Claims & Customer Service - Los Angeles Ca. Career StrategiesClaims & Customer Service - Los Angeles Ca.Los Angeles, CaliforniaThe Claims Specialist/Analyst will process health insurance claims and answers calls from the customer (participant members, providers, physicians, hospitals etc.) Adhere to eligibility, claims and call policies and procedures while making sound claim/call decisions. · Review and research incoming healthcare claims by navigating multiple computer systems and platforms and verify the data/information necessary for processing (e.g.
Senior Claims Account Manager Argo Group International Holdings Ltd.Senior Claims Account ManagerLos Angeles, CA$137,500–$167,000 / yearDeep workers' compensation technical expertise, including compensability, medical treatment, disability exposure, return-to-work, settlement valuation, Medicare considerations, litigation management, jurisdictional requirements, and claim resolution strategy and exception customer service focus typically obtained through: Bachelor's Degree from an accredited university. Support onboarding and oversight of additional runoff programs as Clearbrook acquires new companies, portfolios, or lines of business, including transition planning, TPA implementation, claim file transfer, authority protocols, reporting expectations, and governance routines.
Senior Claims Account Manager Argo Group International Holdings IncSenior Claims Account ManagerLos Angeles, CA$137,500–$167,000 / yearDeep workers' compensation technical expertise, including compensability, medical treatment, disability exposure, return-to-work, settlement valuation, Medicare considerations, litigation management, jurisdictional requirements, and claim resolution strategy and exception customer service focus typically obtained through: Bachelor's Degree from an accredited university. Support onboarding and oversight of additional runoff programs as Clearbrook acquires new companies, portfolios, or lines of business, including transition planning, TPA implementation, claim file transfer, authority protocols, reporting expectations, and governance routines.
Project Manager Industrial Hygiene J.S. Held LLCProject Manager Industrial HygieneLos Angeles, CA$105,000–$130,000 / yearOur professionals serve as trusted advisors to organizations facing high stakes matters demanding urgent attention, staunch integrity, proven experience, clear-cut analysis, and an understanding of both tangible and intangible assets. You will deliver a broad range of industrial hygiene services, including lead, asbestos, mold and indoor air quality (IAQ) assessments, while also supporting emergency response and insurance-related engagements.
Operations Manager Santa Monica Bay DentalOperations ManagerSanta Monica, CaliforniaFull timeServe as a key liaison between the practice and the support center, ensuring clear, timely communication across all stakeholder groups to align priorities, resolve issues, and drive practice success. Qualifications: Proven experience as a Dental Office Manager or a similar healthcare leadership role with a demonstrated track record of driving growth for 3+ years .
NewClient Accounting Coordinator Davies Group LtdClient Accounting CoordinatorCalifornia, CARemote$45,000–$54,000 / yearThe coordinator partners closely with clients, claims management, banking partners, and internal teams to ensure loss fund activity is accurate, timely, well-documented, and aligned with client expectations, internal controls, and insurance claims processing requirements. Manage program accounting from cradle to grave, including coordinating new bank account openings, supporting program setup in the CRM, maintaining accurate client and program data, and ensuring required documentation is complete.
Athletics Support (Level I - Level V) - Athletic Trainer Mt San Antonio CollegeAthletics Support (Level I - Level V) - Athletic TrainerCA$18–$22 / hourAdministers emergency care, treats acute, sub-acute and minor chronic disabilities, and/or refers injured student-athlete to physician; evaluates physical condition of injured athletes; advises, develops and implements programs for routine and corrective exercises; provides rehabilitation services for injured student-athletes; uses treatment modalities such as ultrasound, electrical stimulation, hydrotherapy and therapeutic exercise; and recognizes and manipulates conditions which require special taping, bracing or padding, either preventative or rehabilitative. Have an equity-minded focus, responsiveness, and sensitivity to and understanding of the diverse academic, socioeconomic, cultural, disability, gender identity, sexual orientation, and ethnic backgrounds of community college students, including those with physical or learning disabilities as it relates to differences in learning styles; and successfully foster and support an inclusive educational and employment environment.
NewContracts and Claims Specialist Luster NationalContracts and Claims SpecialistLos Angeles, CA$90,000–$155,000 / hourWe're seeking Contracts and Claims Specialists of various skill levels to support large, complex heavy civil infrastructure programs, including highways, roads, bridges, transit (bus and rail), aviation (international airports), and water/wastewater projects delivered through both traditional and alternative delivery methods. Luster provides the salary range that the company in good faith believes it might offer for this position based on the successful candidate's level and years of experience, knowledge, skills, abilities, education, certifications, licenses, geographic location, etc.
Operations Manager Imagen Dental Partners, LLCOperations ManagerSanta Monica, CAYour role: Strategic leadership: Serve as a key liaison between the practice and the support center, ensuring clear, timely communication across all stakeholder groups to align priorities, resolve issues, and drive practice success. Proven experience as a Dental Office Manager or a similar healthcare leadership role with a demonstrated track record of driving growth for 3+ years.
Medical Assistant/Cast Specialist - Manhattan Beach-BCO Ortho Clinic- Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaMedical Assistant/Cast Specialist - Manhattan Beach-BCO Ortho Clinic- Full Time 8 Hour Days (Non-Exempt) (Non-Union)Manhattan Beach, California$29–$45.20 / hourWhen extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations. Escorts patients to x-ray and exam rooms, monitors patient flow, assists physicians with minor clinical procedures including staple removal, suture removal, and wound care.
Claims Specialist, Workers Compensation - West Region Liberty Mutual Holding Company IncClaims Specialist, Workers Compensation - West RegionGlendale, CARemoteResponsibilities: Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages. As a Workers Compensation Claims Specialist, you will work within a Claims Team, using the latest technology to review, analyze, and process claims that are routinely characterized as moderately complex to complex within assigned authority limits.
Senior Claims Examiner P&C - Public Entities Athens AdministratorsSenior Claims Examiner P&C - Public EntitiesOrange, CaliforniaAdditional duties may be assigned: Advanced knowledge in the following areas: 1) claims handling concepts, practices, and techniques specific to the California government code and regulations 2) functional knowledge of CA law and insurance regulations 3) demonstrated advanced verbal and written communications skills 4) demonstrated advanced analytical, decision making and negotiation skills Must have the experience and ability to organize and effectively manage a caseload of general liability claims and new loss assignments venued in California. ATHENS POSITION DETAILS Position Title: Senior Claims Examiner Department: Property & Casualty Reports To: Claims Supervisor FLSA Status: Exempt – CJPIA account Job Grade: 13 Career Ladder: Next step in progression could include Complex Claims Examiner ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976.
Customer Service Specialist Easy RecruiterCustomer Service SpecialistLos Angeles, CaliforniaYou'll be gotten in touch with to investigation complex problems concerning member prescribed as well as/ or even drug store benefits across a number of data banks which demands eloquence in personal computer navigation and toggling while with confidence as well as compassionately enlisting along with the customer. Need to live in a place that may acquire a UnitedHealth Team accepted high-speed web link or take advantage of an existing high-speed web solution.
Associate Collector Accendra Health IncAssociate CollectorAnaheim, CA$24–$26 / hourSummary: The representative is to service the needs of our customers by accurately billing customer accounts, assuring timely remittance, and taking immediate action on issues that involve account integrity. With deep expertise promoting health outside the hospital and a presence in communities nationwide through our Apria and Byram Healthcare brands, Accendra Health does more than just deliver the essentials.
Associate Collector Byram Healthcare CentersAssociate CollectorAnaheim, CaliforniaThe representative is to service the needs of our customers by accurately billing customer accounts, assuring timely remittance, and taking immediate action on issues that involve account integrity. With deep expertise promoting health outside the hospital and a presence in communities nationwide through our Apria and Byram Healthcare brands, Accendra Health does more than just deliver the essentials.
Dental Biller - Front Office A-Team Dental StaffingDental Biller - Front OfficeStudio City, CaliforniaThe Dental Insurance Biller / Patient Care Coordinator is responsible for managing insurance claims, accounts receivable, payment posting, insurance follow-up, and assisting patients with scheduling, answering incoming calls, and coordinating appointments. They are confident with insurance billing and accounts receivable, communicate professionally with patients and insurance companies, thrive in a fast-paced environment, and take pride in keeping both the schedule and collections running smoothly.
Patient Care Coordinator A-Team Dental StaffingPatient Care CoordinatorStudio City, CaliforniaThe Dental Insurance Biller / Patient Care Coordinator is responsible for managing insurance claims, accounts receivable, payment posting, insurance follow-up, and assisting patients with scheduling, answering incoming calls, and coordinating appointments. They are confident with insurance billing and accounts receivable, communicate professionally with patients and insurance companies, thrive in a fast-paced environment, and take pride in keeping both the schedule and collections running smoothly.
Customer Service Representative - State Farm Agent Team Member Shane Taylor - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberEncino, CAFull timeAs a Customer Service Representative - State Farm Agent Team Member with Shane Taylor - State Farm Agent, you will generate the kind of exceptional client experiences that reinforce the growth of a successful insurance agency. At Shane Taylor Insurance Agency, we’ve been proudly serving our community since 2018, combining 20 years of industry experience to deliver exceptional service and trusted advice.
Senior Mechanical Project Engineer Thornton TomasettiSenior Mechanical Project EngineerLos Angeles, CaliforniaIndividuals seeking employment at Thornton Tomasetti are considered without regards to age, ancestry, color, gender (including pregnancy, childbirth, or related medical conditions), gender identity or expression, genetic information, marital status, medical condition, mental or physical disability, national origin, protected family care or medical leave status, race, religion (including beliefs and practices or the absence thereof), sexual orientation, military or veteran status, or any other characteristic protected by federal, state, or local laws. An independent organization of creative thinkers and innovative doers collaborating from offices worldwide, our mission is to bring our clients' ideas to life and, in the process, lay the groundwork for a better, more resilient future.
Business Technology Strategy Lead - Claims, Finance, HR, Legal & Compliance L.A. Care Health PlanBusiness Technology Strategy Lead - Claims, Finance, HR, Legal & ComplianceLos Angeles, CAThe TPM II applies functional healthcare systems knowledge to ensure solutions meet business intent and regulatory requirements, leverages data to measure outcomes and validate hypotheses, and promotes disciplined product management practices within the domain. Collaborates with IT and business partners to ensure solutions within the domain comply with Health Insurance Portability and Accountability Act (HIPAA), Centers for Medicare and Medicaid Services (CMS), Department of Health Care Services (DHCS), and other relevant regulatory requirements.