- Providence (Mission Hills, CA)
- …the supervision of staff and for overseeing the day-to-day operations of the Claims Processing and UM Denial Letter Units. Additional responsibilities include ... Schedule:** Full time **Job Shift:** Day **Career Track:** Leadership **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred Master's Degree Experience Required: A minimum of 5 years of experience performing claims audits or claims processing related to Medi-Cal, Cal ... with LA Care. This role works closely with the Supervisor and/or Lead Auditor on identification and resolution of...capitated hospitals and the Plan Partners. This includes all claims processing sub-contracting functions of the delegates.… more
- Crawford & Company (Brea, CA)
- …members of the medical profession and other persons pertinent to the investigation and processing of claims . + Verifies policy coverage for submitted claims ... 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… more
- LA Care Health Plan (Los Angeles, CA)
- …Degree in Business or Related Field Experience Required: At least 4 years of claims processing experience in a Health Plan environment. At least 3 years ... claims , Provider Disputes and Adjustments. This position works with the Claims Operations Supervisor to develop procedures ensuring the achievement of goals… more
- Sedgwick (Brea, CA)
- …team meetings and assigns accountability for follow-up items. + Gathers important compliance/ claims processing information to be presented at team meetings. + ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Team Lead Assistant | Brea, CA **PRIMARY PURPOSE:** To analyze… more
- Adecco US, Inc. (Pasadena, CA)
- **Workers' Comp Claims Examiner - $50/hour in Pasadena, CA** Temp-to-Hire | Benefits & 401k. **Subject matter expert of appropriate insurance principles and laws for ... must have a minimum of 3 years of experience handling workers' compensation claims specifically in California . (5) years of claims management experience… more
- Sedgwick (Pasadena, CA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Workers Compensation - Hybrid Schedule **Work location:** Pasadena ... **PRIMARY PURPOSE** : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims… more
- Sedgwick (Los Angeles, CA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Professional Liability Claims Advisor | Remote (Must Reside in California) To analyze complex ... or technically difficult healthcare, professional liability, and complex liability claims ; to provide resolution of highly complex nature and/or severe injury … more
- Sedgwick (Los Angeles, CA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner Workers Compensation Are you looking for an opportunity to join ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Authorization Technician Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... the safety net required to achieve that purpose. Job Summary The Supervisor , Authorization Technician supports the Utilization Management (UM) Specialist by handling… more
- The County of Los Angeles (Los Angeles, CA)
- CENTRAL SERVICE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3836374) Apply CENTRAL SERVICE SUPERVISOR I Salary $49,642.92 ... care. DEFINITION: Supervises a group of central service workers performing processing , sterilization, and distribution of medical and patient care supplies and… more
- The County of Los Angeles (Los Angeles, CA)
- LABORATORY SUPPORT SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4461151) Apply LABORATORY SUPPORT SUPERVISOR I Salary ... class work under the technical and administrative direction of a medical technology supervisor , a public health microbiology supervisor in the public health… more
- UCLA Health (Los Angeles, CA)
- …simple and complex patient/provider issues related to the authorization and claims process. You will also conduct performance evaluations, counsel employees, and ... years of managed care or health plan experience preferred + Experience processing ambulatory commercial, Medicare Fee for Service, and Medicare Advantage prior… more
- ICW Group (Woodland Hills, CA)
- …injured workers. + Communicates with insureds to obtain information necessary for processing claims . + Contacts and/or interviews injured workers, doctors, ... pertinent regulations. This job investigates, reserves, and assesses Workers' Compensation claims within the Company standards and best practices guidelines. This… more
- City National Bank (Los Angeles, CA)
- …of the Deposit Operations department. Key responsibilities include the following: ACH processing including Unauthorized ACH claims , review of login activity to ... Commercial Online Banking platform, Deposit Return Item & EARNS notification processing . Additional duties include Hold callback, FAST/Image ATM/Bank by Mail review,… more
- The County of Los Angeles (Los Angeles, CA)
- …the operation of a small central service unit performing supply, processing , sterilization, and distribution of patient care supplies and equipment. Essential ... demand for supplies and equipment and adjusts ordering and processing accordingly. + Makes suggestions for substitution of items...OPTION I: One year's experience as a Central Service Supervisor II in the service of Los Angeles County.… more
- Eaton Corporation (Los Angeles, CA)
- …Handler, who is under the supervision of the Logistics & Materials Supervisor , is tasked with various responsibilities. These include receiving incoming freight, ... ERP system, and reporting any discrepancies in shipments through Eaton's Cargo Claims process. Additional duties of the Material Handler involve conducting cycle… more
- Cedars-Sinai (Los Angeles, CA)
- …collections. Duties include but not limited to, reviewing and submitting claims to payors, performing account follow-up activities, updating information on patient ... account, reviewing and processing credits, posting payments, and account reconciliations. Positions at...may act in the absence of the lead and/or supervisor . This position may be cross-trained in other revenue… more
- The County of Los Angeles (Los Angeles, CA)
- …CLASSIFICATION STANDARDS: Positions allocable to this class report to a higher-level supervisor and are distinguished by their responsibility for leading a crew or ... to subordinate work crew members. + Communicates orally with supervisor , work crew members, property owners, vendors, other agencies,...a personal computer, an iPad, a camera, and word processing software in order to document all work performed,… more
- LA Care Health Plan (Los Angeles, CA)
- …Excel and Power Point. Requires strong knowledge of regulatory standards and claims processing ; strong analytical, oral, written and presentation skills, able ... assignment of cases. Monitors closure of complaints and works with Quality Control Supervisor to resolve all database issues. Prepare and analyze monthly appeal and… more