- 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: 11625 ... 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)
- …purpose. Job Summary The Claims Quality Auditor II works closely with the Claims Quality Auditing Manager . The Claims Quality Auditor II maintains ... Claims Quality Auditor II Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time… more
- Elevance Health (Los Angeles, CA)
- ** Manager II Grievance/Appeals - Claims Support** This position will work in a hybrid model (remote and office). Ideal candidates will live within 50 miles of ... one of our PulsePoint locations. The ** Manager II Grievance/Appeals** is responsible for management oversight of...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… 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 ... bonus of up to $5,000. Under general supervision, manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate to… 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
- Sedgwick (Los Angeles, CA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Director - Dedicated (MUST RESIDE IN CA) **PRIMARY PURPOSE** : To be ... including direct operational responsibility of an office in the location where the manager resides; to be responsible for staffing and training needs; and to be… more
- Elevance Health (Los Angeles, CA)
- ** Claims Analyst III- Overpayment Prevention (Business Analyst III)** _Location: This position will work a hybrid model (remote and office). The ideal candidate will ... incorporated into query design, completes and coordinates UAT testing on claims identified as potential overpayments. Completes all required documentation to support… more
- Providence (Anaheim, CA)
- **Description** Working under the direction of the Manager , this position is responsible for overseeing the day-to-day operations of the Support Services department ... we must empower them. **Required qualifications:** + 3 years of experience as a Claims Examiner in an IPA, Medical Group, or Health Plan and knowledge of HIPAA… more
- Jacobs (Los Angeles, CA)
- … claims and support to the project and the legal department on defense of claims . * Assist the Project Manager and the Procurement Manager in subcontract ... Jacobs is seeking a Commercial Manager for our Design-Build group to oversee large...Prepare Prime Agreement Change Orders and assists the Project Manager in negotiations. * Review all contract documents to… more
- Zurich NA (Los Angeles, CA)
- Professional Liability and Cyber Underwriting Manager 115427 Zurich North America is looking for a Professional Liability and Cyber Underwriting Manager (Level I ... train, and coach a team of underwriters. + Internal ( Claims , Actuary, Finance, etc.) and External (brokers and clients)...This role will be filled at as an Underwriting Manager I or Underwriting Manager II. The… more
- Marriott (Los Angeles, CA)
- …* Works with the unemployment services provider to respond to unemployment claims ; reviews provider reports for accuracy and corrects errors. * Prepares, audits ... * Ensures employee issues are referred to the Department Manager for resolution or escalated to the Director of...orientation, property meetings, bulletin boards, etc. * Conducts periodic claims reviews with Regional Claims office to… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Shared Services Program Manager II Job Category: Administrative, HR, Business Professionals Department: Claims Data and Support Services Location: Los ... 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 (Los Angeles, CA)
- ** Manager I - Grievances & Appeals - Provider Disputes** **Location** : This position will work a hybrid model (in office 1-2 days per week). The ideal candidate ... Ohio, Connecticut, Maine, Missouri, Virginia, Indiana, Kentucky or New York. The ** Manager I - Grievances & Appeals** is responsible for the management oversight… 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
- American Heart Association (Long Beach, CA)
- …The American Heart Association has an excellent opportunity for a **Clinical Data Manager ** in our **National Center** office. Location of the selected candidate is ... for you to be able to integrate data from different sources (clinical, claims , patient-reported survey data, food vendors). The Database Designer is responsible for… 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
- Crawford & Company (Brea, CA)
- …supervises the investigation, management, and timely disposition of Workers Compensation claims within account, carrier and/or company guidelines, and assists the VP ... and/or Assistant VP of Claims in managing the Service Center. Responsibilities + Establishes...carriers and brokers. + Keeps VP/Assistant Vice President of Claims informed verbally and in writing of activities and… more
- Sony Pictures Entertainment (Culver City, CA)
- …as mandated by the company's E&O insurance policy and to prevent legal claims and litigation. The Script Clearance Manager (" Manager ") independently ... of publicity, right of privacy and product use. The Manager will also directly supervise two Clearance Analysts and...potential defamation, privacy, false association and right of publicity claims associated with a project and present such issues… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Business Insights Job Category: Management/Executive Department: Advanced Analytics Lab Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... to support the safety net required to achieve that purpose. Job Summary The Manager of Business Insights for Advanced Analytics Lab (AAL) is responsible for the… more
- Ducommun (Gardena, CA)
- Program Manager The following describes in general terms the purpose and scope of the position. The Program Manager I is responsible for the execution of all ... in accordance with technical and contractual requirements, schedules and budgets. The Program Manager I is the focal point for the company for communications with… more