- Molina Healthcare (Long Beach, CA)
- **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage ... amount and benefit interpretation. Monitors and controls backlog and workflow of claims . Ensures that claims are settled in a timely fashion and in accordance… more
- Conduent (Los Angeles, CA)
- …part of a culture where individuality is noticed and valued every day. **Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification?** **Would you like to ... audit pharmacy claims for accuracy?** **About the Role** Conduent Payment Integrity...Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries… more
- Humana (Sacramento, CA)
- …your opportunity to lead cross-functional initiatives, apply your expertise in healthcare claims , and shape the future of operational excellence in a dynamic, ... + 2+ years of demonstrated expertise in end-to-end healthcare claims operations, including claim ingestion, processing, system navigation, payment workflows,… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: The primary purpose of this position is to examine & process claims from the UB04 & CMS-1500 claim forms into the claims adjudication system for all ... This position is responsible for the accurate review, input & adjudication of claims using payment policies & methodologies that are consistent with and recognized… more
- 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...The amounts listed are the base pay range; additional compensation may be available for this role, such as… more
- Sedgwick (Orange, CA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Assistant | Orange, CA (In-Office) Are you looking for an impactful job ... required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… 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 ... Degree preferred. + Accounting experience or background a plus. Range: $42,000-$59,300 ** Compensation :** Compensation for roles at Public Consulting Group varies… more
- CVS Health (Sacramento, CA)
- …problems regarding policies and procedures, plan design, credentialing process or status, and claims or compensation process or status. Assists managers in the ... issues and internal inquiries regarding policies and procedures, credentialing or claims status, orientation activities, and database or portal information or usage.… more
- Guidehouse (San Marcos, CA)
- …service. + Working knowledge can be of the following: insurance claims , billing, coding, follow-up, finance, accounting or customer service related responsibilities. ... \#IndeedSponsored The annual salary range for this position is $42,000.00-$70,000.00. Compensation decisions depend on a wide range of factors, including but… more
- Reyes Holdings (Stockton, CA)
- …completion of a background check and drug screening. Pay Transparency Our compensation philosophy embraces diverse factors for fair pay decisions, valuing skills, ... experience, and the needs of our business. Moreover, this role may have the opportunity to participate in a discretionary incentive program, subject to program rules. All qualified applicants will receive consideration for employment without regard to race,… more