Claim Specialist: Average Salary in Newport Beach, CA in 2024
Find out what the average Claim Specialist salary is in Newport Beach, CA
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Claims Resolution Specialist
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...
Manager Claims Data Specialist
A company is looking for a Manager, Medical Claims Data Specialist. ...
Claims Processing Specialist
US (90% Client Retention Rate too), is looking for a Claims Processing Specialist!. Job Duties for Claims Processing Specialist:. Knowledge of processing Medical Claim Checks, Refund Letters, and Patient invoices. ...
Senior Compliance Specialist - Claims Compliance
Key Responsibilities:Support the implementation of a comprehensive risk identification frameworkConduct compliance deep dive claim reviews and oversee the Adjuster Licensing programSupport the Legislative Change Process and conduct ad hoc research into laws and regulationsRequired Qualifications:5+ ...
Senior Claim Specialist- Construction
Ability to assess coverage and tender opportunities; oversee and evaluate claim files for best outcomes; pursue and assess underlying policy limit/SIR's for reserving; audit underlying claim files; and resolve claims. Senior Claims Specialist- Construction. This position will focus on the claims man...
Claims Specialist, Construction
Ability to assess coverage and tender opportunities; oversee and evaluate claim files for best outcomes; pursue and assess underlying policy limit/self-insured retentions for reserving; audit underlying claim files; and resolve claims. Claims Specialist, Construction. We achieve this by establishing...
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 Resolution Specialist
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...
New York Workers' Compensation TPA Claims Oversight Specialist | Remote
Our client, an A-rated Insurance Carrier, is seeking to add a New York Workers' Compensation TPA Claims Oversight Specialist. This person would be responsible for evaluating and reviewing New York Workers’ Compensation claims handled by Third Party Administrators (TPA) for adherence to company’s bes...
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...
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 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...
Field Claims Specialist II, Material Damage (Orange County, CA)
As a Field Claims Specialist, you’ll investigate, evaluate and resolve material/physical damage of a moderate to severe nature. You’ll be responsible for handling claims according to prescribed authorization and claims best practices. Maintains current knowledge of insurance and applicable product/s...
Claims Member Experience Specialist (Remote)
Working under minimal supervision, the Member Experience Specialist – Claims contributes to Wawanesa’s goal of delivering an exceptional and consistent claims service experience by enhancing relationships with members through tracking and trending feedback utilizing various data sources. Works colla...
Workers' Compensation Claims Specialist
Investigate, analyze, and determine the extent of company's liability concerning Claims and attempt to effect settlement with claimants. Correspond with or interview medical specialists, agents, witnesses, or claimants to compile information. Zenith is a team of Workers’ Compensation Specialists com...
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...
Claims Specialist
The Prudential Claims Specialist role is essential in handling retirement claims and processing financial transactions on behalf of clients. The team’s focus areas include claims processing for short-term disability, long-term disability, retirement, and death claims. This position requires high mul...
Property Claims Specialist Field II
The Property Claims Field Adjuster ll will learn apply knowledge of current Company policies, applicable regulatory standards, and procedures to investigate, evaluate and settle moderate Homeowner's property claims in a timely and efficient manner as to prevent unnecessary expense to the Company and...
Claims Resolutions Specialist
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...
TEMP - Claims Resolution Specialist (Customer Service)
Responds and researches issues on provider questions regarding claims payments, denials, resolves claim issues, contractual and/or *** Health agreements, established payment methodologies, division of financial responsibility, applicable regulatory legislation, claims processing guidelines and compa...
Claim Benefit Specialist
CVS Health is currently looking for a highly motivated candidate who can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department. They will work closely with other members of the Commercial Services Operations team providing root ...
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...
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...
Texas Workers' Compensation Claims Specialist | Remote
Our client is seeking to bring on a Texas Workers’ Compensation Claims Examiner to join their operations. The ideal candidate will have experience in managing mid to complex Texas Workers' Compensation claims from inception to close, possess strong analytical skills, and demonstrate excellent custom...