- ICW Group (Pleasanton, 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...+ Ensures accuracy of data in claims system for compliance with applicable regulatory reporting. + Provides knowledge transfer… more
- NTT DATA North America (Ontario, CA)
- ** Senior Claims Examiner (Xcelys System)** **NTT DATA Services currently seeks a Senior Claims Examiner to join our team working 100% Remote and work on ... mandatory 2-4 week training on camera.** **Job Description** To serve as a senior -level adjudicator and SME for medical claims within the Xcelys environment. Provide… more
- CVS Health (Sacramento, CA)
- …research, letter writing. + 1 plus years working with appeals, claims, or compliance . (and/ or) + 1 plus years experience working with documenting and interpreting ... Health Insurance plans. + Understand excel and word. + Able to interpret benefits. + Healthcare experience. **Preferred Qualifications** + 3 plus years of prior claim or health insurance experience. + Familiarity with medical terminology, self funding or ERISA… more
- Dignity Health (Bakersfield, CA)
- …claims. This position requires expert knowledge of claims processing, coding, and regulatory compliance . The Claims Examiner III will handle the most challenging ... **Job Summary and Responsibilities** The Claims Examiner III is an advanced-level role responsible for...claims processing, with at least 2 years in a senior or advanced role + Expert knowledge of CPT,… 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. ... to identify deterioration or negative management control trends and review compliance with policies, guidelines, and regulations. + Prepare periodic Risk Profile… more
- City National Bank (Los Angeles, 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
- Ankura (CA)
- …on high-stakes matters. Role Overview The Global Investigations & Forensic Accounting Senior Managing Director role is an executive level position that sells, leads ... + Initiates and converts business opportunities and collaborates with other Senior Managing Directors to sell and deliver engagements that generate $3… more
- Deloitte (San Jose, CA)
- …tax function with the business objectives? We are looking for sharp, analytical Tax Senior , ready to take on new challenges, to join the Unclaimed Property Tax group ... on May 31st, 2026. Work you'll doAs a Tax Senior in the Unclaimed Property Tax group you will...on tax engagements and provide state tax consulting and compliance services to a diverse client base in various… 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:… more
- LA Care Health Plan (Los Angeles, CA)
- …quarterly financial analysis of their Medi-Cal provider network. Communicates effectively with senior leadership on compliance matters from audits or quarterly ... Manager, Financial Compliance Audit, $10,000 SIGN ON BONUS Job Category:...for the overall communication and collaboration with cross-functional teams, senior leadership, and delegates. Plans and implements systems and… more