- Crawford & Company (Brea, CA)
- …have been settled and the claim is only open for payment of medical benefits (ie maintenance claims not requiring actuarial reserves). + Contacts, by ... Everything We Touch Position Summary Under direct supervision, processes medical only claims within authority, processes other... claims , other than "M" cases, where all medical issues have been settled and the claim… more
- Samsung SDS America (Santa Ana, CA)
- …Group, as well as the Samsung SDS's Management/Finance Group. Sr. Claims Analyst will work on tracking and analyzing claim data, including warehouse and ... into a global top-level third-party logistics company. Senior Logistics Claim Analyst ("Sr. Claim ...progress. The position tracks and reports progress on complex claims with customers, shippers, consignees, and carriers relating to… more
- Kelly Services (Torrance, CA)
- What's next for you? This great job. We're seeking a **Dealer Claims and Registration Analyst ** to work at one of our largest key accounts in the automotive ... Friday 8:30am-5pm **Pay rate:** $20/hr **Why should you apply to be a Dealer Claims and Registration Analyst ** ? + Monday-Friday work schedule + Competitive pay… more
- Nordstrom (Costa Mesa, CA)
- …in California. A day in the life: + Thoroughly investigate workers' compensation claims by timely contacting injured workers, medical providers, and employer ... representatives/witnesses and documenting investigation efforts and findings within claim management guidelines. + Determine if claims ...(actually working claims ) + Experience with Indemnity claims (not just medical only) + Adjuster… more
- LA Care Health Plan (Los Angeles, CA)
- …in a Health Plan environment. At least 3 years experience as a claims auditor/ analyst . Prior experience working with Provider Dispute Resolution (PDR) , ... Claims Quality Auditor II Job Category: Claims... regulations and company policies. Responsible for High Dollar Claim review of 125K, current knowledge of First Pass… more
- Brink's (Los Angeles, CA)
- …have a challenging opportunity for a Variance Analyst . The Variance Analyst will investigate reconciliation discrepancies to reduce claim settlements and ... discrepancies + Review all settlement forms daily. + Reduce claims filed in MS Dynamics by conducting investigations/interviews for... filed in MS Dynamics to accurately close the claim in a timely manner. + Conduct audits to… more
- The County of Los Angeles (Los Angeles, CA)
- STAFF ANALYST , HEALTH SERVICES/ EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4657737) Apply STAFF ... ANALYST , HEALTH SERVICES/ EMERGENCY APPOINTMENTS HOMELESSNESS Salary $94,477.20 -...not pay into Social Security, but do pay the Medical Hospital Insurance Tax portion of Social Security at… more
- Robert Half Office Team (Los Angeles, CA)
- …according to state laws and policies. Coordinate special investigations and medical examinations related to workers' compensation claims . Inform departments ... Description Job Title: Workers Compensation Analyst Location: Los Angeles, California We are seeking...will manage various aspects of workers' compensation injuries and claims , maintain accurate records, and coordinate activities related to… more
- The County of Los Angeles (Los Angeles, CA)
- PRINCIPAL ANALYST , CEO - LEGISLATIVE AFFAIRS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4477639) Apply PRINCIPAL ANALYST , CEO - ... more. The Opportunity We are pursuing qualified candidates to fill Principal Analyst , CEO positions within the Chief Executive Office's Legislative Affairs Division.… more
- 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 ... **Title: Grievance/Appeals Analyst I** **Location:** This position will work a...Demonstrated business writing proficiency, understanding of provider networks, the medical management process, claims process, the company's… more
- LA Care Health Plan (Los Angeles, CA)
- Payment Integrity Analyst III Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: ... to achieve that purpose. Job Summary The Payment Integrity Analyst III is responsible for leading or assisting in...Medicare, and Medicaid rules and regulations. Working knowledge of claims coding and medical terminology. Solid understanding… more
- The County of Los Angeles (Los Angeles, CA)
- HEALTH CARE FINANCIAL ANALYST / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659553) Apply HEALTH CARE ... FINANCIAL ANALYST / EMERGENCY APPOINTMENTS HOMELESSNESS Salary $74,197.20 - $99,983.04...for Federal, State, and/or Special Programs to determine if claims for reimbursement conform to applicable rules and regulations… more
- UCLA Health (Los Angeles, CA)
- …you will be instrumental in maintaining and running processes/jobs for electronic claims and other EDI transactions. This will involve working with external trading ... testing files from new providers/trading partners. You will be responsible for claim encounter data submissions and the coordination of business transactions for all… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Business Data Analyst II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... to achieve that purpose. Job Summary The Care Management Business Data Analyst II supports quality and process improvement activities by producing Care Management… more
- LA Care Health Plan (Los Angeles, CA)
- …Disbursement Analyst III Assigned area includes but is not limited to Claims and Capitation disbursements. The ERP Disbursement Analyst III is also ... Enterprise Resource Planning Analyst III Job Category: Accounting/Finance Department: Finance Services...FS-CD and FI/CO modules within SAP. Requires knowledge of Claims and Capitation disbursements. Salary Range Disclaimer: The expected… more
- MetroLink (Los Angeles, CA)
- Senior Management Analyst (Project Controls) Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4546555) Apply Senior Management Analyst ... operator of the METROLINK Commuter Rail System, is seeking a Senior Management Analyst (Project Controls) who will implement the tools and systems necessary to… more
- LA Care Health Plan (Los Angeles, CA)
- …experience in a quantitative role as a Business Analyst , Data Analyst , Programming Analyst , Claims processing, encounter processing. Skills Required: ... Business Analyst III Job Category: Administrative, HR, Business Professionals...Off (PTO) + Tuition Reimbursement + Retirement Plans + Medical , Dental and Vision + Wellness Program + Volunteer… more
- LA Care Health Plan (Los Angeles, CA)
- …the safety net required to achieve that purpose. Job Summary The Healthcare Financial Analyst I will assist with gathering medical cost data to support the ... Healthcare Financial Analyst I Job Category: Accounting/Finance Department: Finance Services...routine monthly/quarterly/yearly reports, identify and research variance. Update integrated revenue/ medical care expense (FFS + RX Claims /Provider… more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR INFORMATION SYSTEMS ANALYST (Electronic Health Record) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3124187) Apply SENIOR ... INFORMATION SYSTEMS ANALYST (Electronic Health Record) Salary $102,729.84 - $138,443.04 Annually Location Los Angeles County, CA Job Type Full time Job Number… more
- LA Care Health Plan (Los Angeles, CA)
- Technical Project Analyst II Job Category: Administrative, HR, Business Professionals Department: Claims Data and Support Services Location: Los Angeles, CA, US, ... to achieve that purpose. Job Summary The Technical Project Analyst (TPA) II supports projects with Project Managers and/or...Off (PTO) + Tuition Reimbursement + Retirement Plans + Medical , Dental and Vision + Wellness Program + Volunteer… more