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claims in Los Angeles

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  1. Provider Data Specialist at One Call Care Management

    Previous experience in Worker's Compensation Managed Care, Insurance, Claims and /or Healthcare is a plus. Provider Data Specialist....

  2. Seeking Experienced Medical Biller at Southern California Aquatic and Physical Therapy

    Audit accounts, assist with appeals of denied claims, update accounts as needed, identify denial trend(s), ensure there is a plan to resolve the trend(s)....

  3. Senior Cost Estimator - Rail at LS Gallegos & Associates Inc (LSG)

    Compiles and analyzes data on all factors that influence costs, such as material, labor, equipment, and profit• Performs complex cost estimates and analysis for...

  4. Data Entry Clerk at Unity Health System

    Maintain a working knowledge and understanding of payer contract formats and requirements for claim entry. The Data Entry Clerk is responsible for picking up...

  5. Account Executive at Frenkel & Company, International Insurance Brokers

    Point person for managing the services of other departments (Engineering, Claims etc.). JOB*....

    Ads
    1. Claims Recovery Specialist II

      Our client, the largest Managed Healthcare, for profit firm, is currently seeking a Claims Recovery Specialist II for a 3 month seasonal position. The position is a located in Cerritos, CA.By working for our client, you will be exposed to a large company (listed on the NYSE), work for a leader in health care solutions, work in a fast paced corporate environment and be an integral part to the ...

    1. Senior Technical Consultant - FACETS/QNXT - Nationwide at Axiom Systems

      Specific knowledge creating extensions/Interfaces to the Facets and QNXT claims systems is highly desirable....

    1. Claims Analyst

      Performing prospective and retrospective healthcare claims review of all automated claims process to insure claims are processed according to the Health Care Industry standard for Medicaid, Medicare, ERISA, Commercial, PPO, HMO product lines. Works directly under the supervision of the Claims Operations Director.JOB REQUIREMENTS•    Supporting research activities for the Claims Department ...

    1. Claims Supervisor/Manager – Workers’ Compensation Glendale, CA at LWP Claims Solutions, Inc.

      Claims Examiners, Claims Assistants. LWP Claims Solutions, Inc. Provides a claim status report on any claim as requested by clients or Senior Management....

    1. Claims Examiner

      Do you have experience analyzing and processing claims? Are you familiar with IPA, Hospital or Professional claims? This Medical Service Organization has a Claims Examiner II temp to hire position available. This position is responsible for following regulatory and internal guidelines in conjunction with company policies and procedures as they apply to claims adjudication. The Claims Examiner ...

    1. Collections Representative at Sage Automotive

      Universal City Nissan is looking for a Collector to join the team who is experienced in auto finance collections and is bilingual (Spanish/English). We are

    1. Claims Examiner - Commercial Auto

      Primarily responsible for handling and equitable resolution of first and third party auto claimsEssential job functions includeCompliance with all aspects of Fair Claims Settlement PracticesInvestigation, analysis and evaluation of claimsDetermination of coverage, liability and damagesProper reservingIndustry specific knowledge and ability to apply to make appropriate decisions with ...

    1. Coding Consultant and Analyst at The Carle Foundation

      Responsible for the validation of diagnosis codes submitted on claims data as well as the identification of unreported diagnosis codes based upon supporting...

    1. Operations Manager - Claims

      Provides assistance to senior claims management in company claims operations and coordinates activities of department claims management as directed by senior management. Oversees all satellite claim operations, SIU, Subrogation/Salvage, Internal and Satellite Audit/Compliance. The position will also consult to all of claims for Auto and Truck Material Damage and Personal and Commercial ...

    1. Pharmacy Technician Trainee \ Pharmacy Service Associate at CVS Health

      Resolve Third Party rejections and complete any manual claim forms. Pharmacy Technician, Hourly Retail....

    1. Warranty Claims Processor / Analysts

      Job Title:  - Warranty Claims Processor AnalystDuties: The Client's Warranty Department is looking for highly motivated Warranty Claims Processor Analyst. Enjoy a partnership where you will have the professional advantages of a nurturing, rewarding, and diversified environment that supports your development and recognizes your achievements as you prepare for future growth opportunities. The ...

    1. Electrical Estimator at Electrical Service Solutions, Inc.

      Prepares cost estimates for change orders and claims. Electrical Estimater (Huntington Beach)....

    1. Claims Property Field Adjuster – Los Angeles¸ CA

      Advance your career at Liberty Mutual Insurance- A Fortune 100 Company! A Property Loss Specialist is dedicated to providing superior customer service to Liberty Mutual Insurance customers by providing a fair and timely resolution of a large volume of homeowner claims. Liberty Mutual Insurance is an industry leader in employee development, and all Property Loss Specialists receive thorough ...

    1. Claims and Systems Analyst at Atlas Air, Inc.

      Claims handling, processing and reporting systems to handle claims, upload documentation, and other information which may help to identify future claims issues....

    1. Medical Claims Examiner (w/Hospital experience)

      Claims Examiner If you are someone who loves the challenges of a fast-paced environment, are highly detail oriented, and have experience with hospital claims then this is an opportunity you don’t want to miss the out on: Currently seeking Claims Examiners for a great opportunity in the West San Fernando Valley area! Some of the qualities and expectations for this role include:Must be able to ...

    1. Cashier at Joe's Airport Parking

      Accurate data entry of valet claim ticket data. Joe's Airport Parking is looking for Cashiers!*....

    1. Resident Field Homeowner Property Claims Adjuster

      Field Property Claims Adjuster to handle personal lines Homeowner Property Claims, for a major Insurance Carrier.This is a permanent resident adjuster position with outstanding compensation and benefits. Candidate will work remotely from home - company car provided.Responsibilities:Handle the entire spectrum of claims arising from insured risks.Inspect risk, assess damage and accurately ...

    1. Front Desk Receptionist at Tokio Marine Management Inc.

      We provide unique insurance and risk management tools from our experienced staff of account executives, underwriters and loss prevention engineers and fair and...

    1. Claims Specialist

      POSITION: Claims Assistant If you are looking for a casual yet professional work environment, you should consider Pro General Insurance Solutions, Inc. Pro General is a Managing General Insurance Agency that focuses on auto insurance policies and is located in La Crescenta, CA. We are looking for a highly motivated and energetic team player capable of assisting with claims for our private ...

    1. Nurse Case Manager - Field Case Manager at Excel Managed Care & Disability Services, Inc.

      Strong interpersonal skills with clients, attorneys, claims personnel, employers, and medical providers....

    1. Claims Examiner

      Are you claims examiner looking for an exciting company to call home? How would you feel about having the opportunity to work with a full service healthcare operational management and business consulting company with over a twenty-year history? Just imagine how wonderful it would be to work for a company which evolved from a physician practice management company to an IPA management company. ...

    2. Surveillance / Claims Investigator

      Excaliber Investigations, Inc., specializes in insurance investigations and we are seeking highly-motivated and qualified investigators to join our expanding team. Investigation experience preferred (especially AOE/COE) and candidates need to possess excellent communication / writing skills, be extremely organized with time management skills. Must be able to work independently and possess an ...

    3. FARMERS RETIREE CLAIMS TALENT POOL

      A collaboration between Farmers and KellyOCG As a Claims retiree of the Farmers Insurance Group, you may be eligible for an opportunity to stay involved with the company you love. You can continue to support Farmers and improve the lives of people while earning some extra money! The Farmers Retiree Claims Program taps into your unique background, talent and knowledge to fill temporary Claim ...

    4. Actuarial Analyst III - Medical Claims

      $62K - $88K + 5% discretionary bonus + benefits + matching 401K Local candidates please. Sorry, we are unable to sponsor of transfer at this time. No 3rd party or Corp to Corp. Only qualified candidates will be responded to. The Actuarial Analyst III will prepare various monthly reports to support month-end close and IBNR calculations. Responsibilities: Collaborate with other actuaries to ...

    5. Sr. Claims Auditor/Lead

      We are seeking an experienced Sr. Claims Auditor to work in our busy Claims department.  Minimum 2-3 years of direct working experience of CPT-4, HCPCS. Thorough knowledge of CMS, DMHC and regulation and guidelines, including compliance requirements.High School diploma or equivalent requred, BA/BS preferred.5+ years of experience  handling all managed care products for both professtional and ...

    6. Claims Assistant

      The Claims Assistant supports the tracking of incoming work and monitoring of claims volume to enable the department to maintain the processing standards necessary for regulatory compliance.Responsibilities Processing incoming mailKeying claims into the Managed Health Care (MHC) systemVerification of member eligibility using the MHC and/or Medi-Cal Automated Eligibility Verification System ...

    7. Claims Processor

      Medical claims processor to validate the information on all medical claims from patients seeking payment from their insurance company.Claims must be thoroughly reviewed to ensure that there is no missing or incomplete information. In addition, must keep meticulous records of claims and follow up on lapsed cases.Once hired, expected to have an extensive knowledge of medical terminology, as ...

    8. Claims Examiner III

      Do you have experience analyzing and processing claims? Are you familiar with IPA, Hospital or Professional claims? This Medical Service Organization has a Claims Examiner II temp to hire position available. This position is responsible for following regulatory and internal guidelines in conjunction with company policies and procedures as they apply to claims adjudication. The Claims Examiner ...

    9. Medical Claims Processor

      Are you looking for an exciting opportunity with a major health care provider in the Cerritos, CA area? If you are, we have the position for you! Since 1946, Kelly Services® has been providing outstanding employment opportunities to the most talented individuals in the marketplace. Today, we are proud to present a Claims Processor opportunity. The position will pay $17.50 per hour. Hours of ...

    10. Claims Analyst

      3+ yrs. experience handling commercial g/l claims involving construction defects. Must be able to investigate claims, evaluate coverage and liability exposure, negotiate settlements for litigated and non-litigated claims. Excellent written and verbal communication skills required.

    11. URGENT - Sr Claims Examiner II

      Are you an experienced Sr Claims Examiner II looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!Daily Responsibilities: Conducts claims payment analyses to identify root cause of claims issues/deficiencies ...

    12. Claims Processor

      Do you have experience analyzing and processing claims? Are you familiar with IPA, Hospital or Professional claims? Position Responsibilities: •Analyze, process, research, adjust and adjudicate claims with the use of accurate procedure/revenue and ICD-9 codes, under the correct provider and member benefits, i.e. co-payments, deductibles, etc. •Maintain quality and productivity standards as ...

    13. Medical Claims Leader

      Company Zenith Insurance Company Medical Claims Leader Woodland Hills, CA Zenith Insurance Company is a top rated workers’ compensation carrier and has been delighting the customer at every level for more than 60 years. Over the years, Zenith’s focus on quality and service has never wavered. As a leader in their industry, their reputation is built on providing superior service and ...

    14. Claims Examiner - Commercial Auto

      Primarily responsible for handling and equitable resolution of first and third party auto claims Essential job functions include Compliance with all aspects of Fair Claims Settlement Practices Investigation, analysis and evaluation of claims Determination of coverage, liability and damages Proper reserving Industry specific knowledge and ability to apply to make appropriate decisions ...

      1. Membership Service Representative, Korean/English Bilingual at Brand New Day, HMO

        The MSR is responsible for answering incoming telephone inquiries regarding benefits, PCP changes, pharmacy, eligibility, claims and other aspects of plan...

      2. Private Investigator at DigiStream Investigations, Inc.

        DigiStream Investigations, Inc., a technology-centric private investigations firm, seeks a full-time Private Investigator to work under general supervision,...

      3. Graphic Designer/Production Artist at Jukin Media

        Jukin is the producer of "World’s Funniest" on FOX, and is owner/operator of the global comedy powerhouse FailArmy, which has spawned an international TV series...

      4. Graphic Designer at Inspire Energy

        Monitor and update field PDFs with up-to-date claims. Inspire Energy is looking for an energetic and pragmatic graphic designer who can take detailed project...

      5. Front Office Assistant/Receptionist at The Acupuncture Wellness Center

        Duties include answering phones, managing schedule, authorizing insurance, taking payments, insurance claims inquiries, ordering supplies, preparing treatment...