- Zurich NA (Sacramento, CA)
- Sr. Claims Specialist (Workman's Compensation) 128616 Zurich is seeking an experienced Senior Workers Compensation Claims Specialist to join our team. We ... work arrangement, depending on your location. The Senior Workers Compensation Claims Specialist will handle multi-party commercial line Workman's Compensation… more
- Zurich NA (Sacramento, CA)
- Claims Specialist II (Workers Compensation) 128028 Zurich North America is seeking a skilled and experienced Claims Specialist II to join our dynamic ... we'd love to hear from you. The Workers Compensation Claims Specialist will handle multi-party commercial line...as appropriate. + Establish timely reserves and perform ongoing review throughout claims cycle within authority limit… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Research Specialist will oversee and manage research efforts related to claims overpayments, underpayments, ... issues within a managed care service organization. This role involves review /ensuring accurate and timely resolution of discrepancies, and working collaboratively… more
- Cedars-Sinai (Los Angeles, CA)
- …environment that fuels innovation. **Req ID** : 13216 **Working Title** : Revenue Cycle Specialist III (PB Claims ) **Department** : CSRC PB - Group 3 CSMCF ... Hospitals! **What will I be doing in this role?** The Revenue Cycle Specialist III works under general supervision and following established practices, policies, and… more
- Carrington (Anaheim, CA)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses ... the date the action occurs. + Issue corrections identified during the Quality Review Process, communicating findings to Loss Specialist for remediation. Ensure… more
- Carrington (Anaheim, CA)
- **Come join our amazing team and work remote from home!** The Claims Recovery & Loss Analysis Specialist is responsible for performing financial reconciliation ... action occurs. + Respond to and make all corrections identified during the Quality Review Process within 24 hours of receipt. + Responsible for learning new skills… more
- TEKsystems (Canoga Park, CA)
- …of HMO/Medicare claims processes. KeyResponsibilities: + Audit denied provider and member claims for accuracy and compliance + Review and process claims ... JobTitle: Retro Claims Reviewer Location: West Hills/Canoga Park 91304 Compensation:...+ Ensure HIPAA and PHI compliance throughout all claim review activities + Participate in special projects related to… more
- Robert Half Accountemps (Los Angeles, CA)
- Description A Hospital in Los Angeles is seeking a detail-oriented EOB Review Specialist to join the healthcare billing team. The EOB Review Specialist ... records teams to resolve discrepancies. Requirements + Previous experience in EOB review , medical billing, or healthcare claims processing preferred. +… more
- Morley (CA)
- …case details? If so, this role could be a perfect fit for you! As a Legal Claims Analyst at Morley, you'll play a key role in managing small automotive claims ... to support the client's defense strategies, including lemon law claims + Serve as the "Person Most Knowledgeable" (PMK)...the time + Work in partnership with the California review team (located in Michigan), evaluating vehicle buyback requests… more
- TEKsystems (Canoga Park, CA)
- …to hire an experienced RN or LVN with an active license to help address claims retro review . This role focuses on reviewing inpatient and outpatient claims ... Position: Utilization Review Nurse Work Enviroment: Hybrid work schedule Schedule:...+ Perform detailed utilization reviews for inpatient and outpatient claims . + Prepare medical records for medical directors and… more