• Adjudicator, Provider Claims (LTSS Call…

    Molina Healthcare (Long Beach, CA)
    …incoming calls from providers regarding claims inquiries and provides excellent customer service ; documents calls and interactions. + Assists in the reviews ... equivalent combination of education and experience; **REQUIRED EXPERIENCE:** 2-3 years customer service , claims , provider and investigation/research… more
    Molina Healthcare (08/27/25)
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  • Account Manager - 4751 Wilshire LLC 4727 Wilshire…

    Towne Park (Los Angeles, CA)
    …+ Demonstrates the ability to positively move the metrics for forecasting, productivity, claims , customer service , and turnover + Manages scheduling, ... trained in safety and loss prevention procedures + Ensures claims are reported timely and accurately and cooperates with...of general business practices including accounting, human resources and customer service + Must be able to… more
    Towne Park (08/27/25)
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  • Grievance/Appeals Analyst I (California)

    Elevance Health (Los Angeles, CA)
    …or GED and a minimum of 3 years experience working in grievances and appeals, claims , or customer service ; or any combination of education and experience ... that reviews, analyzes and processes non-complex pre service and post service grievances and appeals requests from customer types (ie member, provider,… more
    Elevance Health (08/30/25)
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  • Senior Claims Examiner

    ICW Group (Woodland Hills, CA)
    …and witnesses to gather information and provide the highest possible level of customer service . + Promptly investigates claims to determine exposure, ... to be here! **PURPOSE OF THE JOB** The Senior Claims Examiner handles moderate to complex claims ...fees and costs. Additional Responsibilities: + Consistently provides exceptional customer service . + Effectively collaborates with team… more
    ICW Group (08/08/25)
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  • Complex Claim Representative, Construction…

    Travelers Insurance Company (Irvine, CA)
    …designed to support flexibility. **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality ... knowledge and skill in various business line products. + Strong negotiation and customer service skills. + Skilled in coverage, liability and damages analysis… more
    Travelers Insurance Company (08/09/25)
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  • Supervisor Dental Government Business Operations

    Highmark Health (Sacramento, CA)
    …job provides supervisory direction and oversight for all enrollment, premium billing, claims and/or customer service telephone and written correspondence ... requirement, policies and procedures + Knowledge of enrollment and billing, claims and/or customer service telephone and written correspondence processes and… more
    Highmark Health (08/22/25)
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  • Sr. Claim Representative Construction Liability

    Travelers Insurance Company (Diamond Bar, CA)
    …job does not manage staff. **What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file quality and ... knowledge and skill in various business line products. + Strong negotiation and customer service skills. + Skilled in coverage, liability and damages analysis… more
    Travelers Insurance Company (06/03/25)
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  • MSO Healthcare Contract Specialist

    HCA Healthcare (Campbell, CA)
    …the lead on implementation of such contracts to ensure functions such as Claims System Configuration, Customer Service , Utilization Management and Compliance ... an environment that promotes PPMSI Guiding Principles of _Operational Excellence, Customer - Service Mindset, Equitable & Accessible Care, Respect & Compassion… more
    HCA Healthcare (07/26/25)
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  • Senior Internal Business Systems Analyst

    Highmark Health (Sacramento, CA)
    …SUMMARY** MUST BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service , Regulatory Affairs, IT, Legal and other ... and industry regulatory changes and assess their potential impact on Claims Operations, Customer Service and other operational areas processes and… more
    Highmark Health (07/11/25)
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  • Customer Service Specialist…

    Amazon (CA)
    …with our member's billing needs via 1Life's tasking system to provide the best customer service . Investigating claims through insurance to ensure they were ... providers with urgent & stat patient needs. Key job responsibilities A phone customer service healthcare associate for patient billing inquiries at One Medical… more
    Amazon (08/08/25)
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