- LA Care Health Plan (Los Angeles, CA)
- …and to support the safety net required to achieve that purpose. Job Summary The Claims Supervisor works with the Claims Manager to oversee the daily ... Supervisor , Claims Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11739… more
- Sedgwick (Orange, CA)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead ( Supervisor ) Workers Compensation - Dedicated Account… more
- Providence (Mission Hills, CA)
- **Description** Working under the direction of the Manager, Claims , this position has direct responsible for the supervision of staff and for overseeing the ... day-to-day operations of the Claims Processing and UM Denial Letter Units. Additional responsibilities...3 years experience in a leadership role within medical claims related field. + 5 years experience in medical/institutional… more
- Sedgwick (Brea, CA)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **TAKING CARE OF YOU** + Flexible work ... to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead Workers Compensation REMOTE (MUST RESIDE IN CA) **MUST HAVE CA… more
- LA Care Health Plan (Los Angeles, CA)
- … claims , Provider Disputes and Adjustments. This position works with the Claims Operations Supervisor to develop procedures ensuring the achievement of goals ... Claims Quality Auditor II Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time… more
- Providence (Anaheim, CA)
- **Description** Working under the direction of Director Claims or Supervisor Claims (EDI), this position is responsible for the design, development, and ... support of application software, integration solutions, decision support systems, and/or information reporting, with a solid understanding of business operations within a clinical environment. Providence caregivers are not simply valued - they're invaluable.… more
- LA Care Health Plan (Los Angeles, CA)
- Financial Compliance Auditor III Claims Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full ... that purpose. Job Summary The Financial Compliance Auditor III Claims is responsible for various tasks within the Financial...with LA Care. This role works closely with the Supervisor and/or Lead Auditor on identification and resolution of… more
- Sedgwick (Ontario, CA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative Workers Compensation **PRIMARY PURPOSE** : To analyze complex or ... technically difficult workers' compensation claims to determine benefits due; to work with high...coding is correct. + Refers cases as appropriate to supervisor and management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- Sedgwick (Brea, CA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Team Lead Assistant | Brea, CA **PRIMARY PURPOSE:** To analyze ... complex or technically difficult workers' compensation claims to determine benefits due; to work with high...coding is correct. + Refers cases as appropriate to supervisor and management. + Leads team meetings and assigns… more
- Sedgwick (Sacramento, CA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist, Professional Liability (Cyber) **PRIMARY PURPOSE** **:** To analyze ... complex or technically difficult Cyber and other Professional Liability claims ; to provide resolution of medium to highly complex nature claims ; to perform… more
- Crawford & Company (Brea, CA)
- …CAREER OPPORTUNITY! + Seeking candidates with experience managing California Workers Compensation claims ! + SIP is a requirement! + Bonus Opportunities! + Multiple ... Employee Discounts! Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established authority… more
- Adecco US, Inc. (Ontario, CA)
- …a local client in their search to fill a **Remote Worker's Compensation Claims Examiner** job opportunity but **_MUST LIVE IN STATE OF CALIFORNIA._** **Pay rate: ... PURPOSE:** To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high...coding is correct. + Refers cases as appropriate to supervisor and management. + Performs other duties as assigned.… more
- Adecco US, Inc. (Pasadena, CA)
- **Workers' Comp Claims Examiner - $50/hour in Pasadena, CA** Temp-to-Hire | Benefits & 401k. **Subject matter expert of appropriate insurance principles and laws for ... minimum of 3 years of experience handling workers' compensation claims specifically in California . (5) years of ...coding is correct. . Refers cases as appropriate to supervisor and management. **Pay Details:** $50.00 per hour Benefit… more
- Sedgwick (Los Angeles, CA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Professional Liability Claims Advisor | Remote (Must Reside in California) To analyze complex ... or technically difficult healthcare, professional liability, and complex liability claims ; to provide resolution of highly complex nature and/or severe injury … more
- Sedgwick (Sacramento, CA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Specialist, Professional Liability **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + ... Analyzes and processes complex or technically difficult liability claims by investigating and gathering information to determine the exposure on the claim; manages … more
- ManpowerGroup (CA)
- **Job Title:** Claims Examiner - Workers Compensation **Duration:** 2-months **Location:** Remote (Must reside in CA) **Target Pay: $45** **Primary Purpose** To ... analyze complex or technically difficult workers' compensation claims to determine benefits due. This role involves managing high exposure claims that may… more
- Kelly Services (Roseville, CA)
- Job Title: Workers' Compensation Claims Analyst **Location:** Remote Set up **Job Type:** Full-time, Contract **Job Description:** We are seeking a skilled ... **Workers' Compensation Claims Analyst** to join our team. The ideal candidate...coding is correct. + Refer cases as appropriate to supervisor and management. **Additional Functions and Responsibilities:** + Perform… more
- Sedgwick (Roseville, CA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | Dedicated Client | Roseville, CA (Agile) Are you ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Guidehouse (San Marcos, CA)
- …billing, secondary billing, and payer audit follow-up for government and non-government claims . Must work with other departments to facilitate the meeting of both ... Billing Emphasis + Correcting and billing electronic and hardcopy claims + Submits Adjusted claims + Provides...denials for trends and issues and reports finding to supervisor . + Bills or re-bills as necessary. + Ensures… 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