Claims: salario promedio en Irvine, CA in 2024
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National Litigation & Claims Management Attorney
National Litigation & Claims Management Attorney. Litigation & Claims Management Attorney. We are seeking a highly skilled senior Attorney with expertise in litigation and claims management and litigation to work on our firm's representation of a large logistics services provider throughout the coun...
Darwin Claims Analyst
A company is looking for a Darwin Claims Analyst. ...
Delegation Compliance Auditor - Medical Claims
Remote CA - Must be in California** Position Purpose: The Delegation Oversight Compliance Auditor - Medical Claims is responsible for scheduling, coordinating, and conducting delegated entity audits using established audit tools for assigned lines of business. Responsible for managing the audit pro...
Claims PFS Representative CBO
A company is looking for a Claims Patient Financial Services Representative CBO. Key Responsibilities:Process payments, adjustments, claims, refunds, and denials accurately and timelyResearch payments, denials, and accounts to resolve discrepancies and make necessary correctionsRespond to incoming c...
Delegation Compliance Auditor - Medical Claims - Health Net
Remote CA - Must be in California** Position Purpose: The Delegation Oversight Compliance Auditor - Medical Claims is responsible for scheduling, coordinating, and conducting delegated entity audits using established audit tools for assigned lines of business. Responsible for managing the audit pro...
Outpatient BH Claims RN
Key Responsibilities:Perform pre-payment and post-service claims evaluations for various BH HCPCs codesReview AHCCCS claims to determine legitimacy and accuracy of services providedUtilize AHCCCS-specific programs and Microsoft Office applications for claim reviewsRequired Qualifications:Active AZ R...
Medical Claims Examiner
In this member facing role, you will be responsible for answering telephonic, email and walk-in requests from members regarding their medical claims. Adjudicate routine medical claims and all associated tasks in accordance with the Plan, regulatory and contractual guidelines. PPO claims processing e...
Liability Claims Examiner
To analyze Liability claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. Apply your examiner knowledge and experience to adjudicate complex cust...
TEMP - Claims Resolution Specialist (Customer Service)
The incumbent will assist providers with questions related to the payment of claims and resolution of claims payment issues. Responds and researches issues on provider questions regarding claims payments, denials, resolves claim issues, contractual and/or *** Health agreements, established payment m...
Claims Resolution Specialist
The Claims Resolution Specialist will be the first line of contact for Health providers and will assist providers with questions related to the payment of claims and resolution of claims payment issues. Seeking a highly motivated an experienced - Claims Resolution Specialist (Customer Service) to jo...
Lead Claims Specialist - Claims Processing
Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans, client groups, and administrative contractual agreements. Designs, plans, dir...
Claims Examiner II
The Claims Examiner II accurately reviews, researches and analyzes professional, ancillary and institutional inpatient and outpatient claims. Process all types of claims, such as, HCFA 1500, outpatient/inpatient UB92, high dollar claims, COB and DRG claim. Comprehensive knowledge of DMHC and CMS gui...
Workers' Compensation Claims TPA Oversight Specialist | Remote
Our client, an A-rated Insurance Carrier, is seeking to add a Workers' Compensation Claims TPA Oversight Specialist This person would be responsible for promptly evaluating and reviewing New Jersey and Pennsylvania Workers’ Compensation claims handled by Third Party Administrators (TPA) for adherenc...
Claims Service Representative I - Early Response
Claims Service Representative I - Early Response. When you join the Auto Club as a Claims Representative, you’re bringing your expertise to a best-in-class organization that is focused on delivering quality service to our members. As a representative within our Claims department you will:. Assess cl...
(Hybrid & Onsite) Workers Compensation Claims Handling Positions - California Jurisdiction
To analyze California Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. Hybrid & Onsite) Workers Compensation Claims Hand...
Field Claims Specialist II, Material Damage (Orange County, CA)
You’ll be responsible for handling claims according to prescribed authorization and claims best practices. Maintains current knowledge of insurance and applicable product/services; court decisions which may impact the claims function; current guidelines in the claims function; and policy changes and...
Major Claims Trial Attorney
Major Claims Trial Attorney - Santa Ana/Irvine. In-house Major Claims Counsel position in Irvine office. An exceptional trial role for a seasoned attorney with strong experience in Real Estate Litigation; Commercial Litigation; Bad Faith claims; Title Insurance a plus. A nationally-recognized firm i...
Manager -Construction Claims
Prior experience as consultant working on damages and investigative work in support of contractual disputes, dealy claims, and litigation. ...
Lead Claims Specialist - Claims Processing
Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans, client groups, and administrative contractual agreements. Designs, plans, dir...
Major Claims Trial Attorney - Title Insurance
Major Claims Trial Attorney - Santa Ana/Irvine. A nationally-recognized firm is seeking a seasoned Trial Attorney to manage the disposition of Major Claims, investigate and analyze; attending settlement conference and mediations; will require some travel; must have strong writing skills and ability ...
Sr. Medical Malpractice Claims Manager - Professional Liability *Remote*
Have direct responsibility to foster teamwork, operational excellence, and effective communication within the claims team, including other Claims Managers, Claims Reps and Claims Specialists. Develop a plan of action for assigned claims and update the claims file following all material changes in st...
Claims Adjuster II
A Claims Adjuster II is responsible for the timely, good faith adjustment and disposition of self-administered casualty claims in multiple jurisdictions. He/she will manage a caseload ranging from 100-150 casualty claims (the acceptable caseloads vary based on the jurisdiction(s), mix and complexity...
Major Claims Trial Attorney
Major Claims Trial Attorney - Santa Ana/Irvine. In-house Major Claims Counsel position in Irvine office. An exceptional trial role for a seasoned attorney with strong experience in Real Estate Litigation; Commercial Litigation; Bad Faith claims; Title Insurance a plus. A nationally-recognized firm i...
Independent Insurance Claims Adjuster in Orange, California
Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW...
Workers Comp Claims Specialist -CA Remote
Investigates and maintains claims:Reviews and evaluates coverage and/or liability. Works toward the resolution of claims files, and attends arbitrations, mediations, depositions or trials as necessary. Ensures that claims payments are issued in a timely and accurate manner. Ensures that claims handl...