• Future Medical Medical

    Sedgwick (Rancho Cucamonga, CA)
    …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Future Medical Medical Only Claims Representative Workers Compensation Are you ... + May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims . + Maintains… more
    Sedgwick (01/23/25)
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  • Unrepresented Bodily Injury Claims Adjuster

    Kemper (Cerritos, CA)
    …**Position Summary:** Kemper has multiple positions available for Unrepresented Bodily Injury Claims Adjusters to work in our Cerritos, CA office. In this position, ... be responsible for building rapport with customers. You handle claims involving injured claimants, from start to finish. We...job is also eligible for our Kemper benefits package ( Medical , Dental, Vision, PTO, 401k, etc.) Kemper is proud… more
    Kemper (12/14/24)
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  • Represented Bodily Injury Claims Adjuster

    Kemper (Cerritos, CA)
    …negotiation skills? Kemper is looking for experienced Represented Bodily Injury Claims Adjusters for our growing teams! This specialized position focuses solely ... on the analysis & negotiation of bodily injury claims that are ordinarily assigned after the initial coverage...time limit demands + Obtain and thoroughly analyze complex medical records and data + Research and apply applicable… more
    Kemper (12/14/24)
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  • Auto Liability Claims Adjuster

    Kemper (Cerritos, CA)
    …professional with the ability to investigate and adjust first-party and third-party automobile claims . We are offering the opportunity to work in a fast-paced and ... We are currently looking for Auto Liability Adjusters to investigate claims , determine liability, confirm coverage, establishes damages, and negotiate settlement of… more
    Kemper (12/14/24)
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  • Auto Liability Claims Adjuster Trainee

    Kemper (Cerritos, CA)
    …insureds, claimants, and witnesses obtain and review evidence, reports, and medical records Investigate losses and identify coverage issues. + Negotiate settlements ... claimants and claimant's attorneys. + Research state laws and medical terms. **Position Qualifications:** + Bachelor's Degree or a...plans within your first month. * Save for your future with robust 401(k) match, Health Spending Accounts and… more
    Kemper (12/14/24)
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  • Associate Director, Corporate Accounts

    Terumo Medical Corporation (Los Angeles, CA)
    …is comprised of two strategic business divisions: Terumo Interventional Systems and Terumo Medical Products. We believe that the future is bright for everyone ... ID: 4157 Location: Los Angeles, CA, US Company: Terumo Medical Corporation Department: TIS Corporate Accounts Terumo Medical...at Terumo. We work with the future in mind to generate lasting change, create a… more
    Terumo Medical Corporation (12/07/24)
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  • Certified Medical Assistant

    The County of Los Angeles (Los Angeles, CA)
    …unpaid claims . Clinical experience in the back of a medical doctor's office includes: prioritizing patient-care; preparing patients for doctor's examinations ... CERTIFIED MEDICAL ASSISTANT Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1511664) Apply  CERTIFIED ...they are aware of a possible reduction in their future Social Security benefit entitlement. For more information on… more
    The County of Los Angeles (01/21/25)
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  • Medical Service Coordinator, CCS…

    The County of Los Angeles (Los Angeles, CA)
    MEDICAL SERVICE COORDINATOR, CCS (Registered Nurse, Pediatrics - Case Management) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4145908) Apply ...  MEDICAL SERVICE COORDINATOR, CCS (Registered Nurse, Pediatrics - Case...they are aware of a possible reduction in their future Social Security benefit entitlement. For more information on… more
    The County of Los Angeles (01/18/25)
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  • Senior Workers' Compensation Claim Representative

    Travelers Insurance Company (Diamond Bar, CA)
    … with lost time to conclusion and negotiate settlements where appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a ... Medical Case Manager. Independently handles assigned claims ...Study: Work Experience: + Analytical Thinking: Identifies current or future problems or opportunities; analyzes, synthesizes and compares information… more
    Travelers Insurance Company (10/31/24)
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  • Territory Manager-TIS, Los Angeles North

    Terumo Medical Corporation (Los Angeles, CA)
    …is comprised of two strategic business divisions: Terumo Interventional Systems and Terumo Medical Products. We believe that the future is bright for everyone ... ID: 4172 Location: Los Angeles, CA, US Company: Terumo Medical Corporation Department: TIS Sales - Southern California Terumo...at Terumo. We work with the future in mind to generate lasting change, create a… more
    Terumo Medical Corporation (12/13/24)
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  • Associate Territory Manager

    Terumo Medical Corporation (Los Angeles, CA)
    …is comprised of two strategic business divisions: Terumo Interventional Systems and Terumo Medical Products. We believe that the future is bright for everyone ... ID: 4065 Location: Los Angeles, CA, US Company: Terumo Medical Corporation Department: TIS Sales - Southern California Terumo...at Terumo. We work with the future in mind to generate lasting change, create a… more
    Terumo Medical Corporation (11/11/24)
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  • Medical Economics Consultant - REMOTE

    Molina Healthcare (Long Beach, CA)
    …Mathematics, Statistics, or Economics **PREFERRED EXPERIENCE:** Experience working with medical and pharmacy claims , authorization data, benefits design, ... **Job Description** **Job Summary** Provides consultative support and medical cost-based analysis of markets and network initiatives. The Medical Economics… more
    Molina Healthcare (01/21/25)
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  • SIU Field Investigator

    Kemper (Pomona, CA)
    …or insurance related matters; or an authorized medical professional to evaluate medical related claims . + College Degree or equivalent work experience. + ... conduct field as well as desk investigations of insurance claims referred to and accepted for investigation by the...job is also eligible for our Kemper benefits package ( Medical , Dental, Vision, PTO, 401k, etc.) _Kemper is proud… more
    Kemper (01/18/25)
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  • Payment Integrity Analyst III (ALD)

    LA Care Health Plan (Los Angeles, CA)
    …HCPCS, ICD-9, ICD-10, Medicare, and Medicaid rules and regulations. Working knowledge of claims coding and medical terminology. Solid understanding of standard ... Payment Integrity Analyst III (ALD) Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition… more
    LA Care Health Plan (11/06/24)
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  • Deputy County Counsel Workers' Compensation

    The County of Los Angeles (Los Angeles, CA)
    …the County of Los Angeles in the defense of workers' compensation claims before the California Workers' Compensation Board, the California Court of Appeals ... firms that represent County of Los Angeles in defense of workers' compensation claims . Approves contract law firms request for payment of attorney fees. Drafts… more
    The County of Los Angeles (01/26/25)
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  • Account Clerk II

    The County of Los Angeles (Los Angeles, CA)
    …price change or depreciation and accrued expenses and revenues. + Prepare complex claims for reimbursement. + Perform work which required the skilled use of desk ... 50%, assessing: + Accounts Payable: Purchase Orders, Invoices and Claims , and Expense Vouchers. + Account Receivable: Invoice Processing,...contains test components that may be used in the future for new examinations and your test responses may… more
    The County of Los Angeles (01/22/25)
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  • Grievance/Appeals Analyst I (California Only)

    Elevance Health (Los Angeles, CA)
    …to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to ... + Demonstrated business writing proficiency, understanding of provider networks, the medical management process, claims process, the company's internal business… more
    Elevance Health (01/28/25)
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  • SIU Investigator

    ICW Group (Woodland Hills, CA)
    …The purpose of this job is to detect, prevent, and investigate suspected fraudulent claims for all lines of insurance, with heavy emphasis on Workers' Compensation ... claims . This position exists in order to protect company...Marketing, Underwriting, Claimants, Policyholders, Agents, Brokers, SIU, Legal and Medical Professionals, Government/Regulatory Agencies, Law Enforcement and Vendors. +… more
    ICW Group (01/11/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Los Angeles, CA)
    …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles,...this posting. This range may be modified in the future and actual compensation may vary from posting based… more
    Elevance Health (01/01/25)
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  • National General Adjuster

    Sedgwick (Los Angeles, CA)
    …and to share your insights. **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any complex ... a plus!). **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers and… more
    Sedgwick (11/13/24)
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