- King's Seafood Company (Costa Mesa, CA)
- …comp, benefits, LOA for King's Seafood Company. You will partner with the Director of People Resource and People Resource Generalist's to provide support and ... reducing legal risks, and ensuring regulatory complianceWorks closely with People Resource Director on more complex crew relations for all locations to resolve… more
- Sharp HealthCare (San Diego, CA)
- …Rees-Stealy claims with the Chief Medical Officer, President, Quality Director and Physician representative to discuss status of cases, resolution plans, ... reserves and settlement authority.* Assists with opening claim file for all claims ; assigns defense counsel when necessary.* Participates in decisions that… more
- Illumination Foundation (Santa Ana, CA)
- …knowledge in understanding, reading EOB's and Remittance Advice + Posting payment accurately to claims and continuing with the claim close out process. + Assist ... Angeles County and the Inland Empire. Job Description The Claims Specialist is responsible for accuracy of claims...to date accounts receivable for both CalAIM and IFMG, claim follow-up, and must have knowledge of billing codes.… more
- BRIDGE Housing Corporation (San Francisco, CA)
- …repairs & close out claims timely. + Maintain accounting forms for each claim by logging all the expense and coordinate with insurance adjusters to receive full ... and policy renewals, based on the direction of the Director of Risk Management. Responsibilities + Monitor Insurance inbox...claims at any given moment, understand where the claim is in the process of being closed. +… more
- LA Care Health Plan (Los Angeles, CA)
- Manager, Claims Integrity Provider Remediation (ALD- 24 months) Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 ... safety net required to achieve that purpose. Job Summary The Manager, Claims Integrity Provider Remediation is responsible for development and implementation of… more
- LA Care Health Plan (Los Angeles, CA)
- … department is of the highest quality and is well documented. Works with the Claims Director , Claims Managers and Supervisors to ensure the Plan's core ... Manager, Claims Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Los Angeles, CA, US, 90017 Position Type: Full Time… more
- Providence (Mission Hills, CA)
- **Description** Working under the direction of the Director , Business Applications & Analytics, this position is responsible for performing alpha and numerical data ... member research in IDX, and mailing of correspondence. The Claims Verifier will perform duties in accordance with guidelines...duties in accordance with guidelines set forth in the Claims Industry to ensure compliance with AB1455 and departmental… more
- Unilever (El Segundo, CA)
- …the scientific claim 's substantiation as a key scientific liaison in claims generation and regulatory review process. + Develop and implement policies & ... We're excited to expand our team with a Sr. Director , Scientific Affairs. Come join us! **About the role:**...eye for new product concepts, product improvements, new marketing ( claims & content) opportunities and keeping claim … more
- Universal Health Services (Wildomar, CA)
- …by either the Director of Risk Management/Accreditation or the Director of Performance Improvement/Patient Engagement + Claims and Litigation Management: ... Responsibilities The Director of Risk Management is a key member...with CBO regarding suspension of bills Timely forwarding of claim notices and submission of Probable Claim … more
- CommonSpirit Health (Glendale, CA)
- …subject matter expert. + Assists with ensuring risk management activities for claims are completed including timely claim identification and reporting, on-site ... claim management process, and there is local/market leader concurrence on claim resolution strategy. Completes those activities for claims along with local… more
