location_0_addressRegionName

location_0_addressCountryName

ONSITE

PERMANENT

FULL_TIME

jobPosting hiringOrganization as json hashed.

ADAPTED_NOW

UNKNOWN

HOUR

Insurance Examiner

Job Description: Claims Examiner will be responsible for adjudicating complex claims, manually and/or automatically price claims accurately, and identify billing issues. Responsibilities include, but not limited to: Analyze, research, and process and/or adjust claims with accurate use of procedures and ICD-10 codes under respective provider and member benefits based on:Contractual agreement.

KBSkills

ACTIVE

<div>Job Description:Claims Examiner will be responsible for adjudicating complex claims, manually and/or automatically price claims accurately, and identify billing issues.  Responsibilities include, but not limited to:<ul style="margin:0;padding-left:0"><li style="margin-left:117.83pt;line-height:115%;padding-left:8.17pt;font-family:serif;font-size:10.5pt">Analyze, research, and process and/or adjust claims with accurate use of procedures and ICD-10 codes under respective provider and member benefits based on:<ul style="margin-right:0;margin-left:0;padding-left:0"><li style="margin-left:29.3pt;padding-left:6.7pt">Contractual agreement</li><li style="margin-left:29.3pt;padding-left:6.7pt">Health Plan division of financial responsibility</li><li style="margin-left:29.3pt;padding-left:6.7pt">Applicable regulatory legislature</li><li style="margin-left:29.3pt;padding-left:6.7pt">Claims processing guidelines</li><li style="margin-left:29.3pt;padding-left:6.7pt">Client group’s and company’s policies and procedures</li></ul></li><li style="margin-left:117.83pt;line-height:115%;padding-left:8.17pt;font-family:serif;font-size:10.5pt">Review and process facility (UB-04) and professional (CMS-1500) claims.</li><li style="margin-left:117.83pt;line-height:115%;padding-left:8.17pt;font-family:serif;font-size:10.5pt">Process Medicare member claims based on DMHC and DHS regulatory legislature</li><li style="margin-left:117.83pt;line-height:115%;padding-left:8.17pt;font-family:serif;font-size:10.5pt">Respond and resolve providers’ and health plans’ inquires in a timely manner</li><li style="margin-left:117.83pt;line-height:115%;padding-left:8.17pt;font-family:serif;font-size:10.5pt">Review services for appropriate charges and apply authorization </li><li style="margin-left:117.83pt;line-height:115%;padding-left:8.17pt;font-family:serif;font-size:10.5pt">Monitor aging claims with reports to maintain timeliness</li><li style="margin-left:117.83pt;line-height:115%;padding-left:8.17pt;font-family:serif;font-size:10.5pt">Maintain quality and productivity standards</li><li style="margin-left:117.83pt;line-height:115%;padding-left:8.17pt;font-family:serif;font-size:10.5pt">Participate in special projects</li><li style="margin-left:117.83pt;line-height:115%;padding-left:8.17pt;font-family:serif;font-size:10.5pt">Works closely with Supervisor and reports any issues</li></ul>Qualifications:•         At least a high school diploma•         Must have at least 3 years of applicable healthcare claims adjudication experience within a managed care industry•         Must be familiar with ICD-10, HCPCS, CPT coding, APC, ASC, and DRG pricing.•         Must be familiar with facility and professional claim billing practices.•         Must have good written and communication skills. •         Must be able to follow guidelines, multi-task, and work comfortably within a team-oriented environment. •         Computer literacy required, including proficient use of Microsoft Word, Excel, Outlook, and EZ-CAP. Knowledge in EZ-CAP 6X is a plus.•         Familiar with SSRS is a plus.•         Typing skills of at least 40 wpm.</div>

Health Source MSO

Claims Examiner

Adjudication

Analysis Skills

Billing

Claims Processing

Communication Skills

Computer Skills

Content Management Systems (CMS)

Corporate Policies

Current Procedural Terminology (CPT)

Diagnosis-Related Group (DRG)

Financial Management

Financial Planning

Health Plan

Healthcare

Healthcare Common Procedure Coding System (HCPCS)

Healthcare Providers

High School Diploma

Homeland Security

ICD-10

Identify Issues

Managed Care

Medical Treatment

Medicare

Microsoft Excel

Microsoft Outlook

Microsoft Word

Multitasking

Pricing

Quality Management

Regulations

SQL Server Reporting Services (SSRS)

Team Player

Time Management

Typing

Writing Skills

monster

OFFSITE

Account Executive

Total currently estimated projected compensation range for this position is $135,310-$171,310, which is a combination of base pay, currently projected renewal commissions, and currently estimated new business commission opportunities. We provide everything you need to carve out a sales career filled with success and purpose, including: High earning potential with base salary, commissions, monthly/annual incentives, plus recognition trips.

Salary

You’re not just in it to win it. You want to crush it every time. Because that’s what our sales professionals do. Not just anyone has what it takes to build strong and profitable relationships. If you’re a unique performer, Sentry offers a career opportunity that soars beyond commercial insurance sales. Our highly trained Account Executives present specialized commercial insurance, 401K, and life insurance products that are perfectly designed for the industries we serve.We provide everything you need to carve out a sales career filled with success and purpose, including:<ul><li>High earning potential with base salary, commissions, monthly/annual incentives, plus recognition trips</li><li>Outstanding benefits and a 401(k)-program matching dollar for dollar up to 8%</li><li>Opportunities for professional development and growth</li><li>Outstanding training and support</li><li>An industry-leading line of products and services</li></ul>Total currently estimated projected compensation range for this position is $135,310-$171,310, which is a combination of base pay, currently projected renewal commissions, and currently estimated new business commission opportunities. Commission opportunities – both renewal and new business -- are based on achievement of sales objectives and compliance with the terms of the applicable incentive plan.The California territory includes: Los Angeles, Santa Monica and Culver City.  Residence within the sales territory is required. What You’ll Do<ul><li>Sell directly to niche market accounts to increase premium volume</li><li>Retain profitable business by providing effective, quality service to policyholders</li><li>Build and maintain quality relationships with businesses</li><li>Work directly with Underwriting, Claims, Loss Control, Audit, Customer Service, and other key partners</li><li>Call on and pursue all niche market opportunities assigned to your geographic territory</li><li>Leverage current customers and relationships for new growth and sales opportunities </li></ul>What it Takes<ul><li>Bachelor’s degree or equivalent work experience/related sales experience</li><li>The ability to obtain and maintain the necessary P&C, and Life licenses required to sell the products Sentry offers</li><li>Self-discipline and ability to thrive in a remote work environment</li><li>Ability to multitask, prioritize, communicate effectively, and remain organized</li><li>Strong analytical and math skills</li><li>Acceptable Motor Vehicle Record with a valid driver’s license and ability to meet travel requirements</li></ul>What You’ll Receive At Sentry, your total rewards go beyond competitive compensation.  Below are some benefits and perks that you’ll receive.<ul><li>Company car with gas card</li><li>Comprehensive, ongoing training, including licensure</li><li>Laptop, cell phone reimbursement, home office setup</li><li>Cutting edge proprietary technology that enables you to be more efficient and effective in the field</li><li>401(K) plan with a dollar for dollar match on your first eight percent, plus immediate vesting to help strengthen your financial future. </li><li>Group Medical, Dental, Vision, Life Insurance, Parental Leave, and our Health and Wellness benefits to encourage a healthy lifestyle.</li><li>Pretax Dependent Care and Health Expense Reimbursement Accounts to ease taxes on health spending.</li><li>Well-being and Employee Assistance programs.</li><li>Sentry Foundation gift matching program to encourage charitable giving.</li></ul>About SentryOur bright future is built on a long track record of success. We got our start in 1904 and have been helping businesses succeed and protect their futures ever since. Because of the trust placed in us, we’re one of the largest and financially strongest mutual insurance companies in the United States. We’re rated A+ by A.M. Best, the industry's leading rating authority.Get ready to own your future at Sentry. Opportunities await!Casey Van Der GeestCasey.VanDerGeest@sentry.com Equal Employment OpportunitySentry is an Equal Opportunity Employer. It is our policy that there be no discrimination in employment based on race, color, national origin, religion, sex, disability, age, marital status, or sexual orientation.

Sentry Insurance

salaryMin

salaryMax

payPeriod

currency

Customer Relations

Customer Support/Service

Driver's License

Employee Assistance Plan

Establish Priorities

Futures

Healthcare Reimbursement

Incentive Programs

Insurance

Intellectual Property (IP)

Leading Edge Technology

Life Insurance

Mathematics

Meet Sales Quota

Oil and Gas

Organizational Skills

Reimbursement

Sales

Sales Management

Underwriting

Willing to Travel

Work From Home

JobAdX

INTEGRATED

YEAR

Insurance Attorney

No subrogation experience required - No billable requirement - Generous profit sharing -Path to partnership. Handle court appearances, written discovery, depositions, mediations, and pre-trial preparation.

https://www.youtube.com/watch?v=QAPt47zOhm0

No subrogation experience required - No billable requirement - Generous profit sharing -Path to partnership This Jobot Job is hosted by: Karyn Spies Are you a fit? Easy Apply now by clicking the "Quick Apply" button
and sending us your resume. Salary: $150,000 - $300,000 per year A bit about us: National law firm specializing in subrogation and recovery for the worldwide insurance and self-insured markets. Why join us? <ul><li>	Bonus plus GENEROUS profit sharing</li><li>	Full suite of benefits (including pet insurance!)</li><li>	401k</li><li>	PTO (including your birthday!)</li><li>	Work-life balance</li><li>	No billable requirement</li><li>	Excellent training and support staff</li></ul> Job Details Responsibilities <ul><li>	Serve as the primary handling attorney on your cases within a supportive and team-oriented environment. </li><li>	Handle court appearances, written discovery, depositions, mediations, and pre-trial preparation.</li><li>	Participate in trials.</li><li>	Provide timely updates and reports to clients. </li></ul> Qualifications <ul><li>	4+ years of civil litigation experience.</li><li>	Active admission to the California state bar.</li><li>	JD from an accredited law school.</li></ul> Interested in hearing more? Easy Apply now by clicking the "Quick Apply" button.

<h5 style="color: rgba(0, 0, 0, 0); font-size: 1.5rem">About Jobot</h5>
At Jobot, we are disrupting the recruiting and staffing space by:
<ul style="color: rgba(0, 0, 0, 0); font-size: 14px">
<li style="color: rgba(0, 0, 0, 0)">
Using the latest AI technology to match jobs to job seekers.
</li>
<li style="color: rgba(0, 0, 0, 0)">
Having a culture built on kindness and respect.
</li>
<li style="color: rgba(0, 0, 0, 0)">
Hiring experienced recruiters who believe in providing the best possible service to their clients and candidates.  
</li>
<li style="color: rgba(0, 0, 0, 0)">
Leveraging Jax™, our proprietary recruiting platform, to expedite and enrich the hiring process.
</li>
</ul>
Jobot is proud that our Jobot Family consists of top-performing recruiters from nearly every industry.  Experienced recruiters know their client's needs, industry nuances, and how to find a great culture addition to join their teams.

Jobot

Insurance Subrogation Attorney

Attorney

Legal

Litigation

Subrogation

OTHER

Insurance Agent

The Licensed P&C Insurance Agent will be responsible for identifying clients' insurance needs, explaining insurance options and coverage, and assisting with the enrollment process. We are seeking a knowledgeable and professional Property and Casualty Insurance Agent to join our team and help clients navigate the complex world of commercial insurance.

Introduction: We are seeking a knowledgeable and professional Property and Casualty Insurance Agent to join our team and help clients navigate the complex world of commercial insurance. The Licensed P&C Insurance Agent will be responsible for identifying clients' insurance needs, explaining insurance options and coverage, and assisting with the enrollment process. The successful candidate will have excellent communication and customer service skills and be able to work efficiently in a fast-paced environment. Responsibilities: <ul><li style="list-style-type:disc">Identify clients' insurance needs through consultations and assessments</li><li style="list-style-type:disc">Explain insurance options and coverage to clients, including benefits and exclusions</li><li style="list-style-type:disc">Assist clients with the enrollment process, including gathering and submitting necessary documents</li><li style="list-style-type:disc">Follow up with clients to ensure satisfaction and address any questions or concerns</li><li style="list-style-type:disc">Stay up-to-date with industry trends and developments to better serve clients</li><li style="list-style-type:disc">Maintain accurate records of client interactions and insurance policies</li><li style="list-style-type:disc">Other duties as assigned</li></ul> Qualifications: <ul><li style="list-style-type:disc">Valid insurance license in Any state. If not, we are willing to train and put through the 52 hour class.</li><li style="list-style-type:disc">Minimum of 2 years of experience as a licensed insurance agent or in a related field</li><li style="list-style-type:disc">Strong communication and customer service skills</li><li style="list-style-type:disc">Ability to multitask and handle a high-volume workload</li><li style="list-style-type:disc">Proficiency with computer systems and software, such as Microsoft Office and insurance-specific software</li><li style="list-style-type:disc">Ability to work independently and meet deadlinesMUST BE BI-LINGUAL - English and Spanish !!!!</li></ul> Perks: <ul><li style="list-style-type:disc">Competitive salary</li><li style="list-style-type:disc">Commission-based pay structure</li><li style="list-style-type:disc">Paid time off</li><li style="list-style-type:disc">Medical, dental, and vision insurance</li><li style="list-style-type:disc">401(k) retirement plan </li><li style="list-style-type:disc">Professional development opportunities</li><li style="list-style-type:disc">Positive and supportive work environment</li></ul>

KYC Insurance Services

Computer Software

Computer Systems

Customer Satisfaction

Dental Insurance

English Language

Industry/Trade Analysis

Microsoft Office

Multilingual

Property and Casualty Insurance

Record Keeping

Spanish Language

Vision Plan

Temporary Insurance jobs in San Marino, CA on your radar? Find the best of them right here on Monster.

The Best Temporary Insurance Jobs in San Marino, CA | Monster