and IBM AS/400 to ensure efficient claims and collections processes. * Support the team by… more
- Walgreens (Lakewood, CA)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Aveanna Healthcare (Seal Beach, CA)
- Accounts Receivable Specialist - Remote ApplyRefer a FriendBack Job Details Requisition #: 208530 Location: Seal Beach, CA 90740 Category: Accounting/Finance Salary: ... Tickets to correct and update client's invoices. * Works with Respite Biller to ensure claims are refiled and/or billed to the Regional Centers in a timely manner. *… 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
