- Molina Healthcare (Long Beach, CA)
- **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of ... claims . Ensures that claims are settled in...Procures all medical records and statements that support the claim . + Makes recommendations for further investigation or resolution.… more
- US Tech Solutions (Whittier, CA)
- …3+ months contract** **Responsibilities:** + Review, adjudicate, and process medical claims for HMO patients + Work closely with affiliated medical groups ... Evaluate provider reimbursement terms and flag non-contracted providers + Ensure claims are processed accurately and timely per policy guidelines **Experience:** 2+… more
- Sedgwick (El Dorado Hills, CA)
- …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles...claim status; and provides written resumes of specific claims as requested by client. + Assures that direct… more
- Sedgwick (Sacramento, CA)
- …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles...claim status; and provides written resumes of specific claims as requested by client. + Assures that direct… more
- Sedgwick (West Hills, CA)
- …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles...claim status; and provides written resumes of specific claims as requested by client. + Assures that direct… more
- Sedgwick (West Hills, CA)
- …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles,...claim status; and provides written resumes of specific claims as requested by client. + Assures that direct… more
- The County of Los Angeles (Los Angeles, CA)
- …Angeles County, CA Job Type Full time Job Number P4886A-R Department MEDICAL EXAMINER Opening Date 10/09/2024 Closing Date Continuous + Description + Benefits + ... subject to closure without prior notice. About the Medical Examiner : The Department of Medical Examiner investigates...as spam/junk/clutter mail. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- CDM Smith (San Diego, CA)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...potential fraud, and ensure the integrity and fairness of claim settlements. By applying advanced accounting, auditing, and investigative… more
- The County of Los Angeles (Los Angeles, CA)
- …County, CA Job Type Full time Job Number P4887E-R Department MEDICAL EXAMINER Opening Date 10/16/2023 + Description + Benefits + Questions Position/Program ... Information DEPARTMENT OF MEDICAL EXAMINER -CORONER EXAM NUMBER: P4887E-R TYPE OF RECRUITMENT: Open Competitive...as spam/junk/clutter mail. Los Angeles County will not accept claims of not receiving assessment invitations as a reason… more
- The County of Los Angeles (Los Angeles, CA)
- …Angeles County, CA Job Type Full time Job Number P5456C-R Department MEDICAL EXAMINER Opening Date 01/16/2025 Closing Date Continuous + Description + Benefits + ... met and is subject to closure without prior notice. About the Medical Examiner : The Department of Medical Examiner investigates and determines the circumstances,… more
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