Claims Representative- Healthcare Billing Vista Del MarClaims Representative- Healthcare BillingLos Angeles, California$28–$30 / hourIf TIER data is complete, submits the call to update CWS; Monthly, runs Non-Final Saved Notes reports for programs assigned, reviews notes for action required., and disseminates to programs; Reviews Final Saved Charge reports before batching claims for electronic submission to DMH. Completes any updates or corrections required, and manually updates services charges and ‘final save’ so that claims can be batched; Daily, reviews Diagnosis and Financial Update Reports and Client Action Forms submitted for any client information that requires updating in CWS.
Telephone Claims Adjuster Allstate Insurance CompanyTelephone Claims AdjusterCAAs a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.
Claims Adjuster - Attorney Represented Injury The Progressive CorpClaims Adjuster - Attorney Represented InjuryWoodland Hills, CA$30.29–$39.23 / hourAn ideal candidate will have experience managing an inventory independently, experience assessing and evaluating liability, coverage, and damages, as well as working independently and directly with attorneys to negotiate and settle claims. For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ .
Claim Operations Specialist The Travelers CompaniesClaim Operations SpecialistDiamond Bar, CA$45,400–$74,900 / yearCLAIM OPERATIONAL SERVICE AND PARTNERSHIPS: Partners with claim professionals in multiple departments to assist with the timely resolution of claims, which may include: Properly documents claim files, including notes and diaries, Requests reports and records, and reviews medical bills, mail and wage statements. Designed as an entry point into the claims organization, this role gives individuals direct exposure to how claims are managed across multiple lines of business, including Auto, Property, General Liability, Construction, and Workers' Compensation.
Claim Review Specialist - Facility Coding - Certification Required CorroHealth IncClaim Review Specialist - Facility Coding - Certification RequiredCARemoteJOB SUMMARY: Assist the Director of HIM in preparing claim audits, reviewing and recommending coding, revenue cycle and charge/billing changes on client hospital outpatient and Profee claims using proprietary software product. Must have strong understanding of the Official Coding Guidelines, OP coding and billing (i.e. including but not limited to knowledge of rev codes, HCPCS, MUE and CCI edits, UoS and ICD-10 CM).
Benefits Specialist, Principal/ Benefits Specialist, Senior/Benefits Specialist Orange County Transportation AuthorityBenefits Specialist, Principal/ Benefits Specialist, Senior/Benefits SpecialistOrange, CaliforniaThis level serves as a subject matter expert, leads complex benefits initiatives, directs vendor and administrator oversight activities, evaluates program effectiveness, develops and implements program changes, negotiates benefit service contracts, and may lead or direct the work of others. This level works with greater independence, leads annual open enrollment, applies advanced regulatory knowledge, monitors vendors and third-party administrators, develops analytical reports, and recommends and implements process improvements.
Workers Compensation Program Specialist Senior Orange County Transportation AuthorityWorkers Compensation Program Specialist SeniorOrange, CaliforniaUnder general guidance, the Senior Workers’ Compensation Program Specialist leads the implementation and administration of OCTA’s workers’ compensation claims program and provides oversight of the agency’s third-party administrator (TPA). This position combines advanced claims expertise, data analytics, financial oversight, technology, and strategic relationship management to improve outcomes for injured employees and strengthen OCTA’s workers’ compensation program.
NewSr. Customer Experience Specialist See’s CandiesSr. Customer Experience SpecialistCarson, CaliforniaHandles all Level 1 and Level 2 coding of customer feedback cases to allow accurate and timely reporting required to identify customer experience trends and opportunitiesThe pay rate for this position at commencement of employment is $24.50 per hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience. If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.
Legal Specialist Dine Brands Global IncLegal SpecialistPasadena, CA$65,000–$75,000 / yearThe following is a list of all material job duties which Dine Brands reasonably believes that criminal history may have a direct, adverse, and negative relationship, potentially resulting in the withdrawal of a conditional offer of employment: comply with applicable laws, mitigate risk, provide competent legal advice, and securely obtain, store, and handle employees and third parties personal, financial, and medical information. Based in Pasadena, California, Dine Brands Global, Inc. (NYSE: DIN), through its subsidiaries and franchisees, supports and operates restaurants under the Applebees Neighborhood Grill + Bar, IHOP, and Fuzzys Taco Shop brands.
Major Case Specialist, Auto Liability The Travelers Companies IncMajor Case Specialist, Auto LiabilityDiamond Bar, CA$99,100–$163,400 / yearAs a Major Case Specialist, you are responsible for investigating, evaluating, reserving, negotiating, and resolving complex, serious and severe claims typically with full damage value for average claim $500,000 to over a multi-million dollar value. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
Risk Management Specialist II Comprehensive Community Health CentersRisk Management Specialist IIGlendale, CA$29–$33 / hourMonitor assigned Risk Management shared email accounts and communication channels, including Patient Experience, Risk Management information, reporting, and fax communications; independently assess and respond to incoming correspondence within delegated authority, coordinate and track required follow-up through resolution, and escalate high-risk, sensitive, unusual, or legally significant matters requiring higher-level review or management action. Coordinate assigned complex grievances, potential claims, subpoenas, deposition requests, and related matters; conduct necessary fact-finding; retrieve, review, and compile medical and dental records and supporting documentation as appropriate; maintain accurate documentation; coordinate required follow-up; and appropriately escalate high-risk, sensitive, or legally significant matters to Risk Management leadership.
RISK MANAGEMENT SPECIALIST II Comprehensive Community Health Centers IncRISK MANAGEMENT SPECIALIST IIGLENDALE, CA$29–$33 / hourMonitor assigned Risk Management shared email accounts and communication channels, including Patient Experience, Risk Management information, reporting, and fax communications; independently assess and respond to incoming correspondence within delegated authority, coordinate and track required follow-up through resolution, and escalate high-risk, sensitive, unusual, or legally significant matters requiring higher-level review or management action. Coordinate assigned complex grievances, potential claims, subpoenas, deposition requests, and related matters; conduct necessary fact-finding; retrieve, review, and compile medical and dental records and supporting documentation as appropriate; maintain accurate documentation; coordinate required follow-up; and appropriately escalate high-risk, sensitive, or legally significant matters to Risk Management leadership.
Employee Relations & HR Operations Specialist Comprehensive Community Health CentersEmployee Relations & HR Operations SpecialistGlendale, CA$30–$35 / hourThe Employee Relations & HR Operations Specialist serves as a trusted partner to employees, managers, and leadership by leading employee relations initiatives and supporting core HR operational functions. The Employee Relations & HR Operations Specialist combines strong employee relations expertise with sound HR operational knowledge and the ability to exercise discretion, objectivity, and sound judgment in handling sensitive workplace matters.
Claims Resolution Specialist - Covered California CalOptimaClaims Resolution Specialist - Covered CaliforniaOrange, CA$53,813–$80,720 / yearWe are hoping you will join us as a Claims Resolution Specialist - Covered California and help shape the future of healthcare where you'll be an integral part of our CLA - Claims Production team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. Responds to provider questions and researches issues regarding claims payments, denials, resolves claim issues, contractual and/or CalOptima Health agreements, established payment methodologies, division of financial responsibility, applicable regulatory legislation, claims processing guidelines and company policies and procedures.
People Operations Specialist 8FleetPeople Operations SpecialistLos Angeles, CaliforniaThis role sits at the center of our People Operations, with a primary focus on managing Leave of Absence (LOA) and workplace accommodations, and serving as our HRIS subject matter expert, alongside benefits administration for a dynamic, high-volume frontline workforce. Case Management: Track leave and accommodation cases and documentation (medical certifications, accommodation requests, return-to-work clearances) in our leave management system, ensuring accurate status, expected return dates, and required notices are issued on time.
NewSpecialist, B2B eCommerce Marketing SprintRay IncSpecialist, B2B eCommerce MarketingLos Angeles, CA$125,000–$145,000 / yearTo All Recruitment Agencies: Without a written agreement signed by an officer of SprintRay: a) SprintRay does not accept resumes from recruiting agencies, headhunters, or any other party expecting payment in the event SprintRay speaks with or hires a candidate from such submitted resume; b) SprintRay is not responsible for any fees related to unsolicited resumes or related Terms of Service, and c) Unsolicited resumes received will be considered the property of SprintRay and will be processed accordingly. Streamline buying workflows tailored to clinical procurement, utilizing Shopify B2B features to manage custom dental practice price lists, net payment terms, quick-order lists for high-volume consumables, and simple bulk reordering processes.
NewSpecialist, Customer Service Compression/Lymphedema Cardinal Health IncSpecialist, Customer Service Compression/LymphedemaCA$20.02–$25.78 / hourThis person will support our sales efforts, educate referral sources and patients, and help our internal teams stay current on coverage guidelines so patients can get the products they need, process orders in an efficient manner and own all communication with the patients. The Compression and LTA Product Specialist serves as our team's subject-matter expert on compression garments and the products covered under the Lymphedema Treatment Act (LTA), which expanded Medicare Part B coverage for compression supplies.
Brand Protection Specialist, Amazon NAM LogitechBrand Protection Specialist, Amazon NAMIrvine, TexasLogitech also offers Wellness Programs, Health Savings Account Plans, access to Expert Medical Opinions, Identity Theft Protection, Breast Milk Delivery to Nursing Mothers on Business Travel, access to a Group Legal Plan, Donations Matching Programs, Employee Product Discounts, and access to Auto, Home, and Pet Insurance. PDP Optimization: Partner with Logitech Marketing and Amazon account teams to optimize Product Detail Page (PDP) content, update consumer messaging, and improve A+ content to better align customer expectations and reduce return rates.
Senior Specialist - Data Engineering LTM LtdSenior Specialist - Data EngineeringIrvine, CA$103,415–$152,000 / yearTogether with over 87,000 employees across 40 countries and our global network of partners, LTM - a Larsen & Toubro company - owns business outcomes for our clients, helping them not just outperform the market, but to Outcreate it. Please also note that neither LTM nor any of its authorized recruitment agencies/partners charge any candidate registration fee or any other fees from talent (candidates) towards appearing for an interview or securing employment/internship.
Senior Payroll & Benefits Specialist 8FleetSenior Payroll & Benefits SpecialistLos Angeles, California$90,000–$110,000 / yearPayroll Data Integrity & Peer Collaboration: Maintain clean, accurate payroll-related data across timekeeping and PEO systems, and share payroll and benefits best practices with fellow People Operations Specialists across markets. End-to-End Ownership: Independently own and manage the weekly payroll process for a high volume of non-exempt employees, validating hours, overtime, differentials, and PTO, and driving process improvements as the team and workforce scale.