- ICW Group (Woodland Hills, CA)
- …Learn more about why you want to be here! **PURPOSE OF THE JOB** The Senior Claims Examiner handles moderate to complex claims with a focus on providing ... conclusion within Company standards and best practice guidelines. The Senior Claims Examiner works with a sense of urgency, understands insurance coverage… more
- Molina Healthcare (Long Beach, CA)
- …**Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of claims. Ensures that claims ... are settled in a timely fashion and in accordance with cost control standards. **KNOWLEDGE/SKILLS/ABILITIES** + Meets and consistently maintains production standards for Claims Adjudication. + Supports all department initiatives in improving overall… more
- Sedgwick (Roseville, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Liability Claims Examiner | Must Reside in CA Must Reside in ... California **PRIMARY PURPOSE** : To address and handle litigated and some non-litigated complex cases with serious injuries, general liability, employment practice liability and legal inquiries or disputes; to develop a strategy to bring a case to satisfactory… more
- MUFG (Los Angeles, CA)
- …will provide more details. **Job Summary:** We're searching for a Credit Examiner to provide a comprehensive assessment of enterprise-wide risk management practices. ... adverse trends of leading and lagging performance indicators. + Serve as Examiner -In-Charge (EIC) for complex portfolios or processes. As EIC, effectively plan,… more
- US Tech Solutions (Whittier, CA)
- …and HCFA-1500 forms + Understanding of provider contracts, Medi-Cal, commercial, and senior plan claims + Strong knowledge of timeliness, payment accuracy, and ... compliance standards + Basic computer and data entry skills **Education:** High school diploma, GED, or higher **About US Tech Solutions:** US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce… more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR PHYSICIAN (Forensic Pathology) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4766320) Apply SENIOR PHYSICIAN (Forensic Pathology) ... Angeles County, CA Job Type Full time Job Number P5456C-R Department MEDICAL EXAMINER Opening Date 01/16/2025 Closing Date Continuous + Description + Benefits +… more
- City and County of San Francisco (San Francisco, CA)
- …reviews detailed and complex medical and technical records and reports. + Senior Family Physician, Internist or Medical Subspecialist + Evaluates patient signs and ... a consultant to physician specialists on difficult and complex cases. + Senior Surgical Specialist or Subspecialist + Evaluates patient signs and symptoms, reviews… more
- City National Bank (San Francisco, CA)
- *MANAGER FINANCIAL INTEL SERVICES SENIOR * WHAT IS THE OPPORTUNITY? Management and accountability of the Bank's Financial Crimes Compliance (FCC) department ... critical function within the detection and prevention control environment. This Senior Manager will drive bank's transaction monitoring and OFAC enterprise solution… more
- Highmark Health (Sacramento, CA)
- …on all efforts. + Provide proactive guidance, education, and information to senior management, so that leaders remain informed and aware of risks, requirements, ... of the Board. Gathers data and prepares reports for senior management and Board of Directors as needed. Ensure...(CPA) + Certified Internal Auditor (CIA) + Certified Fraud Examiner (CFE) + Certified in Healthcare Compliance (CHC) +… more
- UCLA Health (Los Angeles, CA)
- …progress, recommending medical treatment interventions to the third-party claims examiner , and ensuring compliance with applicable workers' compensation laws, ... regulations, and UCLA Health's Transitional Return to Work program. You will also be involved in evaluating and developing modified work assignments for employees (occupational and non-occupational) with temporary medical limitations. Salary Range: $70,900 to… more