NewClaims Clerk (Part-Time) Astiva HealthClaims Clerk (Part-Time)Orange, CADemonstrated proficiency in MS Office (Excel, Word, Outlook and Power Point). Misdirected claims are filed on SFTP folders according to the IPA of the member.
NewAssociate Director Business Process - Claim And Appeal Operations - Remote In US UnitedHealth Group Inc.Associate Director Business Process - Claim And Appeal Operations - Remote In USLos Angeles, CARemote$112,700–$193,200 / yearThe Associate Director Business Process operates in a highly matrixed environment, managing complex initiatives, advancing cost-efficiency strategies, and delivering data-driven insights that inform decision-making and improve operational outcomes across Claim & Appeal Operations. The Associate Director Business Process, Claim & Appeal Operations serves as a key strategic partner to the Claim & Appeal Operations VP, driving execution of operational, financial, and strategic priorities across the organization.
Assistant Director, Claims Operations Impresiv HealthAssistant Director, Claims OperationsHuntington Beach, CA$95,000–$120,000 / yearThe Assistant Director will provide operational, analytical, administrative, and project support across claims processing, 837 file oversight, payment integrity, issue resolution, provider and IPA coordination, reporting, audit readiness, system initiatives, and process improvement. Track, document, escalate, and help resolve complex claims issues involving providers, IPAs, delegated entities, vendors, and internal departments.
Claims Examiner - Workers Compensation ICONMA, LLCClaims Examiner - Workers CompensationOrange, CARemote$47–$52 / hourSubject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business. Responsibilities: 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 Examiner - Workers Compensation (Hourly) ICONMA, LLCClaims 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.