- ICW Group (Woodland Hills, CA)
- …management. This position exists to oversee, lead, and guide a unit of Claims staff while working in compliance with Company philosophies, practices, and procedures. ... high degree of the Company's philosophy and technical practices throughout the claims operation. + Conducts periodic audits of staff assignments to ensure… more
- Sedgwick (Long Beach, CA)
- …combination of education and experience required to include two (2) years claims supervisor experience. **Licensing / Jurisdiction Knowledge:** SIP required. ... Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Team Lead | Long Beach, CA (Hybrid) |...Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +… more
- LA Care Health Plan (Los Angeles, CA)
- Financial Compliance Auditor III Claims Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full ... that purpose. Job Summary The Financial Compliance Auditor III Claims is responsible for various tasks within the Financial...with LA Care. This role works closely with the Supervisor and/or Lead Auditor on identification and resolution of… more
- Sedgwick (Long Beach, CA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | Long Beach, CA (Hybrid) Are you looking for an ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Sedgwick (Long Beach, CA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist, Medical Malpractice, Prof. Lia. (West Coast, United States) **This ... or technically difficult long term care and medical malpractice claims ; to provide resolution of highly complex nature and/or...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Guidehouse (El Segundo, CA)
- …billing, secondary billing, and payer audit follow-up for government and non-government claims . Must work with other departments to facilitate the meeting of both ... Billing Emphasis + Correcting and billing electronic and hardcopy claims + Submits Adjusted claims + Provides...denials for trends and issues and reports finding to supervisor . + Bills or re-bills as necessary. + Ensures… 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)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Environmental Claims Specialist **Job Description Summary** To analyze complex or technically ... difficult environmental claims ; to provide resolution of highly complex nature and/or...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Insight Global (Los Angeles, CA)
- …Plan based in Los Angeles is in the immediate need of a Medical Claims Representative. The Medical Claims Representative will be responsible for speaking with ... phone and troubleshooting any of the participants bills or claims . The Medical Claims Representative will be...required. Ability to accept direction and developmental guidance from supervisor . - Ability to work effectively with individuals at… 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)
- PUBLIC HEALTH MICROBIOLOGY SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4456025) Apply PUBLIC HEALTH MICROBIOLOGY ... SUPERVISOR II Salary $108,460.32 - $146,154.72 Annually Location Los...view correspondence. + Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
- Guidehouse (El Segundo, CA)
- …10% **Clearance Required** **:** None **What You Will Do** **:** The **Billing Supervisor ** is responsible for the daily operations of billing and works closely with ... of billers, billing systems and billing processes. The Billing Supervisor reports directly to an Operations Manager or Director...to departments daily. + Maintain logs by department for claims in Medi.com hold status. + Daily electronic and… more
- The County of Los Angeles (Los Angeles, CA)
- PHARMACY SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3794484) Apply PHARMACY SUPERVISOR I Salary $164,128.32 - ... to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- The County of Los Angeles (Los Angeles, CA)
- Recreation Services Supervisor /Summer Camp Director (Recurrent) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4314900) Apply Recreation ... Services Supervisor /Summer Camp Director (Recurrent) Salary $28.32 Hourly Location Los...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- The County of Los Angeles (Los Angeles, CA)
- CLINICAL SOCIAL WORK SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4680100) Apply CLINICAL SOCIAL WORK SUPERVISOR II ... available and to communicate departmental objectives. As a unit supervisor in a large County hospital: + Has immediate...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- The County of Los Angeles (Los Angeles, CA)
- ELECTROENCEPHALOGRAPH TECHNICIAN SUPERVISOR Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1148472) Apply ELECTROENCEPHALOGRAPH TECHNICIAN ... investigative tryout; develops appropriate recommendations and submits them to supervisor . Requirements MINIMUM REQUIREMENTS: Two (2) years of experience conducting… more
- The County of Los Angeles (Los Angeles, CA)
- PUBLIC HEALTH MICROBIOLOGY SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3617961) Apply PUBLIC HEALTH MICROBIOLOGY ... SUPERVISOR I Salary $98,275.68 - $132,439.68 Annually Location Los...view correspondence. + Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR ... to take the above steps to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be a valid reason for a late… 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 ... to take the above steps to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be a valid reason for a late… 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 ... take disciplinary action as necessary. Salary Range: $68,800 - $141,000/AnnuallyQualifications We're seeking a self-motivated, team-focused, deadline-driven, detail-oriented leader with: + High school diploma, GED or equivalent required + Two or more years of… more