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claims in Los Angeles

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  1. Ambulatory Billing Quality Review Specialist at Prime MSO- Ambulatory Surgery Centers

    Follows and maintains current knowledge of departmental policies and procedures, specifically focused on the company’s Standard Operating Procedures (SOPs).The...

  2. Scheduling Engineer-Los Angeles at PCL Construction Services, Inc.

    Preparation of delay claims; Maintain the P6 scheduling database at a district level, including set up new projects, maintain templates and layouts, set up user...

  3. Commercial Insurance Account Manager at Elkins Jones Insurance Agency

    Follows up on outstanding claims and provides assistance in their resolution, as necessary. Maintains a concern for timeliness and completeness when interacting...

  4. BILINGUAL SAFETY MANAGER NEEDED!- LOS ANGELES AREA at SMART Safety Group

    Since 2003 we have helped organizations become regulatory compliant, lower insurance costs and reduce worker's compensation claims....

  5. Client Support Coordinator at Confidential - Insurance Agency

    Client census data, current/renewal rates, plan designs, claims data, etc. The Client Support Coordinator is a diversified position within the company and...

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    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. Human Resources Manager at Wahlco, Inc.

      Perform benefits administration to include claims resolution, change reporting, and approving invoices for payment....

    1. Claims Examiner

        Schedule: Monday – Friday (Fulltime 8-5PM)Responsibilities- Assist in the resolution of eligibility, benefit, contracting, and payment schedule issues.- Handle and document resolution to escalated telephone and written appeals.- Ensuring all PDR documents are processed timely with timely submission of all acknowledgement and resolution letters- Timely processing of complex PDR claims for ...

    1. Senior Developer / Architect at ControlExpert Inc.

      Insurance Claims Platforms / Applications experience desirable. We are exploding into the US market to disrupt and deliver a digital ecosystem of products...

    1. Claims Assistant

      Claims Assistant​  Position Description: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 the entire ...

    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. Logistics/AP Claims Coordinator

      We are hiring for a Logistics/AP Claims Coordinator who will be responsible to cover multiple areas in the company including manufacturers, customers, leads, and potentially, trade shows.KEY JOB RESPONSIBILITIES ARE AS FOLLOWS:LogisticsKnowledge of compliance issues as they relate to claims processingReviewing submitted claims for coverage, and making a determination as to whether a matter is ...

    1. Call Center Representative & Administrative at Staffing Now

      Responding to members request by telephone,fax or email and providing information about claims and much more. Our call center is looking for candidates who can...

    1. Claims Adjuster

      Kemper Alliance United Insurance is looking to meet individuals interested in a Claims Adjuster Opportunity!!Date: Saturday, August 20, 2016Time: 9AM – 1:00PM and 3:00PM – 6:00PMLocation: Kemper Alliance United Insurance9121 Oakdale Ave Suite 201Chatsworth, CA 91311Dress Code: Business ProfessionalPosition Available: Claims AdjusterJob Summary:We are looking for a Claims Representative – ...

    1. Call Center Representative (Medical) at Dell

      Knowledge of one or more of the following claims paying systems; Dell is looking for Customer Service Associate (Call Center Representatives) to join our team...

    1. Claims Adjuster

      Kemper Alliance United Insurance is looking to meet individuals interested in a Claims Adjuster Opportunity!!Date: Saturday, August 20, 2016Time: 9AM – 1:00PM and 3:00PM – 6:00PMLocation: Kemper Alliance United Insurance9121 Oakdale Ave Suite 201Chatsworth, CA 91311Dress Code: Business ProfessionalPosition Available: Claims AdjusterJob Summary:We are looking for a Claims Representative – ...

    1. SR BENEFITS ANALYST at Pinnacle Entertainment, Inc. (Corporate)

      Reviews healthcare claim trends, aggregate biometric screening data, and aggregate health assessment data to identify opportunities for improving team member...

    1. Claims Adjuster - Material Damage

      National General Insurance is looking to meet individuals interested in Material Damage Claims Representative Opportunity!!Qualified individuals will be able to interview on-the-spot with our Claims Managers!Date: Wednesday, August 17, 2016Time: 12:00PM – 5:30PMLocation: National General Insurance OfficeOntario, CA 81764Material Damage Claims Representative:DescriptionInvestigates the facts ...

    1. Sr. Financial Analyst at Ascent Services Group

      This includes claims trend reconciliation, rates changes, audit schedules and updates of the PPG summaries. The Senior Financial Analyst is responsible for the...

    1. Claims Adjuster - Bodily Injury

      National General Insurance is looking to meet individuals interested in Bodily Injury Claims Representative Opportunity!!Qualified individuals will be able to interview on-the-spot with our Claims Managers!Date: Wednesday, August 17, 2016Time: 12:00PM – 5:30PMLocation: National General Insurance Office3800 East Consurs #200Ontario, CA 81764Dress Code: Business ProfessionalBodily Injury ...

    1. Associate Director of Audit - Irvine, CA at UnitedHealth Group

      Collaborate and work with the Quality Organization, an independent team with quality expertise and business process discipline, to manage the claim review...

    1. Medical Claims Examiner

      The Claims Examiner is responsible for the accurate review, input and adjudication of provider specialty claims, including UB-04’s, in accordance with outside regulations, internal production standards and contractual obligations of the IPA’s on a daily basis. The Claims Examiner II is also responsible for high dollar claims, multiple surgical procedures and special handled claims. Production ...

    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. 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. Service Support Representative at Vermeer Corporation

      This role will include the administration of service bulletins, warranty claims and the coordination of current work orders....

    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 ...

    2. 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 ...

    3. 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 ...

    4. 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 ...

    5. 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. ...

    6. 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 ...

    7. 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. Field Nurse Case Manager RN at Excel Managed Care & Disability Services, Inc.

        Strong interpersonal skills with clients, attorneys, claims personnel, employers, and medical providers. We are currently seeking a Field Nurse Case Manager (RN...

      2. Ambulatory Center Billing Specialist at Prime MSO- Ambulatory Surgery Centers

        Dispute payments, handle appeal of underpaid claims, and process denied claims. Audit, correct, and re-bill applicable claims....

      3. Outpatient PC physician to start immediately Los Angeles, CA at Parallon MD

        Competitive Compensation Abundant available opportunities nationwide In-house Credentialing Travel & Lodging arranged by our In-House Logistics Team Free...

      4. Senior Billing Specialist- ASC at Prime MSO- Ambulatory Surgery Centers

        Dispute payments, handle appeal of underpaid claims, and process denied claims. Audit, correct, and re-bill applicable claims....

      5. Heavy Equipment Operator IV at Chugach Alaska Corporation

        Chugach Alaska Corporation was one of the twelve original Native Regional Corporations formed under the Alaska Natives Claims Settlement Act of 1971....