Claims: salario promedio en Santa Ana, CA in 2024
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Claims Program Manager
A company is looking for a Claims Optimization Program Manager. ...
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 Officer Cyber Claims
A company is looking for a Claims Officer, Cyber Claims. ...
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...
Insurance Claims Examiner - Adjuster License Required
A company is looking for an Insurance Claims Examiner for a remote position in CST or EST. ...
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...
Claims Unit VP
Provides consistent technical claims training to the claims team. Reviews and approves claims payments in line with assigned claims approval authority levels. The Vice President of Claims will execute on the strategic goals and vision of the company. This position will be responsible for claims qual...
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 Examiner | Orange, CA (Hybrid Schedule)
Great Place to Work®Most Loved Workplace®Forbes Best-in-State EmployerWorkers Compensation Claims Examiner | Orange, CA (Hybrid Schedule)Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?A...
Sr Claims Manager
The Senior Claims Manager will own the prepayment identification of claim adjustments, Payer Compass claims testing as well as corrections for EDPS encounters. We are looking for a Senior Claims Manager to join our growing company with many internal opportunities. The incumbent will execute pre/post...
Property Management Claims Coordinator
Claims Coordinator Responsibilities:. Claims Coordinator Qualifications:. ...
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 Resolution Specialist (CS)
Responds and researches issues on provider questions regarding claims payments, denials, resolves claim issues, contractual and/or agreements, established payment methodologies, division of financial responsibility, applicable regulatory legislation, claims processing guidelines and company policies...
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...
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. ...
Independent Insurance Claims Adjuster in Stanton, 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...
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...
TSIB National Director of Claims
The candidate should possess the ability to lead and develop a sophisticated team of claims professionals handling and managing a wide variety of Construction-related General Liability claim functions, overseeing our claims team nationwide, Litigation, Professional Liability and Builders Risk claims...
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...
Workers Compensation Claims Examiner | Orange, CA (Hybrid Schedule)
To analyze 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. Workers Compensation Claims Examiner | Orange, CA (Hybrid Sc...
Claims Clerk
SUMMARYThis position reports to the Supervisor, Claims Operations in a production environment and is responsible for supporting the claims department by preparing claim receipts and all related correspondence for the department. Review and sort claims and supporting documents, received via fax and e...
Workers' Compensation Claims Specialist
Investigate, analyze, and determine the extent of company's liability concerning Claims and attempt to effect settlement with claimants. Calculate benefit payments and approve payment of Claims within a certain monetary limit. All tasks are to be performed with the goal of demonstrating Zenith's sup...
Property Claims Specialist Field I
The Property Claims Field Adjuster will learn apply knowledge of current Company policies, applicable regulatory standards, and procedures to investigate, evaluate and settle minor to moderate Homeowner's property claims in a timely and efficient manner as to prevent unnecessary expense to the Compa...
Crop Claims Seasonal Adjuster
Understand and can work claims for all major crops, policy/plan types, in all stages of growth. Works toward the resolution of claims files, and may attend arbitrations, mediations, depositions, or trials as necessary. Ensures that claims handling is conducted in compliance with applicable statues, ...
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...