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 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.
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.
NewManager, Claims Operations - Auto USAAManager, Claims Operations - AutoChesapeake, VA$103,450–$197,730 / yearAs a dedicated Auto Claims Operations Manager, you will manage and be accountable for auto, property, and other claims operations member service employees who are responsible for serving our members, and providing appropriate solutions as they investigate, evaluate and negotiate the claim. 6 years of progressive customer service, operational, military or leadership experience to include a minimum of 2 years of claims handling experience required with demonstrated proficiency.
NewManager, Claims Operations (Auto Non Injury Complex) USAAManager, Claims Operations (Auto Non Injury Complex)Colorado Springs, CO$103,450–$197,730 / yearAs a dedicated Manager, Claims Operations, you will lead and be accountable for auto, property, and other claims operations member service employees who are responsible for serving our members, and providing appropriate solutions as they investigate, evaluate and negotiate the claim. 6 years of progressive customer service, operational, military or leadership experience to include a minimum of 2 years of claims handling experience required with demonstrated proficiency.
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 Representative Farm Bureau Financial ServicesClaims RepresentativeWest Des Moines, IAFull timeAs a Claim Representative, you must keep a service-oriented attitude at all times by maintaining professional and productive relationships with coworkers, supervisors, agents, agency managers, claimants, policyholders, doctors, attorneys, and others. ·Ability to exercise independent judgment and arrive at decisions through sound, logical reasoning in order to handle complex claims in accordance with policy provisions and compliance guidelines.
Coordinator - Insurance Compliance & Claims Penske Truck RentalCoordinator - Insurance Compliance & ClaimsREADING, PAWillingness to travel as necessary, work the required schedule, work at the specific location required, complete Penske employment application, submit to a background investigation (to include past employment, education, and criminal history) and drug screening are required. Penske Truck Leasing/Transportation Solutions is a premier global transportation provider that delivers essential and innovative transportation, logistics and technology services to help companies and people move forward.
NewQuality Control Supervisor JobotQuality Control SupervisorLos Angeles, CA$75,000–$110,000 / 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. Corrective Actions and Continuous Improvement: Identify non-compliant practices on the production floor, propose corrective actions, and collaborate with production leaders to implement improvements.
Environmental Health and Safety Supervisor JobotEnvironmental Health and Safety SupervisorCity of Industry, CA$80,000–$100,000 / 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. A nationally recognized organization in the foodservice and supply chain industry delivers a broad portfolio of products and support services to a diverse customer base.
Environmental, Health & Safety Supervisor JobotEnvironmental, Health & Safety SupervisorVernon, CA$95,000–$125,000 / 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 are a well-established and growing food manufacturing organization and a trusted provider of high-quality poultry and meat products across the United States.
Insurance Unit Manager/Supervisor GEICOInsurance Unit Manager/SupervisorEscondido, CA$77,900–$133,250Bachelor's or Associate's degree with 2+ years of supervisory experience OR a minimum of 4 years of supervisory experience in lieu of a degree (high school diploma or equivalent required). Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate’s work experience, education and training, the work location as well as market and business considerations.
Medical Record Review Registered Nurse 22nd Century Technologies, Inc. (TSCTI)Medical Record Review Registered NurseHarrisburg, PA$40–$45 / hourFull timeAssignments will consist of a combination of ongoing process responsibilities, standing workgroup participation, and time-limited projects related to the management and operations of all aspects of the Pennsylvania Medicaid program, including but not limited to: Evaluation and implementation of system enhancements for provider enrollment, provider inquiry, and medical review; Evaluation of current processes and implementation of recommended process improvement; Consult with senior staff to outline major operational issues and develop resolutions based on sound data analysis; Act as a liaison between the Client and external stakeholders (individuals and/or groups); Assist in determining if any changes should be made to criteria or regulations to better serve clients; Review certain claims, analyze, and process through the payment system; Provide operational input for claims processing decisions; Assist with coding and procedure code groupings; Participate in the yearly coding updates and assist in updating the system according to the reviewed and accepted codes for the PA Medical Assistance Program; Perform other related duties as assigned by the managerial staff; Consultant will report to the state supervisor staff. Be available as a full-time consultant, approximately 37.5 hours per week; Possess an active Pennsylvania Registered Nurse license; Possess a documented work history of five (5) or more years of experience with claims review/coding or processing; be familiar with HCPCS II, CPT, or Dental coding; Possess computer skills, including familiarity with Microsoft Office programs, including Microsoft Excel/Word/PowerPoint; Possess prior experience with PROMISe or similar claims processing system; Possess prior experience with Medicare or Medical Assistance coding rules; Possess prior experience with researching medical policies, out of state comparison, participation in studies or projects.
Supervisor Registered Nurse (RN) - Risk Manager - $58-74 per hour Community Medical CentersSupervisor Registered Nurse (RN) - Risk Manager - $58-74 per hourFresno, CA$58–$74 / hourResponsibilities: The Supervisor of Risk Management is responsible for overseeing the day-to-day activities of the patient safety risk management program and staff, including patient safety activities, education of Just Culture and error investigation, evaluation, and resolution. Connects internal and external resources/services to manage all clinical patient care cases in which an adverse event has occurred.
NewRevenue Supervisor Sonora Quest LaboratoriesRevenue SupervisorPhoenix, AZ4. Reviews and analyzes reimbursement, aging and collection reports to ensure prompt resolution to escalated issues in accordance with departmental policies, procedures and generally accepted accounting principles as well as all applicable laws and regulations. Promote effective communication between reimbursements team and third party and government payer relations via in-person meetings, phone calls and written correspondence.
NewMedical Billing Specialist JobotMedical Billing SpecialistLos Angeles, CA$25–$29 / 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. This role is responsible for preparing, reviewing, and submitting claims, resolving denied or unpaid claims, and maintaining compliance with local, state, and federal billing regulations.
NewHR Generalist SWI-DE Holdings, LLCHR GeneralistDoral, FLThe HR Generalist in partnership with the HR Centers of Excellence (COE) of Drew Estate’s parent company Swisher, helps implement enterprise HR programs, maintain compliance with employment laws and company policies, and ensure alignment with broader organizational practices, while tailoring execution to meet the unique needs of Drew Estate business in alignment with broader corporate objectives. The HR Generalist serves as a key on-site Human Resources partner for Drew Estate, responsible for ensuring the effective execution of core HR processes while providing responsive, employee-centered support.
NewSafety Administrator NucorSafety AdministratorBethlehem, PAResponsible for conducting field, shop, and office safety training, performing field and shop safety audits, investigating safety issues at job sites, ensuring compliance with IIPP and other safety initiatives, contractor’s safety programs and all applicable federal and state regulations applicable to safety. Responsible for ensuring compliance with company safety program, contractor’s safety programs, and with all applicable federal and state regulations applicable to safety and reporting any significant safety related issues to Branch Manager and Regional Safety Manager.
HR & Payroll Administrator NucorHR & Payroll AdministratorLos Angeles, CA$23.51–$27.22 / hourWeekly processing of payroll activities; preparation, filing, and reconciliation of quarterly/ annual federal and state tax returns; month-end, quarter-end and year-end closing; preparing W2s; and wage garnishment processing. This role is responsible for providing excellent customer service and a wide range of payroll support to our team members while maintaining the confidentiality and integrity of the payroll data.