- ICW Group (Woodland Hills, CA)
- …better everyday! Learn more about why you want to be here! **PURPOSE OF THE JOB** The Senior Claims Examiner handles moderate to complex claims with a ... an equitable conclusion within Company standards and best practice guidelines. The Senior Claims Examiner works with a sense of urgency, understands… more
- 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...claims . Ensures that claims are settled in a timely fashion and in...of claimants. Keeps meticulous notes and records for each claim . + Manages a caseload of various types of… more
- Sedgwick (Roseville, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Liability Claims Examiner | Must Reside in CA Must Reside ... resolution to appropriate parties. + Responsible for litigation process on litigated claims and follow defense counsel guidelines and service expectations + Responds… more
- US Tech Solutions (Whittier, CA)
- …UB-92 and HCFA-1500 forms + Understanding of provider contracts, Medi-Cal, commercial, and senior plan claims + Strong knowledge of timeliness, payment accuracy, ... 3+ months contract** **Responsibilities:** + Review, adjudicate, and process medical claims for HMO patients + Work closely with affiliated medical groups… more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR PHYSICIAN (Forensic Pathology) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4766320) Apply SENIOR PHYSICIAN (Forensic Pathology) ... Angeles County, CA Job Type Full time Job Number P5456C-R Department MEDICAL EXAMINER Opening Date 01/16/2025 Closing Date Continuous + Description + Benefits +… more
- UCLA Health (Los Angeles, CA)
- …reviewing treatment progress, recommending medical treatment interventions to the third-party claims examiner , and ensuring compliance with applicable workers' ... Compensation Analyst and department manager, you will manage workers' compensation claims by supporting employees who have experienced work-related injuries or… more
- LA Care Health Plan (Los Angeles, CA)
- …for the overall communication and collaboration with cross-functional teams, senior leadership, and delegates. Plans and implements systems and procedures ... data by delegates on a monthly basis to assign the annual claim processing and financial solvency audits, adherence to regulatory requirements. Manages complex… more
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