- American Honda Motor Co Inc (Chino, CA)
- …you to join our team to Bring the Future!Job PurposeThe Mediation Specialist reviews and assesses pre-litigation/buyback dispute cases for resolution consistent with ... guidelines, with high emphasis on negotiation and problem resolution. The Mediation Specialist must review each case on its merits, and apply decision-making skills… more
- Illumination Foundation (Santa Ana, CA)
- …across Orange County, Los Angeles County and the Inland Empire. Job Description The Claims Specialist is responsible for accuracy of claims submission, ... and eligibility verification, accuracy of client information. In addition, the Claims Specialist is also responsible for keeping up to date accounts receivable… more
- Illumination Foundation (Riverside, CA)
- …across Orange County, Los Angeles County and the Inland Empire. Job Description The Claims Specialist is responsible for accuracy of claims submission, ... and eligibility verification, accuracy of client information. In addition, the Claims Specialist is also responsible for keeping up to date accounts receivable… more
- Lincoln Financial Group (Irvine, CA)
- …**The Role at a Glance** We are excited to bring on a highly motivated **Group Claims Specialist ** to support our ever-growing claims organization in a work ... support our west coast employer groups. _Background details_ As a Group Claims Specialist , you will support our Short Term Disability or Integrated Absence… 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
- Travelers Insurance Company (Irvine, CA)
- …supervision, effectively evaluate and manage high exposure Workers Compensation claims including catastrophic loss, specified serious injury and other complex ... claims . Attempt to resolve through innovative and expert claim...is no longer available. IW is receiving Vocational Rehabilitation. Claims that have been reopened for additional medical treatment… more
- Robert Half Accountemps (Reseda, CA)
- … will be responsible for calling insurance companies to resolve unpaid and rejected claims . The Medical Collections Specialist must have 2+ years of experience ... web portal. * Reviews records for outstanding and unpaid claims to determine collection activities and processes. * Contacts...status of payments and to assure timely payments of claims . * Assures all deadlines are met and all… 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
- Aston Carter (Corona, CA)
- Job Title: Accounts Receivable Specialist Job Description We are seeking a dedicated Accounts Receivable Specialist to join our team. The successful candidate ... and debit memos within SAP, and researching deductions and claims backup. The role involves validating claims ...with the sales force for problem resolution. Additionally, the specialist will file claim disputes, follow up on repayments,… more
- Elevance Health (Costa Mesa, CA)
- **eCOB Specialist II** **Location:** Hybrid, within 50 miles of an Elevance Health Pulse Point location. **Hours:** Monday - Friday, 6am - 6pm EST The **eCOB ... Specialist II** is responsible for researching and investigating other...enrolling in Medicare. + Reviews claim history to identify claims requiring reconciliation, whether processed or pended, as well… more
- Robert Half Accountemps (Irvine, CA)
- Description We are in search of a Medical Collections Specialist to join our team in the healthcare industry located in Irvine, California. This role offers a ... employment opportunity and involves processing and following up on medical claims and invoices, maintaining customer care, and ensuring compliance with legal… more
- Aveanna (Orange, CA)
- Operations Specialist - Medical Records & Compliance ApplyRefer a FriendBack Job Details Requisition #: 196781 Location: Orange, CA 92868 Category: ... Salary: $21.00 per hour Position Details Position Overview The Operations Specialist is responsible for providing top level customer service to internal… 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
- Robert Half Accountemps (Laguna Hills, CA)
- …Laboratory company is in the need of a remote Medical Billing Collections Specialist . The Medical Billing Collections Specialist will be responsible for ... (HMO, PPO, IPA, TPA Indemnity) and Patient Billing. The Medical Billing Collections Specialist must possess detailed knowledge of all medical benefit levels and a… more
- CDM Smith (Irvine, CA)
- …**Business Unit:** FSU **Job Description:** The FEMA Disaster Management Construction Specialist : * Schedules and conducts site inspections with applicants, performs ... projects and meets regularly on the status. * Evaluates applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates… more
- CDM Smith (Irvine, CA)
- …ID:** 39180BR **Business Unit:** FSU **Job Description:** The FEMA Costing Specialist : * Conducts preliminary damage assessments (PDAs) in the field for ... structure damaged by a disaster. * Reviews, evaluates and analyzes applicant-provided cost claims for reasonableness and accuracy as related to the scope of work. *… more
- Option Care Health (Sun Valley, CA)
- …and retaining a diverse workforce. **Job Description Summary:** The Specialist , Patient Registration is responsible for facilitating new patient's transition ... Care Health makes it easy to transition care. The Specialist , Patient Registration works in conjunction with Sales to...+ Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork… more
- ICW Group (Woodland Hills, CA)
- …THE JOB** The purpose of this job is to perform audits of processes and claims for multi-jurisdictions and states. This position exists to ensure that claims are ... state laws. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Conducts financial and procedural claims audits based on various sampling methods. + Documents audit results… more
- 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
- US Marine Corps (Oceanside, CA)
- …reports involving shipping discrepancies (commercial freight, parcel post claims , noncompliance with container marking specifications, substitute merchandise, etc.). ... Enters updated information in merchandise subsystem, and prints warehouse receiving, shipping documents, and price tags. Prepares return orders involving purchase order shipments. Processes merchandise subsystem adjustments covering store transfers, movements… more
