- Pacer Staffing (Whittier, CA)
- …Position Summary: . The claims examiner reports directly to the claims manager . They are primarily responsible for the processing functions (operation, ... Job Title: Claims Examiner Location: 9557 Greenleaf Avenue, Whittier, CA...adjudication, and payment) of UB-92 and HCFA-1500 claims that are received from PHP affiliated medical groups… more
- Nesco Resource (Long Beach, CA)
- Description:PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims ... involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service… more
- Blue Shield of California (Long Beach, CA)
- …RoleThe Facility Compliance Review team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and ... events. The Utilization Management Nurse, Senior will report to the Senior Manager , Facility Compliance Review. In this role you will be reviewing medical… more
- ICONMA (Los Angeles, CA)
- …member for all US based operations Works with the Return to Work Case Manager on certain cases as needed, which includes conducting case management of claims ... to assist in claim evaluation, managing to conclusion lost time claims . Coordinate Employee Assistance Program and work/life balance activities by serving… 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)
- **Anticipated End Date:** 2024-09-23 **Position Title:** Claims Analyst III- Overpayment Prevention **Job Description:** ** Claims Analyst III- Overpayment ... incorporated into query design, completes and coordinates UAT testing on claims identified as potential overpayments. Completes all required documentation to support… 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
- Nestle (Los Angeles, CA)
- …health and nutrition for patients and consumers. **Position Summary:** The Regulatory Manager is responsible for assuring that Nestle Health Science products fully ... to cross-functional teams in areas like recipe compliance, labeling, claims substantiation, ingredient qualification (eg GRAS, NDI), and nutrition science.… 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
- 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
- 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)
- 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
- Abbott (Sylmar, CA)
- …colleagues serve people in more than 160 countries. **Job Title** Group Marketing Manager , High Voltage Therapies **Working at Abbott** At Abbott, you can do work ... mothers, female executives, and scientists. **The Opportunity** The **Group Marketing Manager , High Voltage Therapies** Solutions works in **Sylmar, CA** in the… 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
- 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
- ASM Global (Long Beach, CA)
- Job Title: Finance Manager Reports to: Controller Department: Finance Salary: $90-$100k Position Overview: Join the dynamic team at ASM Global and play a pivotal ... Long Beach Convention and Entertainment Center! As a Finance Manager , you'll be at the heart of our operations,...system), ensuring precise monitoring and reporting. + Lead Liability Claims : Serve as the primary point of contact for… 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
- Safran (Huntington Beach, CA)
- Contracts Manager Company : Safran Cabin Job field : Sales & Marketing Location : Huntington Beach , California , United States Contract type : Permanent Contract ... say, "We did that". In the role of Contracts Manager you'll play a pivotal part on our Sales...and conditions * Identify out-of-scope work and resolve open claims with the customer * Analyze and communicate contract… more
- Walgreens (Torrance, CA)
- …events that reflect the unique communities we serve as requested by Store Manager , Healthcare Supervisor, or District Manager . Operations + Counsels' patients ... ensuring that elements of Good Faith are present. + Collaborates with Store Manager to define and develop new strategic business opportunities. + Maintains current… more
- Walgreens (Van Nuys, CA)
- …others accountable for efficient workflow. + At the direction of the Pharmacy Manager or pharmacist, prepares, and files reports and records required by the company ... maintenance of pharmacy department equipment. In collaboration with Pharmacy Manager , responsible for recordkeeping and ensuring security safeguards are in-place.… more
