- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Examiner III is an advanced-level role responsible for the detailed and accurate processing, review, and adjudication ... of complex healthcare claims . This position requires expert knowledge of ...Services Organization (Dignity Health MSO) is to build a system -wide integrated physician-centric, full-service management service organization structure. We… more
- Zurich NA (Woodland Hills, CA)
- Workers Compensation Claims Recovery Senior Specialist 127715 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority ... your next career move. Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct… more
- UCLA Health (Los Angeles, CA)
- …organizational skills + Computer proficiency with Microsoft Office + Knowledge of claims adjudication systems + Flexibility and adaptability UCLA Health is ... that enables the efficient operation of a complex health system . Take your career to the next level. You...do all this and more at UCLA Health. The Claims Quality Auditor will be responsible for the daily… more
- AECOM (Fresno, CA)
- …Knowledge of rail and roadway infrastructure, including structures, staging, and systems integration + Familiarity with contractual claims management, ... world. Join us. **Job Description** **AECOM** is seeking a **Senior Scheduler - Forensic Claims ** for one of our offices in **Fresno** **, CA** . **JOB SUMMARY**… more
- Fluor (Fresno, CA)
- …services for one of the largest planned infrastructure projects in the US The system will connect the 500-mile stretch between the Los Angeles region with the San ... direction of the Director and Deputy Director of the PMO/forensics & Claims , this role is responsible for developing forensic analyses and providing oversight… more
- Zurich NA (Sacramento, CA)
- Claims Call Center Representative 127686 Zurich is a leading multi-line insurer that serves its customers in global and local markets. Zurich's customers include ... different levels of complexity, ensuring a positive customer experience. + Resolve complex claims inquiries and problems, judging when to pass complex queries on to… more
- Banc of California (Santa Ana, CA)
- …from fraud-related losses and improve customer experience: ACH & Check Claims /Disputes, Deposit Reviews from ATM/Mobile/RDC/In- Mail deposits, Mobile & Online ... reports and enters cases/incidents into the internal case management system . Provides escalation and updates to supervisor regarding cases....and prioritize workload. + Familiar with FiServ & PEP+ systems is a plus. + Proficiency in Word, Excel,… more
- Public Consulting Group (Chula Vista, CA)
- …Assessments and Feasibility Studies PCG is seeking highly motivated and dependable Claims Specialist payment processing clerk with an interest in public service who ... practices; efficient with computers. Demonstrated ability to use various computer systems , preferably CalSAWS and KinderTrak, althoughnot required. + Ability to… 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
- The County of Los Angeles (Los Angeles, CA)
- …They also assist project managers in the development of project plans and system integration test plans for new systems or complex enhancements to ... systems ; prepares user acceptance test documentation; collaborates with system users to conduct user acceptance testing. Coordinates the identification and… more