Claims Processor ArsenaultClaims ProcessorLos Angeles, CaliforniaThrough our dedicated associates, Arsenault delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments creating exceptional outcomes for our clients and the millions of people who count on them. It is essential to have a good understanding of EOBs, FSAs, how to read receipts, doctor bills, and basic medical paperwork.
OHS Claims Processor I (Bilingual) FT Kaiser PermanenteOHS Claims Processor I (Bilingual) FTLos Angeles, CAOrdering and photocopying medical records; temporarily cover other desk/functions due to vacation and workload fluctuations; clears designated Health Connect work queues daily, creates patient accounts to register patients and fills in the required KP computerized systems, provides personalized and professional patient/employer/carrier services. Promotes, ensures and improves customer service to internal/external customers by demonstrating skills which are consistent with the organizations philosophy of providing extraordinary customer relations and quality service as well as all other Kaiser Permanente Policy Procedures.
Cash/Claims Processor Assignment ObjectWin Technology IncCash/Claims Processor AssignmentCAResearches and resolves data issues through coordination and communication with internal and/or external clients and team members, ensuring timely application of payments on open receivables. Detailed working knowledge of basic computer operations and systems, i.e. Web-based search engines, Windows, and Microsoft Office products.
Lead Claims Specialist - Claims Processing Providence Health & ServicesLead Claims Specialist - Claims ProcessingMission Hills, CARequsition ID: 451045 Company: Providence Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 7520 CLAIMS PROCESSING CA HERITAGE SERVICES Address: CA Mission Hills 11165 N Sepulveda Blvd Work Location: Facey Sepulveda Annex-Mission Hills Workplace Type: Hybrid Pay Range: $27.92 - $42.73 Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Senior Claims Specialist - Claims Processing Providence St. Joseph HealthSenior Claims Specialist - Claims ProcessingMission Hills, CATogether, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non-contracted, per diem, case rate etc.) and adjudication and claims research when necessary.
Lead Claims Specialist - Claims Processing Providence St. Joseph HealthLead Claims Specialist - Claims ProcessingMission Hills, CATogether, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
RCIS Crop Claims Specialist or Claims Crop Field Adjuster CA Zurich Insurance Group LtdRCIS Crop Claims Specialist or Claims Crop Field Adjuster CACARemote$51,300–$89,100 / yearRCIS offers a wide range of private product coverages, including a diverse selection of named-peril options, supplemental and stand-alone insurance products as well as federal crop insurance plans through the United States Department of Agriculture's Risk Management Agency. RCIS Crop Adjuster Physical Requirements: walk in agricultural fields up to 3 miles, climb agricultural storage bins up to 25 feet, lift 25 lbs to 50 lbs, work outdoors in varying temperatures/weather conditions.
Senior Workers'' Comp Claims Specialist CA Claims Zenith Insurance CompanySenior Workers'' Comp Claims Specialist CA ClaimsWoodland Hills, CA$94,502.68–$127,972.38 / yearZenith is a team of Workers'' Compensation Specialists committed to helping businesses succeed by protecting against the financial and human consequences of workplace injuries, providing for the needs of injured employees and making the workplace safer. Opens new Claims, completes three-point contact, and performs needed investigations to determine compensability as well as possible subrogation or apportionment, according to state and/or Zenith's timeframes and guidelines.
New2027 Claim Trainee Program - Associate Claims Representatives CNA Financial Corp2027 Claim Trainee Program - Associate Claims RepresentativesLos Angeles, CA$35,000–$65,000 / yearEssential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Develops a working knowledge of commercial insurance and learns to manage an inventory of low complexity claims by successfully completing a formal training program, and following company protocols to verify policy coverage, gather necessary information, maintain appropriate file documentation and authorize disbursements within authority limit. After successful completion of a formal training program, this individual contributor position works under close supervision, and within defined authority limits, to handle and resolve low complexity commercial claims for a specific line of business.
Education and Training Specialist - CLAIMS PROCESSING Providence Health & ServicesEducation and Training Specialist - CLAIMS PROCESSINGMission Hills, CA$29.62–$45.31 / hourRequsition ID: 450440 Company: Providence Jobs Job Category: Learning & Development Job Function: Human Resources Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 7520 CLAIMS PROCESSING CA HERITAGE SERVICES Address: CA Mission Hills 11165 N Sepulveda Blvd Work Location: Facey Sepulveda Annex-Mission Hills Workplace Type: On-site Pay Range: $29.62 - $45.31 Working under the general supervision of the Claims Director, provide an effective education program to advance the quality and production level of the Claims Department by developing and delivery claims training programs that continuously improves the Claims Department performance to meet the NSS strategic goals.
Education and Training Specialist - CLAIMS PROCESSING Providence St. Joseph HealthEducation and Training Specialist - CLAIMS PROCESSINGMission Hills, CAWorking under the general supervision of the Claims Director, provide an effective education program to advance the quality and production level of the Claims Department by developing and delivery claims training programs that continuously improves the Claims Department performance to meet the NSS strategic goals. Any combination of experience or equivalent background: 5 years experience of acquired in-depth technical knowledge of functional area i.e., claims operations, HMO products, industry claims processing procedures, contracts, billing and overall managed care processes, etc.
Banking Operations Processor WorkwayBanking Operations ProcessorLos Angeles, CA$20.50–$22.50 / hourAs a certified Community Development Financial Institution (CDFI), the Bank focuses on expanding access to affordable financial services, promoting financial literacy, and helping individuals and businesses build long-term wealth. Your specific duties will include: Monitoring and processing checks received through remote deposit, posting incoming wire transfers, and managing online banking access, remote deposit access, and transaction limits.
Financial Compliance Auditor III Claims L.A. Care Health PlanFinancial Compliance Auditor III ClaimsLos Angeles, CARequired: At least 4 years of experience performing claims audits or claims processing related to Medi-Cal, Medicare, and/or other managed care product lines similar to L.A. Care's mission is to provide access to quality health care for Los Angeles Countys vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.
Claims Auditor MedPOINT ManagementClaims AuditorSherman Oaks, CARemoteFull timeMedPOINT Management is a leading Independent Practice Association (IPA) management company serving the greater Los Angeles area, dedicated to delivering high-quality, coordinated healthcare to patients across Southern California. Our team enjoys a collaborative work culture, opportunities for professional growth, and the satisfaction of making a meaningful impact in the healthcare industry.
Senior Manager, Claims Administration L.A. Care Health PlanSenior Manager, Claims AdministrationLos Angeles, CARequired: Strong knowledge of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), International Classification of Diseases (ICD)-10, DRG/ Ambulatory Payment Classification (APC), and pricing methodologies. Responsible for translating enterprise expectations into consistent frontline execution, maintaining a strong control environment, identifying emerging risks quickly, and building upstream partnerships that drive long-term operational maturity.
Senior Claims Auditor - Managed Care Cedars-Sinai Medical CenterSenior Claims Auditor - Managed CareCalifornia, CAThe incumbent leads cross departmental audit initiatives, performs specialized system testing, and supports internal and external regulatory audits. Produces written and verbal reports summarizing audit findings for leadership, highlighting compliance risks and recommending mitigation strategies.
BusinessOperations - Claims Examiner (Operations) 1 - 700092 MindlanceBusinessOperations - Claims Examiner (Operations) 1 - 700092Woodland Hills, CA$23 / hourImpact and Purpose Candidate Requirements Education/Certification Required: High school diploma or higher education Preferred: High school diploma or higher education Licensure Required: No License Required Preferred: CA Pharmacy Technician License Years of experience required. Projected HM Candidate Review Date: 1-2 days post shortlisting Number and Type of Interviews: 1 Interview (Panel of 3) Extra Interview Prep for Candidate: No Required Testing or Assessment (by Vendor): Manager Communication Preferences & Next Steps
Claims Administrative Specialist The Doctors CompanyClaims Administrative SpecialistSherman Oaks, CA$46,436–$60,947 / yearYou will also provide clerical, administrative, and technical assistance to the assigned claims staff; maintain specific, timely, accurate coding and file updates to support data warehouse searches for claims processing and TDC research projects. Benefits: The Doctors Company offers competitive compensation, an incentive bonus plan, outstanding career opportunities, an exceptional work environment, and an impressive benefits package, which starts with medical, family and bereavement leave; same-sex domestic partner benefits; short- and long-term disability programs; and an employee assistance program.
Claims Examiner MedPOINT ManagementClaims ExaminerSherman Oaks, CARemoteFull timeMedPOINT Management is a leading Independent Physician Association (IPA) management company based in Sherman Oaks, CA, dedicated to delivering high-quality healthcare administrative services. We foster a collaborative and supportive work environment where employees are empowered to grow and make a meaningful impact in the healthcare industry.
NewCoordination of Benefits Processor (Remote) Molina Healthcare IncCoordination of Benefits Processor (Remote)CARemoteAbility to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with internal and external stakeholders. Attention to detail, organizational and time-management skills; ability to manage simultaneous projects and tasks to meet internal deadlines.