Claims jobs in Los Angeles, CA - Page 6Create job alerts

Job Description Company Overview: The Agile approach focuses on speed – from eliminating unnecessary time in the clinic, to accelerating access to specialists, to driving faster recover. Every aspect of patient care, employer support, and integration with claims teams can be improved upon by f...

Job Description Summary: Responsible for accurate review, input, and processing of Provider Disputes in accordance with outside regulation, internal production standards and contractual obligations of the organization. Duties and Responsibilities: · Open and sort the PDR Mail, including elec...

Job Description We are seeking a Medical Assistant for a temporary position. You will perform routine administrative and medical office assignments to keep the medical facility running smoothly. This position will be for approximately 2-3 months and possibly longer. Responsibilities: - Handle ...

Job Description DESIGN MANAGER III - TBIT Terminal Refresh Project Manager Synopsis The TBIT Terminal Refresh Design Manager reports to the TBIT Terminal Refresh Project Manager and is responsible for the design management of the TBIT Terminal Refresh Project. The TBIT Terminal Refresh Project wi...

Job Description Job Title: Medical Biller Job Description: We are a trusted provider of medical billing services and are seeking a dedicated, detail-oriented Medical Biller to join our team. The ideal candidate will have a strong understanding of Medicare, Medicaid, and Private/HMO Insurance b...

Job Description CONSTRUCTION MANAGER V Synopsis The Terminal 5 (T5) Lead Construction Manager reports to the T5 Program Delivery Director and is ultimately responsible for managing and coordinating construction activities of the Design/Builder. The T5 Lead Construction Manager acts as the primary...

Job Description Litigation Associate Los Angeles law firm is seeking an attorney with three to seven years experience to join its litigation practice. The associate will gain litigation experience in several practice areas, including but not limited to employment and Labor Code claims, complex ...

Job Description To apply for this position, please email your resume and cover letter to careers@sepulvedalawgroup.com. In the subject line of the email, please write "Junior Attorney Position".  This is an In Office position - FT  Handle personal injury case files from start to finish  ...

Job Description A well-established law firm is seeking a skilled and experienced Insurance Coverage Attorney to join its Los Angeles, CA office. This is an excellent opportunity for a motivated attorney looking to grow within a dynamic and nationally recognized Insurance Coverage Practice. The id...

Job DescriptionDescription: Title: Chief Medical Officer Base Salary Range: $260,000 -$290,000 - plus benefits FTE: Full-Time -Exempt We seek a dynamic and experienced Chief Medical Officer who wants to make a difference in our community. We want to hear from you if you thrive in a fast-...

Job Description Medical Biller This is a Hybrid position Aegis Treatment Centers, part of the Pinnacle Treatment Centers Network, is a growing leader in addiction treatment services. We provide care across the nation touching the lives of 30,000 patients daily. We are on a mission to remove ...

Job Description A large and prestigious business management firm seeks a Staff Auditor to join their dynamic team. This is an excellent opportunity for an audit professional with music industry experience. Responsibilities: The Auditor will assist an audit lead in performing royalty complia...

Job Description PM2CM, Inc., (Project Management to Construction Management) is a professional services company dedicated to providing Program and Project Management, Construction Management and Project Controls services during the design and construction phase of projects. Our core expertise is ...

Job Description Position Title: Program Operations Supervisor I, II or III Department: Reports To: Program Director POSITION SUMMARY Responsible for overall day-to-day supervision of assigned staff and the shift-to-shift or day to day operations of program or unit. This includes oversight...

We are currently looking for a Senior Commercial Lines Underwriter in our Los Angeles branch. Collaborating with underwriters, operations, claims, marketing and home office product management.

The ideal candidate will have substantial experience in construction disputes, including contract disputes, defect claims, and delay damages. This role offers an exciting opportunity to work on complex construction litigation cases, collaborate with industry-leading professionals, and represent c...

A minimum of 5 years of experience performing claims audits or claims processing related to Medi-Cal, Cal MediConnect, and/or other managed care product lines similar to L. The Financial Compliance Auditor III Claims is responsible for various tasks within the Financial Compliance Unit, including...

The Contractors shall provide a temporary Workers Compensation Claims Analyst within 14 days of receiving a fully-executed Task order.

Argo Group does not treat our claims or our claims professionals as a commodity. Our entire claims team works in a collaborative nature to expeditiously resolve claims. About Working in Claims at Argo Group.

Project Managers in our Environmental Insurance area represent insurance company clients by providing third-party expert oversight and technical support for the evaluation of environmental claims submitted by their policyholders, usually results of Phase I and II environmental service assessments...

As the Claim Intake Coordinator, you will be responsible for the accurate and timely entry of received paper claims into the claims processing system. Performing initial data entry of paper claims into the claims processing system. Ensuring claims are entered in compliance with regulatory guideli...

The Claims Processor will provide excellent client service by accurately processing provider claims in a timely manner while adhering to the contractual requirements of the California Department of Education and LA County Department of Public Social Services as well as Crystal Stairs, Inc. Minimu...

LI-AIG #claimsprofessionals #legalcareers #legaljobs #attorney #tortlaw #paralegaljobs #claims #claimsexaminer #claimsadjuster #claimsservice. Working with Client Services, Claims and Underwriting, you support and educate clients in understanding and optimizing AIGs medical management programs an...

The ideal candidate will Examine claims data and conduct investigations into routine and moderately complex claims to determine coverage, compensability, subrogation and benefits under moderate supervisory direction. Must be well versed in California Compensation statute claims. Minimum of 3 year...

Technology and Business consulting services.We are in search of a highly motivated candidate to join our talented Team.At least one of these 3 certifications: CPC CPCH CCS.High school diploma, GED or equivalent required, Two year degree preferred.Minimum of 3 years previous experience working for...

As a Senior Claims Analyst, this role will require you to assist the Complex Claims Manager with oversight duties of our many Third-Party Administrators as to claim handling, settlement authority, approval of coverage communications to insureds and claimants and audit TPA claim files. Proficient ...

Claims Department Development: Collaborate with the President and other stakeholders to establish and refine the claims department's structure, policies, and procedures. Claims Adjudication: Oversee the evaluation, investigation, and adjudication of complex claims, including those related to comm...

As a Medicare Collections Representative, you will manage a designated portfolio of inpatient and outpatient claims, ensuring effective and efficient collection efforts.

Insurance claims consultant professionals provide strategic direction for the Claims Practice with exceptional leadership skills. Minimum 7 years' experience of demonstrated deep experience in Insurance Industry Claims. Candidate has deep understanding of claims processes, operating models, regul...

Although assigned claims generally consist of low to medium exposure, first and third-party automobile bodily injury and property damage claims, as well as premises liability accidents, product liability claims, the claims adjuster must be qualified legally and technically to handle all claims co...

Knowledge of the insurance industry, claims and the insurance defense litigation legal environment. Knowledge of the insurance industry, claims and the insurance defense litigation legal environment. Any unsolicited resume will become the property of Zurich American Insurance.

The Claims Quality Auditor serves as the primary point of contact for submission and resolution of Provider Dispute Resolutions and Appeals. Reviewing claims for accuracy, appropriate application of benefits, contract interpretation and compliant with policies and procedures.

The Senior Claims Specialist will provide exceptional customer service as an onsite liaison, reviewing, evaluating, and authorizing payments for claims under various group health plans. As a Senior Claims Specialist, you must accurately adjudicate claims and respond to inquiries in accordance wit...

The Medical Claims Representative will be responsible for speaking with members over the phone and troubleshooting any of the participants bills or claims. The Medical Claims Representative will be tasked with answering inquiries regarding EOBs as well as any other issues pertaining to medical cl...

You will be responsible for accurate and timely data entry, and the review and adjudication of professional, ancillary, and institutional claims for services rendered in our inpatient, ambulatory and outpatient settings. This role requires the ability to research and resolve complex claim issues ...

Location: Hybrid, mostly remote 10920 Wilshire Blvd, Los Angeles, CA 90024.High school diploma, GED or equivalent required, Two year degree preferred.Minimum of 3 years previous experience working for a Health Plan, IPA, or other Managed Care Organization.Minimum of 2 years previous direct experi...

Monitor peer underwriters in their daily work to ensure profitability as well as efficient and cost effective administration of the Life Sciences account. Underwriter Miscellaneous Medical & Life Sciences. Brokers, own staff, underwriters, claims, coverholders, external clients and suppliers.

Our Forensic Architect team provides expert consulting to a wide range of claims that include building envelope investigation, architect standard of care analysis, premises liability, building code analysis, analysis of code and specifications, infrared thermography survey, and fire-resistant con...

Minimum of three (3) years of experience with database design, development, data mapping, statistical reporting, Electronic Health Data wrangling, Claims data analysis or related area. Assist in developing SQL database, query requirements, data management protocols; Establish customized data dash...

Obtains employer/carrier information for billing/reporting purposes; contact employers/carriers to obtain authorization for treatment or report status of claims. Knowledge of Workers Compensation claims Processing.

The Los Angeles County Metropolitan Transportation Authority (LACMTA) requires a Workers' Compensation Claims Analyst Assistant, who has experience in workers' compensation claims handling in accordance with state law and labor code, as provided in the Scope of Services (Exhibit 2).

Determine the validity of complex bond claims by performing research in such areas as business, professional, civil, probate, and insurance codes; May review legal pleadings pertaining to claims. Approve or deny majority of claims but must seek approval or denial for claims outside defined limit....

Job Description Seeking: Full-time Workers' Compensation Paralegal with experience handling injury claims. Paralegal will be responsible for case management as well as preparing cases for appearances for hearings and depositions. We are a hybrid-remote law office in Sherman Oaks near the Galleri...

Job Description Structural Engineer Required Experience: - Minimum of 5 years full time paid professional experience in similar or equivalent position involved in managing the structural aspects in commercial and/or public or educational facility construction projects - REQUIRED: Valid Certifi...

Job Description BIM/GIS Coordinator II – BIM/VDC Engineer - B.S. in Construction Management, Construction Engineering, Architectural Engineering or related field. - 1 or more years of experience as a project engineer, VDC coordinator or relevant experience. - B.S. in Construction Management, ...

Job Description Seeking an Associate Attorney licensed in California to become part of our litigation team. The primary area of practice is first party property insurance as well as tort litigation involving the LA wildfires. You will represent clients in court proceedings, draft pleadings, motio...

Adecco has partnered with a Global K- Beauty Brand to grow their market share in US. This is a Full Time, Direct Hire (Onsite) position. This company will be operating as a startup with the resources and brand of a top company in the space. Tons of growth potential. Beautiful office space in Down...

Greystone Insurance Agency is growing. Come join a smaller insurance agency with a great company culture and a greater referral stream. At Greystone Insurance, we are passionate, caring & knowledgeable insurance advisors, not order takers. Our clients rely on us to help them make confident, well-...