- Cedars-Sinai (CA)
- **Job Description** The Claims Examiner is responsible for accurately and consistently adjudicating claims in accordance with policies, procedures and ... required. Three (3) years of experience on an automated claims processing system (Epic Tapestry preferred) preferred....and beyond. **Req ID** : 11588 **Working Title** : Claims Examiner - Managed Care **Department** :… more
- Robert Half Office Team (Oakland, CA)
- Description We are looking for an experienced Insurance Claims Examiner to join our team on a contract basis in Oakland, California. In this role, you will ... analyze and process medical claims , ensuring accuracy and compliance with healthcare regulations. Ideal...Medicare, and other healthcare regulations. * Research and resolve claim discrepancies, ensuring proper payment and documentation. * Utilize… more
- ADP (San Dimas, CA)
- …state-of--the art predictive modeling, and metrics, data analytic tools and HRIS and claims systems . + Requires comprehensive knowledge of CA and western region ... ADP is hiring a ** Claims Lead Examiner ** . **_RESPONSIBILITIES:_** +...department and company goals. + Monitor and ensure qualitative claim handling through TPA and other vendor partners. +… more
- ICW Group (CA)
- …Learn more about why you want to be here! **PURPOSE OF THE JOB** The Senior Claims Examiner handles moderate to complex claims with a focus on providing ... within Company standards and best practice guidelines. The Senior Claims Examiner works with a sense of...industry's best practices. + Ensures accuracy of data in claims system for compliance with applicable regulatory… more
- Sacramento County (Sacramento, CA)
- …at 5:00 pm on: 1/8/26, 1/29/26 (Final) Under direction, the Workers' Compensation Examiner performs specialized claims service in the administration of the ... Workers' Compensation Examiner Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/5173199) Apply Workers' Compensation Examiner Salary… more
- The County of Los Angeles (Los Angeles, CA)
- TITLE EXAMINER II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/5128927) Apply TITLE EXAMINER II Salary $82,490.16 - $99,735.36 Annually ... years title examining experience at the level of Title Examiner I* or higher in the service of Los...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- ICW Group (Woodland Hills, CA)
- …Examiner using computer to enter, access, search, and retrieve data. Assists Claims Examiner with complete post- claims resolution and related ... conversations or information on appropriate enterprise resource planning (ERP) system . + Organizes and works with Examiner ...provides referrals to outside vendors as requested by the Examiner . + Processes claims for indemnity payments… more
- LA Care Health Plan (Los Angeles, CA)
- …or Healthcare Related Field Experience Required: At least 3 years of experience as claims examiner working with medical facility claims and high dollar ... Supervisor, Claims Job Category: Claims Department: ...regulations. This position will manage new program implementations and/or system implementations. This position must maintain an up-to date… more
- Ventura County (Ventura, CA)
- …reports for agency directors and managers. + Monitors TPA and insurance carrier claim systems for accuracy. + Reviews, revises, designs, coordinates, implements, ... DESIRED: + Four (4) or more years' experience as a workers' compensation claims examiner or adjustor for an insurance carrier, third-party administrator, or… 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