Coordinator Bill Review Tokio Marine America Insurance CompanyCoordinator Bill ReviewLos Angeles, CA$21.75–$30.75 / hourMarketing Statement: TM Claims Service (TMCS) is an independent global claims management firm established in 1987 to provide clients with a broad range of claims related services in the areas of transportation, product liability and overseas travel accident insurance. Handle all areas of invoice payment processing, including, but not limited to entering vendor and settlement payments; handling payment inquiries or verifying payee information such as tax ID number, name, address, etc.
Medical Billing Specialist Unicare HealthMedical Billing SpecialistThousand Oaks, CAFounded in 1988, Unicare Health helps patients with complex medical needs thrive at home through compassionate care, expert clinical support, and trusted partnership with families and healthcare providers. Patient-friendly customer service skills are critical; this role carries a meaningful volume of inbound and outbound patient and family calls, including escalations, and requires warmth, patience, and professionalism on every one.
Senior Litigation Specialist, SLU Tokio Marine America Insurance CompanySenior Litigation Specialist, SLUPasadena, CA$130,000–$140,000 / yearThe job requires you be client focused, and develop strong partnerships that include communications and interactions with insureds, brokers and other internal business unit contacts to ensure smooth claims settlement, negotiations and resolutions. We provide unique insurance and risk management tools from our experienced staff of account executives, underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team of claim professionals.
Counsel I, Product Liability Tokio Marine America Insurance CompanyCounsel I, Product LiabilityLos Angeles, CA$125,000–$185,000 / yearMarketing Statement: TM Claims Service (TMCS) is an independent global claims management firm established in 1987 to provide clients with a broad range of claims related services in the areas of transportation, product liability and overseas travel accident insurance. Essential Job Functions: Supervise and handle more complex Product Liability litigation and claims by conducting investigation and defense strategy and providing client reports with analysis and advice on further handling.
Data Governance Analyst Alignment Healthcare IncData Governance AnalystCA$98,550–$147,825 / yearWorking alongside governance operations leaders, business data stewards, and technology teams, this role provides the analytical depth and hands-on execution that keeps governance processes running reliably and data assets well-documented. The Analyst plays a pivotal role in identifying, investigating, and resolving data quality issues that affect the accuracy of Medicare Advantage operations - from member eligibility and claims processing to provider data and risk adjustment reporting.
Home Health Billing Manager TARLANI HealthcareHome Health Billing ManagerMontrose, CaliforniaAged accounts receivables and resubmit bills to overdue accounts, submits seriously overdue accounts to collection agencies for collection, and prepares bad debt reports for weekly meetings. Billing and patient accounts record systems are maintained in accordance with generally accepted accounting principles and in compliance with state, federal and Joint Commission regulations.
Remote Customer Service/Data Entry Representative ArsenaultRemote Customer Service/Data Entry RepresentativeLos Angeles, CaliforniaRemotePosition Summary • The Customer Service / Data Entry Representative will provide a wide variety of administrative and staff support services for our claims cordination team. U.S. Eligibility Requirements: Interested candidates must submit an application and resume/CV online to be considered Are you 18 years of age or older or can you demonstrate legal capacity to enter a contract?
Provider Service Representative III L.A. Care Health PlanProvider Service Representative IIILos Angeles, CAThe Provider Service Representative (PSR) III is the first point of contact for providers and stakeholders, delivering complete and accurate support on eligibility, benefits, claims, authorizations, Primary Care Physician (PCP) changes, and other service needs ensuring seamless support across the provider service journey. Required: At least 3 years of Managed Care experience in provider relations or customer service, including 1 year of experience handling provider inquiries related to claims, benefits, authorizations, and payments in a contact center environment.
Medical Case Manager- CA Crawford & CoMedical Case Manager- CALos Angeles, CATo determine the actual offer, Crawford considers a wide range of factors including the candidate's previous experience and education, market rates, minimum pay requirements for the applicable jurisdiction, business segment, supply/demand, and scheduled hours. Reviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual''s medical status, identifies needs and obstacles to medical case resolution and RTW by providing proactive case management services.
NewLitigation Attorney Workers'''' Compensation (California) ICW GroupLitigation Attorney Workers'''' Compensation (California)CARemote$119,748.71–$201,947.98 / yearHeadquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for the twelfth consecutive year in a row and for the 20th time overall as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. Ability to respond to inquiries, issues, or questions from internal and external clients, businesses, and members of the State Bar or Judiciary, and regulatory agencies, including effectively responding to the most sensitive inquiries or concerns.
Consulting Manager, Healthcare Project Manager Cognizant Technology Solutions CorpConsulting Manager, Healthcare Project ManagerLong Beach, CARemote$81,450–$129,500 / yearAbout the role: As a Consulting Manager, Healthcare Business Transformation, you will make an impact by leading a comprehensive assessment of enterprise Long-Term Services and Supports (LTSS) operations, identifying opportunities to improve process efficiency, system interoperability, data integrity, and financial performance. You will be a valued member of the Healthcare Consulting team and work collaboratively with business stakeholders, LTSS operations teams, product owners, IT teams, architects, data analysts, finance leaders, and executive sponsors.
NewCivil Litigation Associate Attorney Property Coverage- Remote Los Angeles Scion Staffing IncCivil Litigation Associate Attorney Property Coverage- Remote Los AngelesLos Angeles, CARemoteThis is a compelling role for a California-licensed attorney who wants to build a sophisticated insurance-coverage practice while working with experienced litigators on complex first-party and third-party coverage disputes, bad-faith claims, and high-value property-loss matters. The firm's broader coverage practice advises property and liability insurers on coverage issues, claim handling, and litigation involving commercial, personal, and specialty lines, including significant commercial and industrial property losses.
Customer Service Coordinator Staffmark Group LlcCustomer Service CoordinatorCA$18.50–$20.50 / hourYou will communicate professionally across multiple channels while documenting interactions, supporting internal teams, and helping deliver a positive customer experience through accurate, responsive, and courteous service. As a Customer Service Coordinator you will assist customers by answering questions, resolving concerns, processing requests, maintaining accurate records, and providing timely follow-up.
Receptionist - State Farm Agent Team Member Julie Montenegro - State Farm AgentReceptionist - State Farm Agent Team MemberLos Angeles, CAFull timeCompany Overview: Julie Montenegro - State Farm Agent, a leader in the insurance industry, is actively seeking talented and bilingual individuals to join our team as Receptionist - State Farm Agent Team Member. Please review our website below, and if you think our office is a good fit, and you are ready to embark on an exciting career in insurance, we want to hear from you! www.juliemontenegro.com.
Finance Manager Selby Jennings LtdFinance ManagerPasadena, CAA growing healthcare organization is seeking a Finance Manager to lead a team of Financial Analysts and support the financial operations of multiple managed care and healthcare entities. The ideal candidate will bring deep experience within the Medicare Advantage (MAPD) space and a strong understanding of healthcare finance, risk adjustment, capitation models, and regulatory reporting.
Medical Review Nurse II - SNF/MDS Auditor MachinifyMedical Review Nurse II - SNF/MDS AuditorCA$85,000–$100,000 / yearMust be able to independently work within Microsoft Office products including Word, Excel, PPT, to Include creating/saving documents in folders, setting up and utilizing spreadsheets, copying and pasting data from one document to another. Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country.
Medical Biller Family Health MattersMedical BillerAnaheim, CA$22–$25 / hourExperience with: o Medi -Cal PPS billing o T1015 encounter billing o Managed care wrap payments o Medicare FQHC billing o Safety -net population billing (preferred) Knowledge & Skills • Strong understanding of: o HRSA FQHC billing guidelines o PPS methodology o CPT, ICD -10, HCPCS coding o Revenue cycle management • Experience with EHR and practice management systems. • Ensure correct use of FQHC billing codes, including: o Revenue code 0521 o T1015 (FQHC encounter code) o Appropriate CPT/HCPCS codes • Verify encounters meet billable visit criteria under HRSA and Medi -Cal guidelines.
Workforce Absence Team Lead Sr Sedgwick Claims Management Services, Inc.Workforce Absence Team Lead SrWest Hills, CA$73,000–$86,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. The Senior Workforce Absence Team Lead serves as a liaison between internal teams and clients, providing technical guidance, mentoring staff, and driving continuous improvement across diverse programs.
Veterans Service Representative (Authorizer) U.S. Department of Veterans AffairsVeterans Service Representative (Authorizer)Los Angeles, CA$74,678–$121,371 / yearMakes administrative decisions and special determinations relating to qualifying military service, character of discharge, domestic relations contested claims, homicide, presumed death, line of duty, or willful misconduct, corpus of estate, and violations of U.S. Penal Code, related attorney fees, administrative error, and fraud. You will be assessed on the following competencies (knowledge, skills, abilities, and other characteristics): REASONING- Identifies rules, principles, or relationships that explain facts, data or other information; analyzes information and makes correct inferences or draws accurate conclusions.
Director, Legal Affairs Natural History Museum of Los Angeles CountyDirector, Legal AffairsLos Angeles, CA$200,000–$250,000 / yearServing as a key organizational member and a trusted advisor, the incumbent provides legal support for contract negotiations, exempt organization law compliance, intellectual property, and matters concerning exhibitions, art acquisitions, dispositions, and loans. NHMLAC's values-adventurous, inclusive, authentic, and intentional-guide our work and visitor experience, committing us to foster a welcoming, safe and respectful workplace environment where innovation and collaboration thrive and every team member can contribute their unique perspectives to advance our mission.