- Providence (CA)
- **Description** **Senior Claims Manager - Employment Practice Liability \*Remote * Candidates residing in Alaska, Washington, Montana, Oregon, California, Texas or ... New Mexico are encouraged to apply.** The Senior Claims Manager- Employment Practice Liability ("EPL") is responsible for...- they're invaluable. Join our team at Integrity Compliance Audit Services and thrive in our culture of patient-focused,… 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 ... reports. + Create and maintain adequate budget files for clients for audit purposes. + Monitor accuracy/timeliness of payment processing. + Enter budget information… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …This pivotal leadership role is directly accountable for contributing to audit functions, business continuity, claims management, insurance, physical security, ... candidate should have current and extensive experience in managing large-exposure, complex claims and understand the dynamics of market and industry related to … more
- AIG (Los Angeles, CA)
- …best meets clients' needs. + Working collaboratively with home office, distribution, actuary, claims , loss control, premium audit , credit and legal to develop ... and maintain a profitable portfolio of primary accounts business. + Adhering to underwriting rules and guidelines. + Ability to collaborate with other product lines to provide full product support to the client. + Strong relationships with brokers to ensure a… more
- Elevance Health (Walnut Creek, CA)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of… more
- The County of Los Angeles (Los Angeles, CA)
- …records, and other related areas, and prepares comprehensive reports on audit findings. CLASSIFICATION STANDARDS Positions allocable to this class are located ... professional standards. Incumbents must have extensive knowledge of performance audit standards, including Generally Accepted Auditing Standards and have familiarity… more
- City National Bank (Los Angeles, CA)
- …that may require ad hoc rule implementation; research and respond to escalated fraud claims ; malware alerts; review of department audit reports and other support ... activities defined by management. This position requires subject matter expertise on all system platform functionalities used by the fraud team, as well as deep understanding of Regulations E and Z. Responsible for building and maintaining relationships with… more
- Travelers Insurance Company (Gardena, CA)
- …this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim ... resolution for personal or business claims of moderate severity and complexity. Handles ...business other than property (ie auto, workers compensation, premium audit , underwriting) may be required. Provides quality claim handling… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …ready, oversee clinical trial and submission support, lead the R&D audit program, engage with regulatory authorities, and maintain clinical data integrity. ... sites, and vendors (including contract research organizations) and ensure that audit results are communicated, and appropriate corrective actions are implemented and… more
- Ventura County (Ventura, CA)
- …general direction, the incumbent is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, ... analyzes credits, payments, and over adjustments; + Analyzes and updates claims generated prior to transmitting to the appropriate intermediary/payor within billing… more