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.
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.
Claims Adjuster Kinetic Personnel GroupClaims AdjusterMonrovia, CA$55,000–$75,000 / yearTemporaryThe ideal candidate has a strong understanding of coverage analysis, liability evaluation, and California insurance regulations, and is able to resolve claims efficiently and fairly. This role is responsible for providing high-quality customer service while managing a volume of property damage claims.
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.
NewVice President, Litigation & Claims Foxstone RecruitingVice President, Litigation & ClaimsBeverly Hills, CAJob Description Our client, a vertically integrated private real estate investment and property management firm headquartered in Beverly Hills, California, is seeking a senior litigation attorney to lead their litigation and claims function as Vice President, Litigation & Claims in either their Los Angeles or Dallas office. They're seeking a person who will manage the full lifecycle of claims arising at our properties, selecting and directing outside counsel, partnering with insurance carriers on the handling and resolution of claims, and overseeing eviction matters across all nine states in which they operate.
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.
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.
NewLead - Claims Examiner Astrana Health, Inc.Lead - Claims ExaminerMonterey Park, CA$27–$32 / hourWork closely with other Company departments and specifically, the Claims QA and Training Specialist to communicate findings of recovery audits and to facilitate accurate adjudication of claims. Ensures that all legal, regulatory and policy requirements are met by keeping informed of changes and by implementing necessary controls and/or programs to meet requirements.
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.
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.
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.
Customer Service Representative Health Source MSOCustomer Service RepresentativeAlhambra, CAFull timeAbility to work regularly scheduled shifts within our hours of operation including the training period, where lunches and breaks are scheduled, with the flexibility to adjust daily schedule, and work over-time as needed. Review and research incoming healthcare claims from members and providers(doctors, clinics, etc) by navigating multiple computer systems and platforms and verifies the data/information necessary for processing (e.g.
NewUtilization Management Coordinator Preferred IPA of CaliforniaUtilization Management CoordinatorLos Angeles, CAnCompany Description Thrifty Management Services is the dedicated MSO for Preferred IPA of California, providing the best possible care management, care coordination, and claims processing services to Preferred IPA and their members. Thrifty Management Services is the dedicated MSO for Preferred IPA of California, providing the best possible care management, care coordination, and claims processing services to Preferred IPA and their members.
Sr. Medical Claims Processor Ultimate Staffing ServicesSr. Medical Claims ProcessorPasadena, California$24–$29 / hourEnsure accuracy of claim details, including patient information, coding (ICD-10, CPT, HCPCS), and billing data prior to submission. Investigate and resolve denied, rejected, or pending claims by working with providers, payers, and internal departments.
NewLitigation Paralegal - 2315904 JBA InternationalLitigation Paralegal - 2315904Beverly Hills, CA$85,000–$100,000 / yearDraft correspondence and regularly communicate with clients, experts, and defense counsel in an effective and courteous manner. Assist with pre-trial preparation, including drafting trial documents and preparing exhibits.
NewPI Case Manager- Bilingual CASEPEER Experience Preferred Trauma Law PCPI Case Manager- Bilingual CASEPEER Experience PreferredTorrance, CADay to day tasks include frequent client contact, medical records collection, review, and analysis, assisting clients with medical providers, appointments, liability investigations, insurance claims processing, resolving property damage and loss of use, preparing files to submit to our demand department, and providing superior client service. A fantastic and rare opportunity to be an integral part of a reputable, and rapidly growing law firm that handles significant TBI and catastrophic cases in a positive team focused environment while working along side two "superstars" in the personal injury field.
NewGeneral Manager, Foodservice Sales (Hybrid) Kewpie Americas Q&B FoodsGeneral Manager, Foodservice Sales (Hybrid) Kewpie AmericasIrwindale, CAOver 60 years of fine food, products and service.\r\nAs a division of Kewpie Corporation, Japan's leading manufacturer of mayonnaise, salad dressings, sauces, marinades and related products, California-based Q&B Foods, Inc. is uniquely qualified to produce the highest quality and tastiest products in the US marketplace.\r\n\r\nOur highly qualified management teams and representatives are dedicated to maintaining our exceptional reputation, which has made Q&B Foods one of the premiere suppliers to leading businesses around the world. As a division of Kewpie Corporation, Japan's leading manufacturer of mayonnaise, salad dressings, sauces, marinades and related products, California-based Q&B Foods, Inc. is uniquely qualified to produce the highest quality and tastiest products in the US marketplace.
NewInsurance Customer Service Represenrative (CSR) CROWN INSURANCE AGENCY INCInsurance Customer Service Represenrative (CSR)Los Angeles, CAOur clients choose us for our commitment to finding the right coverage at the right price, and our team keeps coming back because of our supportive, collaborative work environment. Job Description About the Role: Crown Insurance Agency Inc is looking for a motivated and personable Insurance Customer Service Representative (CSR) to join our team in Los Angeles, CA.
NewParalegal, Employment Single Action (FEHA) Wilshire Law FirmParalegal, Employment Single Action (FEHA)Los Angeles, CA$34.62–$48.08 / hourYou will work side by side on a team of dynamic, collaborative, and client-focused professionals who are committed to delivering on our founding core values: Excellence, Teamwork, and Integrity. Wilshire Law Firm is a distinguished, award-winning legal practice with over 18 years of experience, specializing in Personal Injury, Employee Rights, and Consumer Class Action lawsuits.