- NTT DATA North America (Ontario, CA)
- NTT DATA is currently seeking ** Senior Medical Claims Examiners (3+ years of Xcelys required)** to join our US based team. This is a 100% remote role. ... **Purpose** To serve as a senior -level adjudicator and SME for medical claims within the Xcelys environment. Provide subject-matter expertise on claims … more
- NTT DATA North America (Ontario, CA)
- …for a 3 month contract role. Start Date: ASAP 100% Remote **Team Lead** -for Senior Claims Examiners on Xcelys System **Job Summary** The Xcelys Team ... overall sourcing strategy. NTT DATA Services currently seeks Xcelys Medical Claims Team Lead to join our...examiners , ensuring the accurate and timely processing of medical claims using the Xcelys system. The… more
- NTT DATA North America (Ontario, CA)
- ** Senior Claims Examiner (Xcelys...as a senior -level adjudicator and SME for medical claims within the Xcelys environment. Provide ... System)** **NTT DATA Services currently seeks a Senior Claims Examiner to join...**Key Duties & Responsibilities** -Adjudication & Review -Process comprehensive medical claims using Xcelys and associated subsystems… more
- US Tech Solutions (Whittier, CA)
- **Duration: 3+ months contract** **Responsibilities:** + Review, adjudicate, and process medical claims for HMO patients + Work closely with affiliated ... medical groups and hospitals + Evaluate provider reimbursement terms...forms + Understanding of provider contracts, Medi-Cal, commercial, and senior plan claims + Strong knowledge of… more
- ICW Group (Pleasanton, CA)
- …drive decision-making. **Team Leadership** + Coaches and mentors a team of MCU claims examiners to build judgment and capabilities to effective manager complex ... want to be here! **PURPOSE OF THE JOB** The Senior Manager Major Claims Unit (MCU) leads...service. **SUPERVISORY RESPONISBILITIES** Directly supervises a team of MCU claims examiners and fulfills supervisory responsibilities in… more
- ICW Group (Pleasanton, CA)
- …better everyday! Learn more about why you want to be here! **PURPOSE OF THE JOB** The Senior Claims Examiner handles moderate to complex claims with a ... conclusion within Company standards and best practice guidelines. The Senior Claims Examiner works with...* We offer a competitive benefits package, with generous medical , dental, and vision plans as well as 401K… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Examiner III is an advanced-level role responsible for the detailed and accurate processing, review, and ... claims processing, coding, and regulatory compliance. The Claims Examiner III will handle the most... processing, with at least 2 years in a senior or advanced role + Expert knowledge of CPT,… more
- Sedgwick (Brea, CA)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Liability Claims Examiner | Must Reside in CA Are you ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401K on day one. _As required… more
- Sedgwick (Sacramento, CA)
- …strong background in insurance coverage analysis? We're seeking an experienced attorney or senior level examiner with a strong background in insurance coverage ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Complex Claims Advisor | Commercial GL and Auto | Remote Are you looking for an… more
- The County of Los Angeles (Los Angeles, CA)
- …Los Angeles County, CA Job Type Full time Job Number P5456C-R Department MEDICAL EXAMINER Opening Date 01/16/2025 Closing Date Continuous + Description + ... is subject to closure without prior notice. About the Medical Examiner : The Department of Medical...timely completion. + Provides autopsy case consultations to Deputy Medical Examiners . + Reviews autopsy case files… more
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