Itemized Bill Review Auditor III (IBR) ExlService Holdings IncItemized Bill Review Auditor III (IBR)CA$70,000–$90,000 / yearEXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others.
NewEmployee Benefits Account Coordinator Selby Jennings LtdEmployee Benefits Account CoordinatorLos Angeles, CAThis position offers the opportunity to work alongside Account Managers and Account Executives, supporting a diverse portfolio of employer clients across day-to-day service, renewals, open enrollment, compliance, and benefits administration. A well-established employee benefits consulting and brokerage firm is seeking an Employee Benefits Account Coordinator to join its growing team.
NewTotal Rewards Specialist Golden HippoTotal Rewards SpecialistLos Angeles, CAPayroll coordination for all paid and unpaid leaves including HRIS Pay Classification Management, Individual Claim Management, Compliance, and Return to Work procedures for all individuals out on leave. In performing these duties, this role supports the interpretation and administration of Company policies and contributes to general business operations, exercising discretion and independent judgment in matters of significance.
NewHuman Resources/Risk Management Specialist - Part Time City of El MonteHuman Resources/Risk Management Specialist - Part TimeEl Monte, CAParticipates in coordinating and planning recruitment and selection processes; develops recruitment plans; prepares job announcements; places advertisements; schedules, proctors, and scores employment tests; coordinates testing with hiring departments; prepares interview rating notebooks, schedules interviews, and compiles interview rating forms. Participates in the administration of employee and retiree benefit programs including group life, health, and disability insurance programs; coordinates claim processing, premium compilation, and invoice payments; counsels employees regarding benefit programs; administers employee leave programs.
DISABILITY INSURANCE PROGRAM REPRESENTATIVE State Of CaliforniaDISABILITY INSURANCE PROGRAM REPRESENTATIVELos Angeles, CA$4,055–$6,310Under supervision, the Disability Insurance (DI) Services Representative will determine claimant eligibility for State Disability Insurance (SDI) Program benefits including Disability Insurance, Paid Family Leave, and Nonindustrial Disability; will conduct fact-finding interviews, respond to inquiries, and perform claim processing activities in accordance with laws, regulations, rules and policies; will provide prompt, accurate and courteous customer service; may develop and provide training that emphasizes the consistent application of law, regulation, policy and procedures, appropriate medical duration control techniques, program integrity practices and processes, will record and maintain overpayment (OP) documents in accordance with current over-payment policies and procedures, process OPs, conduct follow up collection actions for both claimant and third party overpayments with appropriate documentation. If you are unable to apply electronically through your CalCareer account, please mail a completed and signed State Examination/Employment Application STD Form 678 and application package to the mailing address provided in the "Application Instructions' section below and ensure the following: Clearly indicate the Job Code #, Position Number and the Classification Title of this position in the "Examination or Job Title(s) For Which You Are Applying" section located on Page 3 of your State Examination/Employment STD Form 678.
Healthcare Network Manager Priority Family Care CenterHealthcare Network ManagerLos Angeles, California$25–$30Conducts and maintains office site visits to service providers with training and education, resolves issues, educates and interprets staff/providers on policies and procedures, collects credentialing information and reviews Healthcare Effectiveness Data and Information Set (HEDIS) information. Qualifications: Education and Experience: Bachelor’s degree in health care administration, business, or public relations preferred, or equivalent combination of education and experience; prior experience with physician offices or managed care, IPA or health insurance environment preferred.
Senior Customer Relations Lead Collectors Universe, Inc.Senior Customer Relations LeadSanta Ana, CAWe 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. Our services span collectible trading cards, autographs, comic books, coins, video games, event tickets, and memorabilia.
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.
PFS Insurance Specialist II Ambry Genetics CorpPFS Insurance Specialist IICA$27–$28 / hourThe PFS Insurance Specialist's main role is to assist the collections team towards department goals of increasing cash collections and improving reimbursement rates. The PFS Specialist should have the ability to work on any claim, regardless of aging, and must work with both commercial and government payers, and review EOB's.
Learning & Efficacy Manager Highlights for Children Inc.Learning & Efficacy ManagerCARemoteThe Learning Science and Efficacy Manager will focus primarily on two areas: (1) translating and communicating the research base to internal product and curriculum teams, and (2) Supporting the planning, coordination, and documentation of efficacy studies in partnership with Learning Design leadership and external research partners. Reporting to the Senior Manager, Learning Design and working in close partnership with the VP, Curriculum and Learning Design, this role ensures that every ZB program is built on a defensible, current, and clearly communicated research base.
Labor Attorney Boardroom AppointmentsLabor AttorneyLos Angeles, CaliforniaParticipate in trial or arbitration proceedings (experience or strong desire preferred). Additional trial or arbitration experience is desirable.
Litigation Attorney KI Executive GroupLitigation AttorneyOrange, CaliforniaThe Litigation Attorney develops effective case strategies, collaborates closely with trial attorneys and claims professionals, and ensures high quality, cost effective representation of physicians and healthcare providers while adhering to established defense attorney guidelines. This role requires an experienced attorney with in depth knowledge of medical, legal, and regulatory issues related to professional liability defense.
NewRisk Analyst Brown & Brown, INC.Risk AnalystWoodland Hills, CAAssisting clients and carriers with day-to-day email, phone, fax and mail requests for policies, endorsements, audits, certificates and/or auto ID cards, accounting/billing, coordination of claims/loss control services. Responsibilities will include, but are not limited to: Performing risk analysis studies not limited to compilations of underwriting information and coverage placement, loss forecasting and analysis to promote maximum protection of an organization's assets and assist in loss reduction.
Patient Account Rep - Credit & Collection FT Days Torrance Memorial Medical CenterPatient Account Rep - Credit & Collection FT DaysTorrance, CaliforniaResponsible for implementation of compliant Revenue Cycle procedures including verification of insurance eligibility and benefits, obtaining authorizations for care, billing and collection of patient revenues, and transmission of OASIS and HIS assessments. Additional Information A minimum of two years experience working in the Business Office of a home health or hospice care provider with responsibility for billing, collections and health insurance eligibility and benefits verification.
ESIS Senior Partnership Leader Chubb LtdESIS Senior Partnership LeaderLos Angeles, CA$71,000–$114,400 / yearThe company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. With more than 70 years of experience, and offerings in both the U.S. and globally, ESIS provides one of the industry's broadest selections of risk management solutions covering both pre- and post-loss services.
Logistics Coordinator Bilingual Mandarin Chinese Fenchem IncLogistics Coordinator Bilingual Mandarin ChineseChino, CA$26–$31 / hourFull timeThis role partners closely with Sales, Warehouse, Receiving, and freight carriers to ensure accurate order processing, compliant shipping documentation, cost-effective freight arrangements, timely deliveries, and smooth inbound coordination. Fenchem is a global supplier of specialty ingredients, serving customers across food & beverage, human nutrition, personal & home care, animal nutrition, performance materials, and agrochemical industries.
NewVendor and Supplier Manager IV Kaiser PermanenteVendor and Supplier Manager IVPasadena, CAServes as a consultant to stakeholders and process owners by providing consultation and trusted partnership to stakeholders and teams to drive process improvements; developing management systems to sustain process changes; developing stakeholder process improvement leadership competencies; providing training and guidance to stakeholders; and providing ongoing coaching to build a continuous improvement mindset, and build capabilities that drive results. Performs data analyses to support process improvement initiatives by identifying appropriate data analysis tools and approach to assess system or process performance; determining suitable data gathering and analysis methods (e.g., process observation, hard data, etc.); defining data requirements and obtaining customer agreements, including customer requirements as appropriate; conducting analyses and performing experimental tests; and identifying and alleviating risks through data-driven analysis.
Vice President, Actuarial and Product Management Great American Insurance CompanyVice President, Actuarial and Product ManagementWoodland Hills, CA$230,000–$270,000 / yearResponsibilities: As the leader of the Actuarial and Product Management teams, this person will report to the President and be responsible for the overall management of 7 actuarial and product management staff located remotely and in our Woodland Hills office, and have primary responsibility for the following: Performance and development of the actuarial and product management teams. This role combines traditional actuarial leadership with modern analytics integration and product management oversight, ensuring pricing, underwriting strategy, analytics, and product suite are aligned with market needs, company objectives, and long-term profitability.
Paralegal Envista DentistryParalegalBrea, California$85,000–$100,000 / yearEnvista will consider unsolicited referrals and/or resumes submitted by vendors such as search firms, staffing agencies, professional recruiters, fee-based referral services and recruiting agencies (Agency) to have been referred by the Agency free of charge and Envista will not pay a fee for any placement resulting from the receipt such unsolicited resumes. With a heritage of category-defining innovation, our brands have shaped modern dentistry: Nobel Biocare introduced the first dental implant, Ormco is a pioneer in both traditional and digital orthodontics, DEXIS has long been at the forefront of 2D, 3D and intraoral imaging, and Kerr has supported clinicians for over 135 years.
Lead Project Cost Estimator Engicon CmLead Project Cost EstimatorLos Angeles, CaliforniaMinimum Required Qualifications: Required Experience: Fourteen (14) years full-time paid professional experience in the preparation of complete cost estimates for major/complex type I, II, or III, and V building construction as defined by the State building codes. Prepares and reviews cost estimates and forms and other materials submitted to secure State and/or federal grants and loans from school aid programs and represents the district on matters pertinent to securing such funds.