- CROSSMARK (La Habra, CA)
- …to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you ... incur to your direct supervisor as soon as possible following an incident resulting in an injury. **Qualifications** _Education/Experience:_ High school diploma or general education degree (GED); or one to three months' related experience and/or training; or… more
- Deloitte (Costa Mesa, CA)
- Operations & Technology Transformation Specialist Master, Guidewire Data Migration - ETL Developer What we do Operations and Technology Transformation delivers ... on July 31, 2024 Work you'll do As an OTT Insurance Transformation Specialist Master, you will bring considerable technical expertise to deliver effective solutions… more
- Elevance Health (Costa Mesa, CA)
- **eCOB Specialist I** **Location** : Remote, within 50 miles of an Elevance Health pulse point. **Hours:** Monday - Friday, an 8 hour shift between the hours of 8 am ... - 4:30 pm The **eCOB Specialist I** is responsible for researching and investigating other...identify the correct formulas in order to adjudicates impacted claims , using multiple COB Formulas for the various product… more
- Belcan (Irvine, CA)
- Purchasing Specialist Job Number: 351910 Category: Procurement / Buyer Description: Job Title: Purchasing Specialist Pay Rate: $40 / hr (DOE) Location: Irvine, ... the best possible quality, delivery, and price. As the Purchasing Specialist , your primary responsibilities will include supplier management, negotiation , to… more
- Elevance Health (Costa Mesa, CA)
- **Pharmacy Quality Assurance Specialist ** **Location:** The employee must live within 50 miles of an open access Elevance Health PulsePoint (within 50 miles of the ... office 1-2 days per week. The **Pharmacy Quality Assurance Specialist ** will be responsible for evaluating the quality of...Included are processes related to enrollment and billing and claims processing, as well as customer service written and… more
- Elevance Health (Costa Mesa, CA)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... HS diploma or equivalent and a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more