• Senior Claims Representative, Workers'…

    The Hartford (CA)
    …Achieve fair, equitable and timely claim dispositions + Properly assess the indemnity, medical and expense exposure of assigned claims + Set reserves accurately ... the future. This is a 100% remote, work from home opportunity. This position is open only to candidates...As a Senior Workers' Compensation Claim Representative, you are at the front lines for our customer. Your primary… more
    The Hartford (05/06/25)
    - Related Jobs

  • Represented Bodily Injury Claims Adjuster

    Kemper (Cerritos, CA)
    …your advanced negotiation skills? Kemper is looking for experienced Bodily Injury Claims Adjusters for our growing teams! This specialized position focuses solely on ... the analysis & negotiation of bodily injury claims that are ordinarily assigned after the initial coverage...time limit demands + Obtain and thoroughly analyze complex medical records and data + Research and apply applicable… more
    Kemper (07/11/25)
    - Related Jobs

  • Claims Quality Auditor

    UCLA Health (Los Angeles, CA)
    …with: + High school diploma, GED or equivalent + Four or more years of medical claims payment experience in an HMO environment + Experience with CPT-4, ICD-9CM, ... next level. You can do all this and more at UCLA Health. The Claims Quality Auditor...medical terminology + Experience in benefit determination and claims adjudication + Ability to accurately key 6,000-8,000 keystrokes… more
    UCLA Health (05/08/25)
    - Related Jobs

  • Pharmacy Claims Auditor CPhT

    Conduent (Los Angeles, CA)
    …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 ... audit pharmacy claims for accuracy?** **About the Role** Conduent Payment Integrity...containing prescription records. (Most records are electronic.) **Flexible Working** At Conduent, we want you to be yourself. We… more
    Conduent (06/21/25)
    - Related Jobs

  • Credit Balance Specialist - Hospital Claims

    Guidehouse (San Marcos, CA)
    …working two days in the San Marcos, CA office and three days from home ._** + Timely and accurately resolves credit balances. + Process internal and external refund ... service. + Working knowledge can be of the following: insurance claims , billing, coding, follow-up, finance, accounting or customer service related responsibilities.… more
    Guidehouse (06/23/25)
    - Related Jobs

  • Home Infusion Medical Biller…

    Robert Half Accountemps (Los Angeles, CA)
    …and accurate reimbursement for home infusion services. Key Responsibilities: + Medical Billing: Review, prepare, and submit insurance claims for Home ... Description We are seeking an experienced Home Infusion Medical Biller Collector to...payer guidelines and industry standards + Collections: Investigate unpaid claims , identify reasons for nonpayment or denials, and follow… more
    Robert Half Accountemps (07/16/25)
    - Related Jobs

  • Work at Home Contact Center Agent

    Mass Markets (CA)
    POSITION OVERVIEW WE'RE HIRING 1,000 WORK AT HOME STAFF TO SUPPORT FEDERAL, STATE, AND COMMERCIAL CLIENTS MCI is looking for nationwide work at home ... broadband connection. * POSITION RESPONSIBILITIES WHAT DOES A WORK AT HOME CONTACT CENTER REPRESENTATIVE DO? This...+ Health Benefits: Full-time employees are eligible for comprehensive medical , dental, and vision coverage after 90 days of… more
    Mass Markets (07/16/25)
    - Related Jobs

  • Medical Coding Auditor Evaluation…

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... 401k match * Generous Paid Time Off accrual * Tuition Reimbursement * Parent Leave **Work at Home Requirements** * To ensure Home or Hybrid Home /Office… more
    Humana (07/24/25)
    - Related Jobs

  • Sr. Workers' Compensation Claim Representative

    Travelers Insurance Company (Irvine, CA)
    … with lost time to conclusion and negotiate settlements where appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a ... hybrid and will have the option to work from home up to 2 days per week. This position will...Medical Case Manager. Independently handles assigned claims of… more
    Travelers Insurance Company (07/04/25)
    - Related Jobs

  • Regional General Adjuster, Field - Large Loss…

    Sedgwick (San Diego, CA)
    …Regional General Adjuster, Field - Large Loss Property (Sacramento, CA) As an adjuster at Sedgwick, you'll have the opportunity to take on new challenges and help ... your adjuster knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...you places with the ability to travel and deploy at a moment's notice. + Access diverse and comprehensive… more
    Sedgwick (07/16/25)
    - Related Jobs