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claims in Los Angeles

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  1. Inside Sales Representative at JSB Insurance Services

    Regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. LOCAL CANDIDATES ONLY PLEASE....

  2. Manager, Provider Data Unit & Database at L.A. Care Health Plan

    The manager oversees a multifaceted unit that brings together the functions of information technology, provider maintenance, and provider setup - so that...

  3. Personal Injury Case Handler (Bilingual) at Sharifi Firm, PLC

    PLAINTIFF'S PERSONAL INJURY law firm is looking for an experienced Pre-Lit Case Handler, who can handle all aspects of a personal injury claim

  4. Manager, Card Services at Firefighters First Credit Union

    Credit / debit card fraud claims. The Card Services Manager is responsible for the oversight of the Credit....

  5. AR Rebate Associate at Posey Company

    Provide monthly summary rebate claim reports. Assist with AR deduction reconciliation on rebate claims on a monthly basis....

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    1. Claims Director; Managed Care

      CLIENT COMPANY OVERVIEW Our client is a Managed Care Health Plan committed to providing health care that is medically excellent, ethically driven and delivered in a patient-centered environment that recognizes the positive relationship between health education, a culture of wellness, an emphasis on prevention and a cost-effective delivery of care.POSITION SUMMARYClaims Director; Managed ...

    1. RCM Billing Representative at Western Dental & Orthodontics

      Identify trends and analyze unpaid and underpaid claims. Western Dental Services, Inc., California’s largest dental services provider and one of the nation’s...

    1. IME/Claims Manager

      Summary of Job Function and Purpose This position is responsible for the general operational oversight of the IME and QME department to ensure performance goals and contract expectations are met and/or exceeded. Essential Duties and Responsibilities:Provide leadership and direct staff to ensure performance expectations and milestones are achieved;Conduct regular self-audits of department ...

    1. RCM Auditor / Reviewer at Western Dental & Orthodontics

      Manages claim processing, dental exchange inventory, and all other metrics used to ensure processing controls are in place....

    1. Sr. Workers' Compensation Claims Examiner, Municipal Claims

      JOB DUTIES:This is a temporary to hire assignment with a great TPA in the North LA area.EXPERIENCED WORKERS' COMPENSATION CLAIMS PROFESSIONALS APPLY.Responsibilities include, but are not limited to:Manage a caseload of 150 claim files from inception to resolution;Experience with 4850 and municipal employees a plus.Meet and manage deadlines with supervision and direction.SKILLS:Extensive ...

    1. Supervising Attorney at Superior Legal Recruiting

      Los Angeles based plaintiff's law firm specializing in labor and employment claims seeks a supervising attorney licensed in California to manage and run a...

    1. Claims Operations Manager

      Wanted!  Managed/Healthcare Claims Operations Manager All-Star!Be a part of an Engaged, Motivated and High Energy Team.Join a workgroup that employs the most modern customer relationship tools to provide prospective members with the healthcare options that are best for them. Significant opportunities exist due to an exposure to multiple product lines and healthcare legislation reform that has ...

    1. Personal Lines Account Manager at Insurance Partners, Inc.

      Insurance Partners Inc. is a growing full service insurance brokerage with locations in Orange, Los Angeles and San Bernardino County. We have been in

    1. Claims Analyst

      Position Description:  A Claims Examiner analyzes coverage for claims submitted under the applicable policy form.  The duties of a Claims Examiner include discussing claim facts and coverage issues with insureds, defense counsel and/or coverage counsel. Claims Examiners must possess critical thinking and strong oral/written communication skills.Essential Duties and Responsibilities:Reviewing ...

    1. Area Assistant Vice President - Producer at Arthur J. Gallagher & Co

      We also offer claims and information management, risk control consulting, and appraisal services to clients around the world....

    1. Surety Claims Examiner – Full-time

      Guardian Group, Inc. (Guardian) is a national claims and engineering services company serving both the insurance and construction industries. With a 25-year history, Guardian specializes in investigating and resolving surety bond claims, property & casualty claims, environmental claims, construction defect claims, and providing advisory and construction management services. For more ...

    1. Loss Control Field Representative at Alexander & Schmidt

      A minimum of 3 – 5 years’ experience with a commercial insurance carrier, or working as an independent contractor providing insurance-related loss control,...

    1. PRODUCT CLAIMS SUBSTANTIATION ASSOCIATE

      A profitable and expanding, quality-minded vitamin company located in Los Angeles, California is searching for an excellent Product Claims Substantiation Associate.TITLE: PRODUCT CLAIMS SUBSTANTIATION ASSOCIATEDEPARTMENT: Technical SupportREPORTS TO: Directors & UpSalary/Wage: $60,000 - $75,000 per Annum, DOEE Job Description: Provides technical support to scientific validation of product ...

    1. Liability Claims Adjuster at Farmers Insurance Group

      Adjusts all types of claims. Investigates, determines liability, confirms coverage, establishes damages, and negotiates settlement of claims. We are Farmers!*....

    1. Senior Billing Claims Auditor

      Prime MSO is a leading surgical facility management organization. We own and operate multiple surgical facilities throughout the greater Los Angeles, Orange County, and South Bay areas, with a corporate office located in the heart of Downtown Glendale, California.Senior Claims Auditor provides responsibilities for Prime MSO as detailed. Follows and maintains current knowledge of departmental ...

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

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

    1. Claims Compliance Analyst

      The Claims Compliance Analyst (CCA) reports to the Claims Compliance Director. The CCA will be responsible for developing, QA, and running scheduled monthly, and quarterly reports, and Ad Hoc reports for the health plans or for internal purposes. The CCA will be involved with audit preparation tasks including creating and reviewing universe files sent to health plan auditors for selections. ...

    1. Resolution Manager (Claims Adjuster) - Workers Compensation at Arthur J. Gallagher & Co

      Documents and communicates all claim activity timely and effectively and in a manner which supports the outcome of the claim file....

    1. Claims Examiner III

      JOB SUMMARY:The Claims Examiner III is responsible for the accurate review, input and adjudication of provider specialty claims, including UB-92’s, in accordance with outside regulations, internal production standards and the contractual obligations of SynerMed and/or the IPA’s, on a daily basis. High dollar claims; claims with multiple surgical procedures and special handled claims are also ...

    1. Medical Coding Supervisor at Company Confidential, Los Angeles

      3 years of Supervisory experience that demonstrates knowledge of federal and state regulations regarding collections, filing insurance claims, and filing for...

    1. Construction Claims Manager - Schools

      The Solis Group is seeking an individual with experience as a Construction Claims Manager for a school construction project in the Greater Los Angeles Area. The ideal candidate will have experience working on a large scale public construction project.Job Description:Responsible for the management, evaluation, prevention, and negotiation of claims related to District construction ...

    2. Sr. Workers Compensation Claims Examiner

      Sr. Workers Compensation Claims ExaminerDowntown Los Angeles, CA, USA Full time permanent position + Full benefits + Bonus (paid relocation available)Company: Global Fortune 500 Insurance CarrierReports to: WORK COMP CLAIMS MANAGERJOB OVERVIEW:The Senior Workers’ Compensation Examiner is responsible for the analysis and management of complex workers’ compensation claims. This position will ...

    3. Project Coordinator/Claims/HIPPA

      This position supports the implementation and maintenance of EDI transactions on company's environment. Without this support company would not be able to meet the demands of our external providers, payers, employers, clearinghouses, Third Party Administrators who require that company does business with them electronically.In addition this position supports company's ability to maintain HIPAA ...

    4. Healthcare Claims Analyst - Entry Level

      CLAIMS ANALYST NEEDED @ BURBANK HEALTHCARE LAW FIRMSpecialty health care law firm is seeking to fill claims analyst entry level position in the pre-litigation department. Claims analysts are responsible for providing claim analysis, appeals and insurer contract analysis prior to litigation.Experience and skills:Prior health care experience with claims processing, billing, Medicare and Medi ...

    5. Medical Claims Processor

      Medical/Dental/Vision Claims ProcessorQualifications / job requirements:Minimum 3-4 years as claims processorTakes 40+ customer service callsAdjudicates electronic/paper claims 50-75/day initiallyStrong mathematical skillsTypes 45+WPM with 95% accuracyKnows EZ-Cap and/or El Dorado claim processing systemsKnows how to read and interprets Plan DocumentsKnowledgeable about Affordable Care ...

    6. Claims Adjuster - General Liability

      General Liability Claims Adjuster that will manage Commercial GL Claims for a well respected Insurance Carrier.This is a PERMANENT position with great compensation for the right candidates.Responsibilities:The Claims Adjuster will handle the investigation of high-exposure General Liability claims, evaluating damages for property and liability claims arising from slip & fall claims and many ...

    7. Casualty Claims Adjuster, Remote from Los Angeles and surrounding area

      A+rated and financially stable Insurance Carrier seeking a Casualty Claims Adjuster to handle the Los Angeles area. Should have some carrier experience and know coverage. Will look at personal lines experience , prefer some CGL experience and be able to work from home . Should liveLos Angeles county area 

    8. Claims Examiner for Third Party Administrator

      Description: Responsibility for all facets of claim handling to include oversight and management of IA investigations on Property, Commercial General Liability, Bodily Injury and Third Party Property Claims;Coverage analysis and evaluation to include drafting of ROR and coverage position letters;Setting and monitoring of proper reserves and negotiation and payment of claims within authority ...

    9. Junior Government Contracts Attorney with claims experience

      Job ID: FJXC99847Los Angeles office of our client seeks junior government contracts attorney with 2-4 years of experience in the areas of general federal and/or California contracting, investigations, claims, FCA, and ethics and compliance. The candidate must be a member of the CA Bar. Skills: Government Contracts, Federal, California contracting, investigations, claims, FCA, associateThe ...

    10. Sr. Workers Compensation Claims Examiner

      Sr. Workers Compensation Claims ExaminerDowntown Los Angeles, CA, USA Full time permanent position + Full benefits + Bonus (paid relocation available)Company: Global Fortune 500 Insurance CarrierReports to: WORK COMP CLAIMS MANAGERJOB OVERVIEW:The Senior Workers’ Compensation Examiner is responsible for the analysis and management of complex workers’ compensation claims. This position will ...

      1. Intake Attorney at Superior Legal Recruiting

        The ideal candidate must be able to speak with clients, determine whether the individual has claims the firm can help with, send offers to represent, and follow...

      2. Coding Specialist I at HealthCare Partners

        Clinicians on claim edit resolution. Identifies CPT unbundling in claim submissions. Performs claims analysis for appropriate CPT and....

      3. Auto Field Claims Adjuster at Farmers Insurance Group

        Adjusts all types of claims. Inspects damaged property and vehicles, and determines claims related damage. Investigates, confirms coverage, determines liability...

      4. Dining Room Manager, Sous Chef/Kitchen Manager at Landry's Inc. - Rusty Pelican

        The company operates more than 500 high-end and casual dining establishments around the world, including well-known concepts, such as Landry's Seafood, Bubba...

      5. Manager, Prior Authorization (RN) $5000 SIGN-ON BONUS at Regal Medical Group

        Develops or assists in the development of related prior authorization and claims policy, incorporating current literature and professionally recognized...