- LA Care Health Plan (Los Angeles, CA)
- Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... in the application of medical and reimbursement policies within the claim adjudication process through medical record review for Payment Integrity and… more
- CCMS & Associates (Oakland, CA)
- …Statement of Loss, Proof of Loss, and denial letters + California state adjusters license + Must have a valid drivers license Responsibilities: + Complete ... and commercial field property inspections utilizing Xactimate software + Investigate claims by obtaining recorded statements from insureds, claimants, or witnesses… more
- Allied Universal (San Jose, CA)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic...positions** **available** **!** + **Must** **possess** **a valid driver's license with at least one year of driving experience**… more
- USAA (San Diego, CA)
- …Investigation Unit (SIU) referrals, when appropriate. + Maintains accurate and current claim file documentation throughout the claims process for low complexity ... and appraise low complexity (drivable, material loss, auto physical damage) auto claims in accordance with the terms and conditions of the contract, corporate… more
- The County of Los Angeles (Los Angeles, CA)
- …operating statements, final accounting for construction and other projects, and claims for reimbursement from other government agencies or private contractors. + ... Evaluates and reconciles complex operating systems for cost reporting and claims processing reimbursements from other government agencies. + Prepares balance sheets,… more
- City and County of San Francisco (San Francisco, CA)
- …to charge errors, claims submission volume, denials and trends based on claim type and/or payer, including unbilled inventory to ensure the team is prioritizing ... the collecting, editing, transmission and controls over data required for electronic claim submission. Works closely with IT and Vendors to ensure proper system… more
- Sedgwick (Sacramento, CA)
- …Insurance Marine Adjuster **PRIMARY PURPOSE** **:** To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up ... documentation, and issues settlement. + Receives and reviews new claims and maintains data integrity in the claims...+ Prepares settlement documents and requests payment for the claim and expenses. + Assists in preparing loss experience… more
- BrightSpring Health Services (Union City, CA)
- …of the pharmacy. + Identifies and resolves issues of denials or follow-up of claims . + Maintains current knowledge of Medicaid claim regulations and processes. + ... Prior supervisory experience. Skills/Knowledge: + Required: Knowledge of Medicaid claims regulations and processes. Basic understanding of drugs, medication… more
- The County of Los Angeles (Los Angeles, CA)
- …BY THE LAST DAY OF FILING . NO WITHHOLDS WILL BE ALLOWED FOR THIS EXAMINATION. LICENSE : A valid California Class C Driver License or the ability to utilize an ... to take the above steps to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be a valid reason for late… more
- Travelers Insurance Company (Rosemead, CA)
- …Imagine loving what you do and where you do it. **Job Category** Claim , Legal **Compensation Overview** The annual base salary range provided for this position ... local expertise and outstanding client service. We handle litigation arising from claims asserted against policyholders or the company and take cases from inception… more