- UCLA Health (Los Angeles, CA)
- Description As a Claims Compliance Lead , you will play a critical role in in ensuring the timely, accurate, and compliant processing of health insurance ... claims workflows, coordinating with internal departments, and maintaining compliance with organizational and regulatory standards. You will: + Coordinate and… more
- Sedgwick (Ontario, CA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - Workers Compensation **PRIMARY PURPOSE:** To supervise the ... and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards.… more
- Sedgwick (Rancho Cordova, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - Workers Compensation | Rancho Cordova, CA (Hybrid) Are ... and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards.… 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: ... required to achieve that purpose. Job Summary The Financial Compliance Auditor III Claims is responsible for...Care. This role works closely with the Supervisor and/or Lead Auditor on identification and resolution of issues in… more
- Zurich NA (Gold River, CA)
- Claims Team Manager, General Liability 116047 Zurich North America is hiring a Team Manager - General Liability to join our team! We are open to hiring talent in one ... Park KS With moderate oversight, leads and directs a team of technical Claims Professionals in Commercial General Liability claims . Coordinates the work… more
- ICW Group (San Diego, CA)
- …Claims Officer (CCO) is responsible for designing, overseeing, and directing the company's claims management strategy. Positioned to lead the Claims team, ... analysis across all product lines. + Develops and implements claims policies and procedures to ensure compliance ...implements claims policies and procedures to ensure compliance with regulatory requirements and industry standards. + Leads… more
- AIG (San Francisco, CA)
- Claims Complex Director - Healthcare Professional Liability (HPL) Join us as a Claims Complex Director to take on key responsibilities within a world-class ... claims function. Make your mark in Claims ...relevant current events and case law. + Maintains full compliance with NPDB and state medical malpractice reporting requirements.… more
- MGE Underground, Inc. (Paso Robles, CA)
- …ensures compliance with safety laws and environmental regulations. As the lead ISN Administrator, they coordinate compliance efforts and support the creation ... Trust | Fun How You Can Make an Impact The Safety, Health & Claims (SH&C) Coordinator is responsible for managing self-insurance and Workers' Compensation claims… more
- Dignity Health (Bakersfield, CA)
- …of complex healthcare claims . This position requires expert knowledge of claims processing, coding, and regulatory compliance . The Claims Examiner ... **Responsibilities** The Claims Examiner III is an advanced-level role responsible...of scale across provider types and geographies and will lead the effort in developing Dignity Health's Medicaid population… more
- Guidehouse (San Marcos, CA)
- …**:** None **What You Will Do** **:** The **Billing Supervisor - Healthcare Claims ** is responsible for the daily operations of billing and works closely with ... Records, Patient Access and all Ancillary Departments to ensure compliance / regulatory and accuracy of all billings. Responsible for...to departments daily. + Maintain logs by department for claims issues in hold status. + Daily electronic and… more