location_0_addressRegionName

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jobPosting hiringOrganization as json hashed.

ADAPTED_NOW

Insurance

Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Armando Montejano - State Farm Agency, located in Pomona, CA has an immediate opening for a full-time Bilingual (Spanish/English) Licensed Insurance Professional.

Salary

KBSkills

ACTIVE

YEAR

<br/><b>Bilingual Licensed Insurance Professional</b><br/><br/><b>Location: </b> POMONA, CA, 91768<br/><b>Salary: </b>$65000.0 - $70000.0/year<br/><b>Experience: </b>3 Year(s)<br/><br/>Armando Montejano - State Farm Agency, located in Pomona, CA has an immediate opening for a full-time Bilingual (Spanish/English) Licensed Insurance Professional. We are an award winning State Farm agency focused on fulfilling the needs of our customers and creating success for our team. My Unique Ability is empowering others to achieve their potential and strategizing simple solutions that build confidence in our shared future.<br/><br/>If you have experience in the insurance industry, I invite you to apply for the position in my office. I challenge you to strive towards your potential. I look forward to being a part of your success!<br/><br/><strong>Responsibilities include but not limited to:</strong><br/><ul><li> Develop leads, schedule appointments, identify customer needs, and market appropriate products and services</li><li> Establish customer relationships and follow up with customers, as needed</li><li> Provide prompt, accurate, and friendly customer service. Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification</li></ul><br/><br/><strong>What we provide:</strong><br/><ul><li> Base Salary</li><li>Annual Bonus based on performance</li><li> Valuable experience</li><li> Growth potential/Opportunity for advancement within my office</li></ul><br/><br/><strong>Requirements:</strong><br/><ul><li> Prior three years experience (SF experience a plus) with an entrepreneurial mindset </li><li> Sales experience (outside sales or inside sales representative, retail sales associate, or telemarketing) preferred</li><li> Successful track record of meeting sales goals/quotas preferred</li><li> Excellent communication skills - written, verbal and listening</li><li> Self-motivated</li><li> Ability to multi-task</li><li> Ability to effectively relate to a customer</li><li><strong>Property & Casualty license</strong></li><li><strong>Life & Health license</strong></li><li><b>Bilingual (Spanish/English)</b></li></ul><br/><br/>If you are motivated to succeed and can see yourself in this role, please submit your resume. We will follow up with you on the next steps in the interview process.<br/><br/>This position is with a State Farm independent contractor agent, not with State Farm Insurance Companies. Employees of State Farm agents must be able to successfully complete any applicable licensing requirements and training programs. State Farm agents are independent contractors who hire their own employees. State Farm agents' employees are not employees of State Farm.<br/><br/><p>PId2117765d9a4-25401-37433051</p>

State Farm Agency - Pomona

Bilingual Licensed Insurance Professional

salaryMin

salaryMax

payPeriod

currency

Billing

Calendar Management

Communication Skills

Customer Relations

Customer Support/Service

English Language

Entrepreneurship

Field Sales

Inside Sales

Lead Generation

Licensing

Meet Sales Quota

Multilingual

Multitasking

Needs Assessment

Presentation/Verbal Skills

Retail Sales

Sales

Spanish Language

Telemarketing

Training Program

Writing Skills

jobtargetdirectftpin

OFFSITE

If you thrive in dynamic environments, love translating business needs into creative development solutions, and have a strong passion for leadership development and organizational growth, we'd love to meet you. You'll work closely with senior leaders, HR partners, and subject matter experts to create learning journeys that align with our business goals and meet employees where they are.

<div><h3>Job Details</h3><div><strong>Job Location</strong>: LIBERTY Dental Plan Corp. - Tustin, CA</div><div><strong>Position Type</strong>: Full Time</div><div><strong>Salary Range</strong>: Undisclosed</div><div><strong>Job Shift</strong>: Day</div><div><strong>Job Category</strong>: Health Care</div></div><h3>Job Summary</h3><p>Are you passionate about empowering employees and building programs that develop the next generation of leaders? We're looking for a <strong>Director of Learning & Development</strong> who will drive the design and delivery of innovative, impactful learning experiences across our growing organization.</p><p>As our Director of L&D, you will shape a strategy that elevates skills, accelerates careers, and strengthens our culture of continuous improvement. You'll work closely with senior leaders, HR partners, and subject matter experts to create learning journeys that align with our business goals and meet employees where they are.</p><p>If you thrive in dynamic environments, love translating business needs into creative development solutions, and have a strong passion for leadership development and organizational growth, we'd love to meet you.</p><h3><strong>What You'll Do:</strong></h3><ul><li>Build and lead a company-wide learning and development strategy that drives employee engagement and business performance.</li><li>Design leadership development programs and high-potential employee initiatives that support career growth and succession planning.</li><li>Oversee onboarding, technical training, compliance training, and professional development efforts across departments.</li><li>Partner with HR, department heads, and executive leadership to identify skill gaps and deliver tailored learning experiences.</li><li>Manage our Learning Management System (LMS) and curate a dynamic, accessible course library.</li><li>Measure training effectiveness using data, feedback, and performance outcomes to continuously enhance our programs.</li><li>Mentor and inspire a team of L&D professionals (where applicable) and drive a culture of innovation in learning.</li><li>Stay on top of L&D trends, tools, and technologies to bring fresh ideas to our organization.</li></ul><h3><strong>What You Bring:</strong></h3><ul><li>Bachelor’s degree in Human Resources, Organizational Development, Education, or related field (Master’s preferred).</li><li>10+ years in Learning & Development, including 5+ years in a leadership role.</li><li>Proven experience designing and implementing successful company-wide learning and leadership programs.</li><li>Strong knowledge of adult learning principles, instructional design, and modern learning technologies.</li><li>Experience managing a Learning Management System (LMS) and creating engaging e-learning programs.</li><li>Exceptional communication, influencing, and facilitation skills with a strategic mindset.</li><li>Ability to balance big-picture strategy with hands-on execution in a fast-paced environment.</li><li>Certifications such as CPLP, PHR/SPHR, or PMP are a plus.</li></ul><br/><p><strong><u>Location</u></strong></p><p>Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States.</p><p><strong><u>What Liberty Offers</u></strong></p><p>Happy, healthy employees enhance our ability to assist our members and contribute more actively to their communities. That’s why Liberty offers competitive and attractive benefit packages for our employees. We strive to care for employees in ways that promote wellness and productivity.</p><p><strong>Our first-class benefits package supports employees and their dependents with:</strong></p><ul><li><p><strong>Competitive pay structure and savings options</strong>to help you reach your financial goals.</p></li><li><p><strong>Excellent 401(k) retirement benefits</strong>, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines.</p></li><li><p><strong>Affordable medical insurance</strong>, with low-cost premiums for employee-only coverage. Liberty subsidizes the cost for eligible dependents enrolled in the plan.</p></li><li><p><strong>100% employer-paid dental coverage</strong>for employees and eligible dependents.</p></li><li><p><strong>Vision insurance</strong>with low-cost premiums for employee-only coverage and dependents.</p></li><li><p><strong>Company-paid basic life and AD&D insurance</strong>, equal to one times your base salary, with options to purchase additional supplemental coverage.</p></li><li><p><strong>Flexible Spending Accounts</strong>for healthcare and dependent care expenses.</p></li><li><p><strong>Voluntary benefit programs</strong>, including accident, critical illness, and hospital indemnity insurance.</p></li><li><p><strong>Long-term disability coverage.</strong></p></li><li><p><strong>Expansive wellness programs</strong>, including company-wide wellness challenges, BurnAlong memberships, and gym discounts.</p></li><li><p><strong>Employee Assistance Program (EAP)</strong>to support mental health and well-being.</p></li><li><p><strong>Generous vacation and sick leave</strong>policies, with the ability to roll over unused time.</p></li><li><p><strong>10 paid company holidays.</strong></p></li><li><p><strong>Tuition reimbursement</strong>for eligible educational expenses.</p></li><li><p><strong>Remote or hybrid work options</strong>available for various positions.</p></li></ul><p><strong><u>Compensation</u></strong></p><p>In the spirit of pay transparency, the base salary range for this position is $143,000 - $173,000, not including fringe benefits or potential bonuses. At Liberty, your final base salary will be determined by factors such as geographic location, skills, education, and experience. We are committed to pay equity and also consider the internal equity of our current team members when making final compensation decisions.</p><p>Please note that the range listed represents the full base salary range for this role. Typically, offers are not made at the top of the range to allow for future salary growth.</p><p>Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. Liberty will leverage diverse perspectives in building high performance teams and organizational culture.</p><p>Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve.</p><p>We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements.</p><p>Sponsorship and Relocation Specifications</p><p>Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled.</p><p>No relocation assistance or sponsorship available at this time.</p>#J-18808-Ljbffr

LIBERTY Dental Plan

Director Learning & Development (Health Insurance)

JobLeads

Insurance Claims

The Director, Claims is responsible for the direction and oversight of all medical claim processing, provider disputes & appeals, quality assurance, and training activities. IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.

<h3>Overview</h3><p><strong>What you can expect!</strong></p><p>Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an<strong>authentic experience!</strong></p><p>The Director, Claims is responsible for the direction and oversight of all medical claim processing, provider disputes & appeals, quality assurance, and training activities. Additional responsibilities include ensuring regulatory compliance, strategic planning, and staff development.</p><p>Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.</p><h3>Additional Benefits</h3><p><strong>Perks</strong></p><p>IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.</p><ul><li>Competitive salary.</li><li>Hybrid schedule.</li><li>State of the art fitness center on-site.</li><li>Medical Insurance with Dental and Vision.</li><li>Life, short-term, and long-term disability options</li><li>Career advancement opportunities and professional development.</li><li>Wellness programs that promote a healthy work-life balance.</li><li>Flexible Spending Account – Health Care/Childcare</li><li>CalPERS retirement</li><li>457(b) option with a contribution match</li><li>Paid life insurance for employees</li><li>Pet care insurance</li></ul><h3>Key Responsibilities</h3><ul><li>Ensure all claims, appeals and disputes are accurately handled within Federal and State regulatory requirements.</li><li>Oversight of quality assurance audits and initiatives focused on payment accuracy and streamlined processes.</li><li>Oversight of all department training activities.</li><li>Primary department representation for internal/external claim audits and regulatory appeals and inquiries.</li><li>Responsible for ensuring regulatory reporting and fulfilling corrective action plans for identified deficiencies.</li><li>Coordinates department purchasing needs and originates RFP’s and RFQ’s for needed services.</li><li>Prepares department budget and staffing plan.</li><li>Ensure all department policies and provider manual claim policies are maintained.</li><li>Interacts with other IEHP departments to collaborate on key initiatives, issue resolution and Lean activities.</li><li><h3>Qualifications</h3><p><strong>Education & Requirements</strong></p><ul><li>Five (5) years healthcare administration experience, four (4) or more years in a leadership capacity</li><li>Two (2) years experience with an HMO or managed care experience</li><li>Medi-Cal and/or Medicare claims experience preferred</li><li>Bachelor’s degree in business administration, accounting or health care from an accredited institution is required<ul><li>Master’s degree from an accredited institution preferred</li></ul></li></ul><p><strong>Key Qualifications</strong></p><ul><li>Solid understandings of rules and regulations governing Medi-Cal benefits and claims adjudication practices and procedures</li><li>Principles and techniques of supervision and training</li><li>Microcomputer literacy preferred</li></ul><p><strong>Start your journey towards a thriving future with IEHP and apply <u>TODAY</u>!</strong></p><h3>Work Model Location</h3><p>This position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA.)</p><h3>Pay Range</h3>USD $154,128.00 - USD $204,214.40 /Yr.#J-18808-Ljbffr</li></ul>

Inland Empire Health Plans

Director, Claims

Adjudication

Administrative Skills

Animal Care

Budgeting

Business Administration

California Public Employees Retirement System (CalPERS)

Childcare

Claims Processing

Consumer Assessment of Healthcare Providers and Systems (CAHPS)

Corrective Action

Dental Insurance

External Audit

Federal Laws and Regulations

Fitness

Flexible Spending Accounts

Health Insurance

Health Maintenance Organization (HMO)

Healthcare

Healthcare Administration

Healthcare Effectiveness Data and Information Set (HEDIS)

Internal Audit

Leadership

Life Insurance

Literacy

Maintain Compliance

Managed Care

Medi-Cal

Medical Billing

Medicare

National Committee for Quality Assurance (NCQA)

Problem Solving Skills

Process Development

Purchasing/Procurement

Quality Assurance

Regulations

Regulatory Reports

Regulatory Requirements

Request for Proposals (RFP)

Staff Development

State Laws and Regulations

Strategic Planning

Ensure adequate quality controls and participate with support departments to analyze the root cause of claim payment variations. Interact with Core Configuration team and vendors to ensure claims systems are robust, compliant and supports business developmental needs.

<h3>Overview</h3><p><strong>What you can expect!</strong></p><p>Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an<strong>authentic experience!</strong></p><p>The Senior Director of Claims is responsible for the strategy, design, and implementation of claims payment processes. Provide regulatory directive and operational guidance to ensure the organization’s compliance requirements are met.</p><p>Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.</p><h3>Additional Benefits</h3><p><strong>Perks</strong></p><p>IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.</p><ul><li>Competitive salary.</li><li>Hybrid schedule.</li><li>State of the art fitness center on-site.</li><li>Medical Insurance with Dental and Vision.</li><li>Life, short-term, and long-term disability options</li><li>Career advancement opportunities and professional development.</li><li>Wellness programs that promote a healthy work-life balance.</li><li>Flexible Spending Account – Health Care/Childcare</li><li>CalPERS retirement</li><li>457(b) option with a contribution match</li><li>Paid life insurance for employees</li><li>Pet care insurance</li></ul><h3>Key Responsibilities</h3><ul><li>Oversee Claims Production and vendor oversight for all lines of business</li><li>Ensure adequate quality controls and participate with support departments to analyze the root cause of claim payment variations.</li><li>Ensure claim support services achieve high provider satisfaction and timely dispute/appeal responsiveness</li><li>Establish, implement, and provide improvements to internal controls and department policies and procedures</li><li>Interact with Core Configuration team and vendors to ensure claims systems are robust, compliant and supports business developmental needs</li><li>Influence and drive change among executive leadership and others within the organization</li><li>Draft and oversee implementation of future state processes and systems needed to support strategic direction</li><li>Provide coaching and guidance to the Director of Claims to ensure staffing and operational support needs are met</li><li><h3>Qualifications</h3><p><strong>Education & Requirements</strong></p><ul><li>Ten (10) years healthcare administration experience, four (4) years minimum in a Director level role or above</li><li>Two (2) years of experience with an HMO or managed care experience</li><li>Medi-Cal and/or Medicare claims experience preferred</li><li>Bachelor's degree in business administration, accounting or health care from an accredited institution required</li><li>Master’s degree from an accredited institution preferred</li></ul><p><strong>Key Qualifications</strong></p><ul><li>Must have a valid California Driver's license and valid automobile insurance</li><li>Must qualify and maintain driving record to drive company vehicles based on IEHP insurance standards of no more than three (3) points</li><li>Solid understandings of rules and regulations governing Medi-Cal benefits and claims adjudication practices and procedures</li><li>Principles and techniques of supervision and training</li><li>Data entry involving computer keyboard and screens, filing, and copying of records and/or correspondence</li><li>Microcomputer literacy preferred</li></ul><p><strong>Start your journey towards a thriving future with IEHP and apply <u>TODAY</u>!</strong></p><h3>Work Model Location</h3><p>This position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA.)</p><h3>Pay Range</h3>USD $193,003.20 - USD $265,387.20 /Yr.#J-18808-Ljbffr</li></ul>

Senior Director, Claims

Business Support

Coaching

Data Entry

Driver's License

Keyboards

Mail Processing

Operational Support

Process Improvement

Production Control

Record Keeping

Regulatory Compliance

Root Cause Analysis

Time Management

Vehicle Driving

Customer Service

Their financial service offerings include banking, loans, education savings, estate planning, annuities, mutual funds and retirements. Look no further than Christi Liang Insurance Agency, Inc! We are seeking dedicated individuals to join our team and help us provide top-notch service to our clients.

<p><strong>Join Our Team as a Customer Service Representative! </strong></p><p>Are you looking for a rewarding career in customer service with a company that values its employees? Look no further than Christi Liang Insurance Agency, Inc! We are seeking dedicated individuals to join our team and help us provide top-notch service to our clients. As a Customer Service Representative, you will have the opportunity to make a difference in the lives of our customers every day.</p><p><strong>Daily Responsibilities:</strong></p><ul><li>Provide excellent customer service over the phone and in person</li><li>Resolve customer inquiries and issues in a timely and efficient manner</li><li>Process payments and orders accurately</li><li>Assist with asset protection and claims processing</li><li>Manage customer accounts and provide support as needed</li></ul><p><strong>Required Skills:</strong></p><ul><li>Bilingual Mandarin/Cantonese</li><li>Service sales knowledge</li><li>Customer service management skills</li><li>Inbound/Outbound Calling</li><li>Detail oriented</li></ul><p><strong>Nice to Have Skills:</strong></p><ul><li>Payment processing experience</li><li>Complaint resolution expertise</li></ul><p><strong>Technical Skills:</strong></p><ul><li>Experience with order processing systems</li><li>Ability to handle inbound/outbound calling</li><li>Knowledge of accounts receivable processes</li></ul><p><strong>Salary and Benefits:</strong></p><ul><li>Minimum Salary: $48,000.00</li><li>Maximum Salary: $72,000.00</li><li>401(k) benefits offered</li></ul><p><strong>Company Information:</strong></p><ul><li>Founded in 1922, State Farm Insurance Company is a privately owned insurance and financial services group based out of Bloomington, IL. The company provides private auto, home, non-medical health, and life insurance through its subsidiary companies. They sell various types of insurance including life, health, disability, motorcycle, auto, sports, identity protection, home and liability. Their financial service offerings include banking, loans, education savings, estate planning, annuities, mutual funds and retirements.</li></ul><p><strong>DEI Statement:</strong></p><p>Christi Liang Insurance Agency, Inc is committed to creating a diverse, equitable, and inclusive workplace where all employees feel valued and respected. We believe that diversity in backgrounds, experiences, and perspectives leads to a stronger and more innovative team.</p><p><strong>EEO Statement:</strong></p><p>Christi Liang Insurance Agency, Inc is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, or any other characteristic protected by law.</p><br/>Employment Type: Full Time<br/>Salary: $48,000 - $72,000 Annual<br/>Bonus/Commission: Yes

Christi Liang Insurance Agency, Inc

Accounts Receivable Processing

Automotive Industry

Call Centers

Customer Service Management

Diversity

FIFO

Financial Services

Loss Prevention

Order Processing

Payment Processing

Resolve Customer Issues

iHire

Insurance Examiner

Thank You,JacobBy providing your phone number, you consent to: (1) receive automated text messages and calls from the Judge Group, Inc. and its affiliates (collectively "Judge") to such phone number regarding job opportunities, your job application, and for other related purposes. Reply STOP to opt out of receiving telephone calls and text messages from Judge and HELP for help.

<b>Location: </b> Orange, CA<br/><b>Salary: </b> $25.00 USD Hourly - $30.00 USD Hourly<br/><b>Description: </b><b>The Judge Group is currently seeking Claims Examiners for a fantastic healthcare company in Orange, CA!</b><br/><br/><b>This job will have the following responsibilities:</b><br/><div><div><ul><li>The Claims Examiner Sr will be responsible for analyzing and validating claims elements and claims processing. </li><li>The incumbent will adhere to the regulatory and internal guidelines in conjunction with our Health’s policies and procedures related to claims adjudication. </li><li>The incumbent will be responsible for adjudicating more complex claims, requiring additional research or problem-solving.</li></ul></div></div><br/><b>Qualifications & Requirements:</b><ul><li>High School diploma or equivalent required. </li><li>3 years of experience processing online claims in a managed care environment required. </li><li>An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying. <br/></li><li>Knowledge of: Revenue codes and billing code sets, e.g.,</li></ul><div><br/></div><div><b>If this would be of interest to you or someone you might know, please don't hesitate to send your resume or questions to me directly at jmaybrier@judge.com</b></div><div><br/></div><div>Thank You,</div><div>Jacob</div><p>By providing your phone number, you consent to: (1) receive automated text messages and calls from the Judge Group, Inc. and its affiliates (collectively "Judge") to such phone number regarding job opportunities, your job application, and for other related purposes. Message & data rates apply and message frequency may vary. Consistent with Judge's Privacy Policy, information obtained from your consent will not be shared with third parties for marketing/promotional purposes. Reply STOP to opt out of receiving telephone calls and text messages from Judge and HELP for help.</p><br/><b>Contact:</b> jmaybrier@judge.com<br/><div align="center" style="background-color:#999999"><i>This job and many more are available through The Judge Group. Find us on the web at www.judge.com</i></div>

<p>The Judge Group Inc., is a leading professional services firm specializing in talent, technology, and learning solutions. We consult, staff, train, and solve. Through our work we make people and organizations better. Our services are successfully delivered through a network of more than 30 offices across the United States, Canada, and India.</p>
<p>The Judge Group is proud to partner with the best and brightest companies in business today, including over 60 of the Fortune 100. We serve organizations in financial services, healthcare, life sciences, insurance, government (including aerospace and defense), manufacturing, and technology and telecommunications. If you would like to learn more about The Judge Group visit www.judge.com or call toll free (800) 360-4474.</p>

Judge Group

Claims Examiner Sr.

Claims Representative

By providing your phone number, you consent to: (1) receive automated text messages and calls from the Judge Group, Inc. and its affiliates (collectively "Judge") to such phone number regarding job opportunities, your job application, and for other related purposes. Job Responsibilities:Addresses provider inquiries, questions and concerns in all areas, including enrollment, claims submission and payment, benefit interpretation and referrals/authorizations for medical care.

<b>Location: </b> Orange, CA<br/><b>Salary: </b> $24.00 USD Hourly - $33.00 USD Hourly<br/><b>Description: </b><div><b>Judge Healthcare is currently seeking Claims Resolution Specialist in Orange, CA!!</b></div><div><br/></div><div><b>Contract:</b>  6+ months</div><div><b>Hours:</b> Monday-Friday, business hours </div><div><b>Location:</b> On-site (Orange, CA) </div><div><br/></div><div>The Claims Resolution Specialist will provide assistance in resolving provider claims payment status issues, provider payment disputes, eligibility and authorization verification.<br/></div><div><br/></div><div><b>Job Responsibilities:</b></div><div><ul><li>Addresses provider inquiries, questions and concerns in all areas, including enrollment, claims submission and payment, benefit interpretation and referrals/authorizations for medical care.</li><li>Verifies member eligibility, claims and authorization status for providers. </li><li>Ensures thorough follow-up and completion of all provider inquiries or requests.<br/></li></ul></div><b>Qualifications & Requirements:</b><ul><li>High School Diploma or equivalent. </li><li>2+ years claims experience required. </li><li>1+ year of call center experience with high call volumes</li><li>Experience in Health Maintenance Organization, Medicare, Medi-Cal/Medicaid, preferred. </li></ul><div><b>For immediate consideration email your resume to Christina at chead@judge.com. </b></div><ul></ul><p>By providing your phone number, you consent to: (1) receive automated text messages and calls from the Judge Group, Inc. and its affiliates (collectively "Judge") to such phone number regarding job opportunities, your job application, and for other related purposes. Message & data rates apply and message frequency may vary. Consistent with Judge's Privacy Policy, information obtained from your consent will not be shared with third parties for marketing/promotional purposes. Reply STOP to opt out of receiving telephone calls and text messages from Judge and HELP for help.</p><br/><b>Contact:</b> chead@judge.com<br/><div align="center" style="background-color:#999999"><i>This job and many more are available through The Judge Group. Find us on the web at www.judge.com</i></div>

Claims Resolution Specialist

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The Best Online Insurance Jobs in Eastvale, CA | Monster