- Pacer Staffing (Whittier, CA)
- …- 15:30) Job Description: The claims examiner reports directly to the claims manager . They are primarily responsible for the processing functions (operation, ... adjudication, and payment) of UB-92 and HCFA-1500 claims that are received from PHP affiliated medical groups...to verify your education background. Minimum of 2 years claims ADJUDICATION related experience in ambulatory, acute care hospital,… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Claims Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11073 ... support the safety net required to achieve that purpose. Job Summary The Manager , Claims directs the efforts of others in the achievement of the strategic,… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Claims Integrity Provider Remediation (ALD) Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position ... safety net required to achieve that purpose. Job Summary The Manager , Claims Integrity Provider Remediation is responsible for development and implementation of… more
- AIG (Los Angeles, CA)
- …and professional service with empathy and efficiency. How you will create an impact As the Claims Account manager , you will be the p rimary Claims contact ... Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our… more
- Marriott (Costa Mesa, CA)
- …and complexity of Worker's Compensation and General Liability cases as determined by Claims Unit Manager .) **Expected Contributions** + Investigate claims ... Number** 24069181 **Job Category** Finance & Accounting **Location** Western Casualty Claims Office, 3100 Bristol Street Suite 425, Costa Mesa, California, United… more
- WelbeHealth (Los Angeles, CA)
- …policies and procedures, or other established quality standards . Work alongside manager to establish and maintain claims processing rules that meet ... ensure excellent care delivery for our participants, and the Claims Examiner plays a pivotal role in ensuring timely...pivotal role in ensuring timely and efficient processing of claims for our contracted specialty provider partners. **This is… more
- Zurich NA (Woodland Hills, CA)
- … caseload from assignment through resolution, with moderate direction from your team manager and Claims executives. At this level, you will provide technical ... Sr. Mass Litigation Claim Specialist 114488 Zurich is currently seeking a Sr. Claims Professional to join our Latent & Environmental team in Schaumburg, Addison,… more
- Elevance Health (Woodland Hills, CA)
- ** Manager II Grievance/Appeals - Claims Support** **Location: *CA Residential Requirement** This position will work a hybrid model (remote and office). Ideal ... California within 50 miles of one of our PulsePoint locations. The ** Manager II Grievance/Appeals** is responsible for management oversight of grievances and appeals… more
- Travelers Insurance Company (Diamond Bar, CA)
- …. Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity where ... **What Is the Opportunity?** Under general supervision, manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate… 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
- Guidehouse (Gardena, CA)
- …You Will Do** **:** The **Insurance Patient Account Representative - Commercial Claims ** is an extension of a client's business office staff. Representatives are ... from home._** **_Questions regarding this position, you may contact Chris Rivera ( Manager , Talent Acquisition) at ###_** **Essential Job Functions** + Commercial … more
- AECOM (Orange, CA)
- …Experience writing and negotiating change orders + Experience with dispute resolution and claims + Experience as Construction Manager or Resident Engineer on ... Join us. **Job Description** **AECOM** is seeking a Construction Manager - Zero Emission Bus Facilities to be based...to be based in Orange, CA. Description - Construction Manager will be the project lead in the field… more
- Chipotle Mexican Grill (Newport Beach, CA)
- Sr. Manager , Insurance and Risk (24019499) Description CULTIVATE A BETTER WORLD Food served fast does not have to be a typical fast-food experience. Chipotle has ... food accessible to everyone. THE OPPORTUNITY As the Senior Manager , Insurance and Risk, you will oversee, manage and...key operational risks. You will also lead the insurance claims process to maximize insurance recoveries, and analyze … more
- Sedgwick (Los Angeles, CA)
- …Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer (Remote) Client Litigation Manager - Commercial General Liability **PRIMARY PURPOSE** **:** To address ... resolution to appropriate parties. Concentrates on high exposure clams ($300,000+) and claims of a sensitive nature (ie potential media exposure). + Responds to… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Shared Services Program Manager II (Limited Duration- 12 months)) Job Category: Administrative, HR, Business Professionals Department: Claims Data and ... required to achieve that purpose. Job Summary The Enterprise Shared Services Program Manager II is responsible for leading and managing a portfolio of strategic and… more
- Elevance Health (Woodland Hills, CA)
- ** Manager I - Grievances & Appeals - Member Appeals** **Location** : This position will work a hybrid model (in office 1-2 days per week). The ideal candidate will ... miles of one of our Elevance Health PulsePoint locations in California. The ** Manager I - Grievances & Appeals** is responsible for management oversight of receipt,… more
- Crawford & Company (Los Angeles, CA)
- …require you to be fully vaccinated for COVID-19. If required, the hiring manager will discuss with you during your interview process. Responsibilities * Reviews case ... employer and physicians. * Maintains contact and communicates with claims adjusters to apprise them of case activity, case...one of the below: * Certification as a case manager from the URAC-approved list of certifications (preferred); *… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Customer Solution Center Appeals and Grievances Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... support the safety net required to achieve that purpose. Job Summary The Manager , Customer Solution Center Appeals and Grievances is responsible for the centralized… more
- GAF (Los Angeles, CA)
- …Excellence (CARE), Storm Restoration training focuses on educating contractors working insurance claims . A CARE Training Manager works with Marketing, Sales, and ... development and curriculum development focused on Storm Restoration and Insurance claims . Essential Duties: + Develop and deliver storm restoration training… more
- LA Care Health Plan (Los Angeles, CA)
- Community Health Program Manager II (ALD) Job Category: Clinical Department: Community Health Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... net required to achieve that purpose. Job Summary The Community Health Program Manager II is responsible for supporting Community Health projects designed to improve… more
