- Philadelphia Insurance Companies (Roseville, CA)
- …and technical support staff to manage the day-to-day handling and settlement of claims , the processing and tracking of documents, making payments, tracking ... A++ by AM Best. We are looking for a Claims Supervisor II - Commercial Auto - BI to...+ Experience with Windows operating system. + Basic Word processing skills. National Range : $112,165.00 - $125,360.00 Ultimate… more
- Molina Healthcare (Long Beach, CA)
- …is involved in member enrollment, provider information management, benefits configuration and/or claims processing . + Responds to incoming calls from providers ... **Job Description** **Job Summary** The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims , coordinating,… more
- US Tech Solutions (Whittier, CA)
- …+ Experience working with DOFR (Division of Financial Responsibility) + Hands-on experience processing lab claims + Familiar with UB-92 and HCFA-1500 forms + ... 3+ months contract** **Responsibilities:** + Review, adjudicate, and process medical claims for HMO patients + Work closely with affiliated medical groups… more
- Banc of California (Santa Ana, CA)
- …throughout California and Denver, Colorado, as well as full-stack payment processing solutions through its subsidiary, Deepstack Technologies. The bank is committed ... (ACH) transactions, Large on-us & Unusual items, Stop payment, ATM/Mobile/RDC Deposits, Check Claims , Fraud alerts for Wire, ACH & Debit Card, Wire Transfer. +… more
- Kemper (Cerritos, CA)
- …At Kemper, a Represented Casualty Manager is responsible for the oversight of all claim processing and management activities assigned to claim units. This ... and also provides guidance and support to ensure timely, accurate, efficient claim processing and performance metrics. **POSITION RESPONSIBILITIES:** + Manages… more
- Cedars-Sinai (CA)
- …arise. **Department specific responsibilities include:** Analyzes, trends, reports out, and resolves pended claims in PB Claim Edit WQs and PB Payer Rejection ... clean claim submissions and timely reimbursement. Completes special PB claims related projects as assigned. These projects could include trending issues to… more
- Cedars-Sinai (Los Angeles, CA)
- …solution definition, applications development and maintenance and enhancements for finance, claims processing , revenue management, and billing systems. Primary ... and payments for partners. + Address inquiries and provide support regarding claims processing and clearinghouse operations. + Implement corrective actions for… more
- Sedgwick (Los Angeles, CA)
- …documentation. Efficiently manages a case load using technology for efficient claim processing . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Evaluates ... efficiently. + Utilizes technology and automation tools for efficient claim handling. + Sends claims exceeding $15,000...tools for efficient claim handling. + Sends claims exceeding $15,000 gross loss amount to leadership for… more
- Prime Therapeutics (San Diego, CA)
- …skill and understanding of the point of sale and on-line pharmacy claims processing environment + Excellent oral, written and interpersonal communication ... pharmacy audits and is responsible for the selection and auditing of claims , educating Prime's network pharmacies and driving contract compliance, and supporting… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …all necessary documentation required from payors to ensure accurate adjudication of claim for reimbursement. They will process claims correctly following ... claim on to leadership for further review and or appropriate resolution of claim . Incumbent is responsible for daily processing of assigned work queues… more