- Banc of California (Santa Ana, CA)
- …(ACH) transactions, Large on-us & Unusual items, Stop payment, ATM/Mobile/RDC Deposits, Check Claims , Fraud alerts for Wire, ACH & Debit Card, Wire Transfer. + ... + **Health & Well-Being:** We offer comprehensive insurance options including medical , dental, vision, AD&D, supplemental life, long-term disability, pre-tax Health… more
- Prime Healthcare (Ontario, CA)
- …and implements risk mitigation strategies. . May be involved in contract claims and disputes. Compliance and Legal Issues:. Ensures compliance with relevant laws, ... but is not limited to, paid time off, a 401K retirement plan, medical , dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options.… more
- Allied Universal (Orange, CA)
- … with red flags that suggest fraudulent behavior In relation to an Insurance claim . The SIU Specialist must use their extensive knowledge of Insurance policies ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection… more
- CDM Smith (San Diego, CA)
- …**Business Unit:** FSU **Job Description:** CDM Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical ... in evaluating and analyzing financial data related to disaster-related claims , including property damage, business interruption, and other loss categories. The … more
- Insight Global (Burbank, CA)
- …customer service representative for the Health Fund. The Senior Participant Service Specialist /Analyst will process health insurance claims and answers calls ... Knowledge of medical terminology - Ability to research and verify claims payment, benefits, and eligibility issues - Strong knowledge of benefits plans, policies… more
- The County of Los Angeles (Los Angeles, CA)
- …at the level of the County's class of Chief Environmental Health Specialist * or higher. CERTIFICATE(S) REQUIRED: Certification as a Registered Environmental Health ... Specialist ** issued by the California Department of Public Health....over); ancestry; color; ethnicity; religious creed; protected family or medical leave status; disability; marital status; medical … more
- LA Care Health Plan (Los Angeles, CA)
- …and providing clinical and/or coding expertise/judgement in the application of medical and reimbursement policies within the claim adjudication process ... relevant coding elements. Audits can include inpatient, outpatient, and professional claims . Serves cross functionally with Utilization Management, Medical … more
- The County of Los Angeles (Los Angeles, CA)
- …one of the specialized units is headed by a Chief Environmental Health Specialist and has a technical staff of approximately 8-15 Environmental Health Specialists, ... of the specialized units is supervised by a Chief Environmental Health Specialist and has a staff of approximately 8-15 Environmental Health Specialists, Technicians… more
- Cardinal Health (Sacramento, CA)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
- The County of Los Angeles (Los Angeles, CA)
- …facility being surveyed including physician, nursing, dietary, pharmaceutical, medical records, social services, administrative management, ethical practices, ... guidelines relating to patient care, physician, nursing, dietary, pharmaceutical, medical records, and social services, administrative management, ethical practices… more