- LA Care Health Plan (Los Angeles, CA)
- Financial Compliance Auditor III Claims Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full ... County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose....that purpose. Job Summary The Financial Compliance Auditor III Claims is responsible for audits of claims … more
- Humana (Sacramento, CA)
- …issues and maintain compliance with CMS and Medicare Risk Adjustment requirements. + Support auditing processes for corrected claims , deletes, and no-show visit ... Humana's In Home Well-being Assessment (IHWA) team and take ownership of critical claims operations that ensure compliance and accuracy for Medicare members. As a… more
- Morley (CA)
- …outside counsel to support the client's defense strategies, including lemon law claims + Serve as the "Person Most Knowledgeable" (PMK) on the client's policies ... be a perfect fit for you! As a Legal Claims Analyst at Morley, you'll play a key role...Skills** + Understanding of litigation processes; able to confidently support legal cases + Strong listening skills; able to… more
- Sedgwick (West Hills, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Manager | West Hills, CA Are you looking for an opportunity to ... + Establishes policy and procedure to assure compliance to best practices, claims management services standards, state regulations and client service requirements. +… more
- Sedgwick (Concord, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Liability Claims Manager - Dedicated Are you looking for an opportunity to join a ... Establishes policy and procedure to ensure compliance to best practices, claims management services standards, state regulations and client service requirements;… more
- Insight Global (Irvine, CA)
- …One of Insight Global's customers is looking to onboard an Epic Professional Billing & Claims Analyst, II to their team to support the Professional Billing (PB) ... and Requirements 2-5 years of experience in Epic application support or similar analyst role. Strong knowledge of Epic...knowledge of Epic Professional Billing (PB) workflows (preferred) and Claims ; ability to work across both (approx. 2/3 PB,… 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 on ... in order to apply the proper decision rationale and provide evidentiary support to complete accurate written summaries. + Research incurred losses, using analytical… 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 ... elements in order to confirm the proper decision rationale and approve evidentiary support is included and written summaries are accurate. + Validate research on… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Recovery Manager is responsible for leading the recovery operations within the MSO Claims department. This role ... and finance to maximize cost recovery, reduce payment errors, and support contractual compliance. **Job Requirements** **Minimum Qualifications:** + High School… more
- Carrington (Anaheim, CA)
- …losses in order to dispute financial impact + Review and procure additional support upon receipt of rebutted responses from external partners / investors + Analyze ... in order to apply the proper decision rationale and provide evidentiary support to complete accurate written summaries. + Research incurred losses, using analytical… more