Claims: salario promedio en Orange, CA in 2024
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Claims Specialist
A company is looking for a Claims Appeals and Grievances Specialist. ...
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 Analyst
A company is looking for a Claims Analyst (Casualty). ...
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...
Claims Resolution Team Lead
A company is looking for a Claims Resolution Specialist Team Lead. Key Responsibilities:Review all insurance claims over 30 days oldHandle incoming inquiries from insurance providers and update information in systemsAct as team lead for assigned departmentRequired Qualifications:High School diploma ...
Claims Processor
The claims examiner reports directly to the claims manager. We are currently hiring for a Claims Processor in the Whittier, CA area. Claims Processor Job Description:. They are primarily responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500 claims tha...
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...
Senior Claims Specialist
Ensure the timely logging of all new claims (delegate to Claims Assistant if necessary) and timely reporting to our Insurance Carrier, with guidance by the Dir of Risk Management. The Senior Claims Specialist will report directly to the Director of Risk Management. Duties include overseeing and moni...
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 Adjuster - Workers Compensation at LA
Job Title: Claims Adjuster - Workers Compensation. Summary: The main function of a Workers' Compensation Claims Adjuster is to investigate, analyze, and determine the extent of insurance company's responsibility for lost wages, medical benefits, and permanent impairment. Workers Compensation handlin...
ETL Engineer - Claims Data Experience Required!
They have legacy code and some technical debt to get rid of, all while keeping in mind that they are working with patient and claims data related software. Depth of knowledge in claims data analytics. ...
Claims Investigator -Experienced
AOE/COE, Auto, or Homeowners Investigations.Writing accurate, detailed reports.Strong initiative, integrity, and work ethic.Securing written/recorded statements.Possession of a valid driver’s license.Ability to prioritize and organize multiple tasks.Computer literacy to include Microsoft Word and Mi...
5003 - Claims Administrator
The Claims Administrator provides administrative support to the claims team through the new claims process. Input new claims information into Claims System. Assist with review and intake of new claims received by telephone, mail or email. Manage assignment of new claims. ...
Claims Auditor
Minimum Experience: Two to three ( 2-3) years previous experience as medical claims Auditor or 3-5 years previous experience examining medical Claims preferred. Independently run reports on errors identified for potential error trends and report the results to Claims Management and Claims Trainer. M...
Claims Counsel - Management Liability
IAT Insurance Group has an immediate opening for a Claims Counsel in our Management Liability Claims Unit that can be located in any of our IAT locations. This role is a true complex claims handling role that is tasked with managing all lines of Management Liability Claims under our Management liabi...
Workers' Compensation Claim Adjuster - California Claims
We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads. This is a remote position handling California Workers' Compensation Claims. A California Self-Insurance Ad...
Claims Manager - Agribusiness
Claims Manager in their Agribusiness department . P&C Claims team in their Roseville and Fresno offices. Lead and Mentor a team of 4 Claims Professionals. Monitor all claims resolutions, reserving, negotiations, documentation and all activity of the Adjusters on your team. ...
Claims Examiner - Workers Compensation | Long Beach, CA
To analyze high-level 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. Claims Examiner - Workers Compensation | Long Bea...
Senior Claims Adjuster - Agribusiness
Senior Claims Adjuster in the Agribusiness department . Manage the coverage, liability and investigation of caseload of agribusiness related claims. Responsible for reserving, negotiation, strategy and resolution of claims. Work closely with legal counsel and defense to investigate, resolve and...
Commercial Claims Adjuster - Carrier or TPA - REMOTE
Property & Casualty (P&C) Claims Adjuster. Handle General Liability / Bodily Injury, Property, Commercial Auto Liability and/or Physical Damage, Workers Compensation, Inland Marine, Professional / Management Liability, Business Interruption, Liquor Liability, Garage/Garagekeepers Legal Liabi...
Complex Claims Specialist – Architect and Engineer Liability
Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Establishes and maintains working relati...
Claims Examiner - Workers Compensation
To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service req...
Complex Claims Consultant - Financial Lines/Public D&O
Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize dis...
Claims Team Lead - Workers Compensation | Remote
Monitors third-party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims, and sensitive claims as determined by the client. As a member of our client's claims team, utilize your knowledge of workers' compensation to independently inv...