- ADP (San Dimas, CA)
- ADP is hiring a ** Claims Lead Examiner** . **_RESPONSIBILITIES:_** + Assist Claims Manager in monitoring the workers compensation program within the ADPTS/PEO ... that could be problematic and take steps along with Claims Manager to take steps to develop processes to...department and company goals. + Monitor and ensure qualitative claim handling through TPA and other vendor partners. +… more
- 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 ... that purpose. Job Summary The Financial Compliance Auditor III Claims is responsible for audits of claims ...This position is responsible for all aspects of assigned claim audits, including audit testing and completion of the… more
- ICW Group (San Diego, CA)
- …Prints benefit and claim notices and prepares for mailing. + Reviews medical bills for potential new losses, required corrections, and/or assigns to existing ... you want to be here! **PURPOSE OF THE JOB** The purpose of the Claims Support Representative is to oversee administrative processes within the Claims department.… more
- Prime Healthcare (Victorville, CA)
- …Responsibilities Claims Examiner processes routine and non-routine claims using established claim standards, and departmental policies ... Experience + 2-3 years relevant experience in health care claims and customer service. + Knowledge of Medical... claims and customer service. + Knowledge of Medical Terminology, Medical Insurance, and must be… more
- AIG (Los Angeles, CA)
- …and/or ability to guide clients in the return to work process and in medical management coordination. Working with Client Services, Claims and Underwriting, you ... manage risk. Join us as a Pre-Injury Consultant - Claims to play your part in that transformation. It's...support and educate clients in understanding and optimizing AIG's medical management programs and you identify opportunities to customize… more
- Philadelphia Insurance Companies (Mission Viejo, CA)
- …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Specialist to join our team! Summary: Investigate, evaluate and settle more complex first and ... third party commercial auto insurance claims . A typical day will include the following: Thoroughly...communication as well as results of investigation. Evaluates each claim in light of facts; Affirm or deny coverage;… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Quality Specialist is responsible for ensuring the accuracy and quality of claims processing within a managed ... care service organization. This role involves auditing claims , identifying errors, and implementing corrective actions to improve overall claims accuracy and… more
- ICW Group (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 the ... service for policyholders and ICW Group to independently bring claims to an equitable conclusion within Company standards and...* We offer a competitive benefits package, with generous medical , dental, and vision plans as well as 401K… more
- Providence (Mission Hills, CA)
- **Description** Working under the general supervision of the Claims Director, provide an effective education program to advance the quality and production level of ... the Claims Department by developing and delivery claims ...valued - they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused,… more
- Philadelphia Insurance Companies (Roseville, CA)
- …member of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Supervisor II - Commercial Auto - BI to join our team. Summary: + Supervises claims ... technical support staff to manage the day-to-day handling and settlement of claims , the processing and tracking of documents, making payments, tracking trends and… more