- Elevance Health (Costa Mesa, CA)
- …Coding Auditor Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case ... and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
- Kemper (Chatsworth, CA)
- …believe a high-performing culture, valuable opportunities for personal development and professional challenge, and a healthy work-life balance can be highly ... solely on the analysis & negotiation of bodily injury claims that are ordinarily assigned after the initial coverage...and resolve moderate to severe, including fatal, bodily injury claims with prompt review and respond to all demands,… more
- LA Care Health Plan (Los Angeles, CA)
- …One (1) inquiries, this includes but not limited to, general inquiries on claims processing and status and eligibility verification. In addition, this position will ... electronic inquiries and concerns on all products and paid/unpaid claims . Ensure that accurate information is being given to...Data entry experience with the ability to type a professional minimum of 35 wpm. Skills Required: Working knowledge… more
- Marriott (Los Angeles, CA)
- …GED; 3 years experience in the human resources, management operations, or related professional area. OR * 2-year degree from an accredited university in Human ... 1 year experience in the human resources, management operations, or related professional area. **CORE WORK ACTIVITIES** **Managing Recruitment and Hiring Process** *… more
- Marriott (Chula Vista, CA)
- …GED; 3 years experience in the human resources, management operations, or related professional area. OR * 2-year degree from an accredited university in Human ... 1 year experience in the human resources, management operations, or related professional area. **CORE WORK ACTIVITIES** **Managing Recruitment and Hiring Process** *… more
- The County of Los Angeles (Los Angeles, CA)
- …a of a medium-sized community library including the supervision of lower level professional and/or paraprofessional and clerical staff; 2) direct the operation of a ... and adult library programs and services, and supervising lower-level professional and paraprofessional staff. Incumbents in this class exercise...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- Public Consulting Group (Sacramento, CA)
- …through claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist ... through claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist… more
- Ventura County (Ventura, CA)
- …(III, IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, ... billing work, incumbents perform program administrative duties to assure that all claims are billed timely. WHAT WE OFFER The County of Ventura offers… more
- Travelers Insurance Company (Walnut Creek, CA)
- …that requires satisfactory completion of required training to advance to Claim Professional , Outside Property. This position is intended to develop skills for ... investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides...addition, our mental health program provides access to free professional counseling services, health coaching and other resources to… more
- Sedgwick (Roseville, CA)
- …best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing ... from and to share your insights. + Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.… more