Claims Auditor Health Source MSOClaims AuditorAlhambra, CAFull timeResponsibilities include, but not limited to: Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including: Contractual agreement rates. Job Description : Claims Auditor will be responsible for auditing claims processed by Claims Examiners.
Claims Supervisor Health Source MSOClaims SupervisorAlhambra, CAFull timeProviding expertise or general claims support to teams in reviewing, researching, investigating, negotiating, process, and adjusting claims. Responsibilities include, but not limited to: • Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including: Contractual agreement rates.
NewClaims Monitoring Counsel MG+M The Law FirmClaims Monitoring CounselLos Angeles, CARemoteThe Consulting Group is at the forefront of emerging issues facing design professionals, including the use of AI, alternative construction delivery models such as Progressive Design Build, and project specific risk and insurance frameworks. Experience in one or more of the following practice areas: complex civil litigation preferably in the construction arena, claims management, interaction with insurers, involvement in the design or construction industry.
Claims Examiner - Workers Compensation (Hourly) IconmaClaims Examiner - Workers Compensation (Hourly)Brea, CA$43–$48 / hourResponsibilities: Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
NewClaims Coordinator I AxelonClaims Coordinator ITorrance, CAProficiency with computers, including email, PDF editing, and fax/eFax methods. Ability to work 40 hours per week for the next several months with minimal to no planned PTO.
Medical Claims Resolution Specialist Kinetic Personnel GroupMedical Claims Resolution SpecialistOrange, CA$25–$31 / hourTemporaryA full time permanent position includes a pay raise, telecommute options, a CalPERS Pension and excellent government benefits including generous holiday, PTO and sick pay days off, year one! Job duties: Addresses provider inquiries, questions, and concerns in all areas including enrollment, claims submission and payment, benefit interpretation, and referrals/authorizations for medical care.
NewHealthCare Claims Clerk (On-site) Shield HealthCareHealthCare Claims Clerk (On-site)Valencia, CAShield HealthCare is looking for a Healthcare Claims Clerk to research medical supply claims rejections, denials, and underpayments, making the necessary corrections to meet billing guidelines or recommending claims for write-off. Many factors go into determining employee pay withing the posted range including education, prior experience, training, current skills, certifications, location/labor market, internal equity, etc.
NewMedical Claims Examiner InsperityMedical Claims ExaminerLos Angeles, CA$24–$30 / hourThrifty Management Services , the dedicated MSO for Preferred IPA of California, seeks a skilled and compassionate Medical Claims Examiner to help us deliver exceptional healthcare support. Extensive familiarity and experience in planning benefit and co-payment determination, division of financial responsibility determination, claims policies and procedures, adjudication processes, and claim review and analysis involving NCCI rules.
NewClaims Examiner - Workers Compensation (Hourly) Apidel TechnologiesClaims Examiner - Workers Compensation (Hourly)Brea, CATo analyze complex or technically difficult workers\' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Analyzes and processes complex or technically difficult workers\' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
NewWorkers Compensation Claims Examiner Imagine Staffing TechnologyWorkers Compensation Claims ExaminerLong Beach, CAI 443-345-3305 Nature & Scope: Positional Overview We are seeking an experienced Workers Compensation Claims Examiner to manage complex California workers’ compensation claims, including indemnity and litigated cases. Role & Responsibility: Tasks That Will Lead to Your Success Analyze and process complex workers’ compensation claims by investigating facts, gathering documentation, and evaluating claim exposure.
NewWorkers Compensation Claims Examiner Mary Kraft HRWorkers Compensation Claims ExaminerLong Beach, CARemote$33.65–$45 / hourMary Kraft is seeking an experienced Workers Compensation Claims Examiner that can analyze and manage complex or technically difficult workers' compensation claims, including indemnity claims, to determine benefits due. This role involves working with high exposure claims that may include litigation and rehabilitation, ensuring timely adjudication in accordance with service expectations, industry best practices, and client requirements.
NewSenior Claims Auditor (External Audit) Astrana Health, Inc.Senior Claims Auditor (External Audit)Monterey Park, CA$70,308–$80,000 / yearKnowledge of medical terminology combined with detail knowledge and experience with CPT, HCPCS, DRG, REV, OPS, ASC, ICD10, CRVS, RBRVS, CMS, ICE for Health Plan, DMHC and DHS fee schedules and CMS Medicare regulatory agencies, COB and Third-Party Liability recovery. Detail knowledge and understanding of Industry pricing methodologies, such as Resources-Based Relative Value Scale (RBRVS), Medicare/Medi-Cal fee schedule, All Patient Refined Diagnosis Related Groups (AP-DRG), Ambulatory Payment Classifications (APC), etc.
NewWorkers' Compensation Defense Attorney - Newly Barred CA Attorneys! JobotWorkers' Compensation Defense Attorney - Newly Barred CA Attorneys!Orange, CA$100,000–$105,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.
NewWorkers' Comp Defense Attorney JobotWorkers' Comp Defense AttorneyEl Segundo, CA$140,000–$220,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.
NewPre-Lit Case Manager JobotPre-Lit Case ManagerTorrance, CA$40–$45 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.
NewFront Desk/Medical Receptionist - Bilingual Korean and English JobotFront Desk/Medical Receptionist - Bilingual Korean and EnglishLos Angeles, CA$23–$26 / hourWith a growing network of locations and a team of experienced physicians and healthcare professionals, we combine compassionate care with advanced treatment options and access to innovative clinical research. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal.
NewMedical Malpractice Litigation Associate JobotMedical Malpractice Litigation AssociateLos Angeles, CA$145,000–$185,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. They are consistently named to the Best Lawyers “Best Law Firms” list and are a Certified Great Place to Work, emphasizing collaboration, responsiveness, and high-quality client service.
NewPartner/Senior Attorney - Civil Litigation Defense (Remote with CA or NV Bar) JobotPartner/Senior Attorney - Civil Litigation Defense (Remote with CA or NV Bar)West Los Angeles, CARemote$190,000–$235,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. We strongly value a collegial environment and work-life balance, with a billing requirement of 1800 hours annually and remote work flexibility as well as a generous quarterly bonus structure for non-equity partners.
NewWorkers' Compensation Defense Attorney JobotWorkers' Compensation Defense AttorneyLos Angeles, CARemote$165,000–$210,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Well-known for being aggressive, detail-oriented, and providing cost-effective managed litigation with a strong ethical core- we believe in innovation, teamwork, and pushing for excellence in every case.
In House Paralegal Vaco LLCIn House ParalegalLos Angeles, CARemote$26–$28 / hourIn-House Paralegal (Contract – Remote, PST hours required) Location: Los Angeles, fully remote, PST hours required Duration: 3-month contract assignment Compensation: $26-28/hour (depending on experience) Overview A well-established company in the multi-family housing services and property operations space is seeking an In-House Paralegal for a 3-month contract. Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs.