- NTT DATA North America (Ontario, CA)
- …Services have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our industry-specific ... sourcing strategy. NTT DATA Services currently seeks Xcelys Medical Claims Team Lead to join our team remotely for...Act as the first point of escalation for complex claim issues and provide expert assistance. + Conduct regular… more
- Robert Half Office Team (Ontario, CA)
- Description We are looking for a detail oriented Entry-level Claims Representative to join our clients' team in Ontario, California. In this role, you will provide ... critical support in managing claims -related tasks, ensuring accuracy and efficiency in processing, reconciling, and auditing claims . This is a long-term contract… more
- Conduent (Los Angeles, CA)
- …our client's pharmacy claim data. This is to ensure billed pharmacy claims are being accurately submitted. You will also be required to represent our clients ... part of a culture where individuality is noticed and valued every day. **Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification?** **Would you like to… more
- LA Care Health Plan (Los Angeles, CA)
- Specialty Health Plans Auditor III Claims Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full ... purpose. Job Summary The Specialty Health Plans Auditor III Claims is responsible for all aspects of planning, execution,...liaison for Centers for Medicare and Medicaid Services (CMS) claim audit section of LA Care delegates. Reviews and… more
- Zurich NA (Gold River, CA)
- …. + Expertise in construction-related claims . + Leadership experience in claims or operations . + Strong negotiation and analytical skills. At Zurich, ... Claims Team Manager, General Liability (Construction) 127498 **Join...fostering a collaborative and supportive workplace culture. + Optimize Operations : Monitor team resources, allocations, and expenditures to manage… more
- AIG (Los Angeles, CA)
- …way we help customers to manage risk. Join us as a Pre-Injury Consultant - Claims to play your part in that transformation. It's an opportunity to grow your skills ... valued member of the team. Make your mark in Claims Stewardship Our Claims teams are the...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- NTT DATA North America (Ontario, CA)
- NTT DATA is currently seeking **Senior Medical Claims Examiners (3+ years of Xcelys required)** to join our US based team. This is a 100% remote role. **Must be able ... zone** **Purpose** To serve as a senior-level adjudicator and SME for medical claims within the Xcelys environment. Provide subject-matter expertise on claims … more
- NTT DATA North America (Ontario, CA)
- …Services have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our industry-specific ... part of an overall sourcing strategy. NTT DATA Services currently seeks Xcelys Medical Claims Examiners to join our team remotely for a 3 month contract role. **MUST… more
- Cognizant (Sacramento, CA)
- **Facets Benefits and Claims Configuration Lead** **Location: Remote** **Job ID: 00065904022** **About the role** As a Facets Benefits and Claims Configuration ... collaboratively across business and technical stakeholders to ensure accurate claims processing and benefit configuration aligned with organizational goals. **In… more
- Dignity Health (Bakersfield, CA)
- …The Claims Recovery Manager is responsible for leading the recovery operations within the MSO Claims department. This role oversees all efforts ... or GED + Minimum 5 years of progressive experience in healthcare claims recovery, payment integrity, or post-payment audit functions, preferably within a multi-plan… more