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 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.
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.
NewClaims Examiner - Workers Compensation IconmaClaims Examiner - Workers CompensationRancho Cucamonga, CA$45–$50 / hourResponsibilities: To 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.
Claims 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.
NewMedical Biller Specialist MARC H SHOMER MD PHD INCMedical Biller SpecialistUpland, CAnCompany Description We are a speciality practice located in Upland and looking for an experienced medical biller familiar with submitting claims, claims follow ups and submitting letters of appeal. We are a speciality practice located in Upland and looking for an experienced medical biller familiar with submitting claims, claims follow ups and submitting letters of appeal.
NewFront Office/Dental Assistant Dental Wellness of Lake ForestFront Office/Dental AssistantLake Forest, CAResponsible for managing a variety of financial duties, including but not limited to conducting financial consultations with patients, filing and billing dental benefit claims, managing patients billing, pre-auth, and collections and tracking the practice’s accounts receivable. Job Description Join us and be a part of our passionate and family-oriented company culture, building community relationships with integrity and excellence as a valued member of our team, while helping to deliver unparalleled dental care for seniors and special needs populations as a premium provider of dental services in California.
Retail Claims Investigator Rebel Convenience StoresRetail Claims InvestigatorUpland, CAWe’re looking for a detail-oriented Claims Investigator to support the fair, accurate, and timely resolution of general liability, property damage, and Injury claims across our convenience store and fuel station locations. If you have a background in investigations and enjoy uncovering facts, assessing risk, and supporting sound outcomes, then this may just be the role for you!
Medical Only Claims Specialist CorVel Enterprise Claims, Inc.Medical Only Claims SpecialistRancho Cucamonga, CARemote$16.74–$26.92 / hourPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
Claims Coordinator, PSA Collectors Universe, Inc.Claims Coordinator, PSASanta Ana, CA$20.50–$23 / hourOur services span collectible trading cards, autographs, comic books, coins, video games, event tickets, and memorabilia. We grade, authenticate, vault, and sell millions of record-setting collectibles, all while modernizing and digitalizing the process to further our mission of helping collectors pursue their passions.
Senior Workers' Compensation Claims Adjuster Southern California EdisonSenior Workers' Compensation Claims AdjusterRosemead, CAAdministers benefits, contains medical cost, ensuring injured employees have immediate access to quality care while coordinating utilization review to ensure medical treatment is appropriate while moving cases to conclusion. As a self-insured and self-administered employer, we focus on helping our employees recover from workplace injuries so they can return to work safely and enjoy their lives outside of work.
Insurance Claims Coordinator ServiceMaster Restore 9669 - IrvineInsurance Claims CoordinatorIrvine, CAFull timeAs the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensures that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met. Ensure that uploading photos, and other documents are appropriately described, titled and uploaded in real time, as well as follows up to get missing required data from homeowner and insurance/mortgage information not obtained on initial call.
CA Claims Specialist - Bilingual (Spanish) CorVel Enterprise Claims, Inc.CA Claims Specialist - Bilingual (Spanish)Rancho Cucamonga, CARemote$25.48–$41.09 / hourPart timeThe Workers’ Compensation Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Claims Supervisor CorVel Enterprise Claims, Inc.Claims SupervisorRancho Cucamonga, CARemote$73,345–$113,247 / yearPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.
Auto Claims Representative DK Law's Open RolesAuto Claims RepresentativeCosta Mesa, CaliforniaInvestigate property damage claims involving auto accidents, including reviewing police reports, witness statements, and damage assessments. As a key member of our Claims Department, you will be responsible for investigating and evaluating property damage claims arising from automobile accidents.
NewWorkers Compensation Claims Examiner TEEMA GroupWorkers Compensation Claims ExaminerChino, CA$93,000–$104,000This role requires strong technical expertise, sound judgment, and the ability to handle highly complex indemnity claims within established authority limits. This is a highly interactive role requiring regular communication with clients, claimants, attorneys, medical providers, and internal stakeholders.
Claims Examiner - Workers Compensation (Hourly) eTeam Inc.Claims Examiner - Workers Compensation (Hourly)Brea, CARemote$45–$48.57 / hourPRIMARY PURPOSE: To 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. Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
Claims Specialist Diversity Caree HubClaims SpecialistOrange, CaliforniaManage medical malpractice claims, including the assignment, direction, and control of defense counsel, under supervision and in compliance with the Claims Technical Manual, the Defense Attorney Guidelines, and the MPT Agreement. Minimum five years of medical malpractice claims management experience and/or three years CAP claims experience.
NewClaims Receivables And Recovery Specialist (50627) Western Growers AssociationClaims Receivables And Recovery Specialist (50627)Irvine, CAThe Claims Receivables and Recovery Specialist reports to the Supervisor, Payment Integrity, and works with various departments within the company to ensure all open claim receivables, which are results of claim overpayments and/or adjustments, are pursued and collected appropriately. Collect receivables for the Western Growers Assurance Trust (WGAT) and clients of the Third-Party Administrator (TPA) that may be a result of overpayments or claims adjustments by researching, writing letters, and actively making phone calls.
Analyst III, Epic Application Professional Billing and Claims PDS HealthAnalyst III, Epic Application Professional Billing and ClaimsIrvine, California$103,000–$133,000 / yearFull timeOwns highly complex projects, such as multi-module implementations or enterprise-wide systems upgrades; leads medium-scale projects, including scoping, design, implementation, testing and go-live support. This role ensures accurate and efficient billing workflows, claim generation, and revenue cycle operations by collaborating with finance, billing, and operational teams.