Medical Claims Specialist Jobs in Irvine, California

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56 Irvine, CA Medical Claims Specialist jobs found on Monster.

Jobs 1 to 20 of 56
Prospect Medical is searching for a qualified: Claims Auditor SUMMARY To perform analysis and monitor trends identified through the audit process. This individual will take the lead to ensure accurate and timely adjudication of claims, as well as identifying potential issues and recommending strategies for resolution. Apply claim and/or inquiry processing experience to audit and analyze simple ...
Summary: Develop and maintain client relationships through professional property/casualty claim negotiation, advocacy and service for all lines of commercial insurance in accordance with agency workflow procedures. Responsible for assisting client executives, account managers, clients and prospects with coverage questions and information requests. Perform claim reviews to ensure reserves are adequ...
Humana Inc. Irvine, CA
Claims Specialist Requisition ID 136686 Business Overview Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing ...
Advance your career at Liberty Mutual Insurance - A Fortune 100 Company! Are you looking for an opportunity to join a claims team with a responsible company that has consistently outpaced the industry in year over year growth? Liberty Mutual Insurance has an excellent claims opportunity available. As a Bodily Injury Claims Specialist, you will help people resolve problems and live safer more sec...
Liberty Mutual Aliso Viejo, CA
Bodily Injury Claims Specialist - Aliso Viejo, CA-60388 Description Advance your career at Liberty Mutual Insurance - A Fortune 100 Company! Are you looking for an opportunity to join a claims team with a responsible company that has consistently outpaced the industry in year over year growth? Liberty Mutual Insurance has an excellent claims opportunity available. As a Bodily Injury Claims Spe...
Confidential Irvine, CA
A group of large U.S. insurance and financial services companies needs applicants for an opening for a Telecommute Claims Specialist III in a Western or Central Plains State. Core Responsibilities of this position include: Promptly and effectively handling to conclusion assigned claims with little to no direction and oversight Working on complex and catastrophic casualty losses Recommending se...
Advance your career at Liberty Mutual Insurance - A Fortune 100 Company! Are you looking for an opportunity to join a claims team with a responsible company that has consistently outpaced the industry in year over year growth? Liberty Mutual Insurance has an excellent claims opportunity available. A Field Property Claims Specialist is responsible for managing, investigating, and resolving assign...
Located in El Segundo, t he Worker’s Compensation Claims position assists the Corporate Claims Manager with the handling and management of client’s Workers’ Compensation claims and acts as a direct liaison between client’s management staff, teammates, claim adjusters, and defense counsel. Position directs claims resolution activities including claim reserve analysis and claim settlements. ESSENTI...
Liberty Mutual Aliso Viejo, CA
Field Property Claims Specialist - Orange County, CA OR Los Angeles, CA-60770 Description Advance your career at Liberty Mutual Insurance - A Fortune 100 Company! Are you looking for an opportunity to join a claims team with a responsible company that has consistently outpaced the industry in year over year growth? Liberty Mutual Insurance has an excellent claims opportunity available. A Field...
Insurance Recruiting Specialists Irvine, CA
Irvine, CA 92602 - Required Qualifications: Minimum of 3 years of Commercial General Liability Claims handling experience required Must have an exceptional skill set when it comes to handling third party liability claims Handles claims from inception through closure to include all detailed, oral and written correspondence Demonstrated writing skills, including Reservation of Rights and Declination...
A busy specialty practice in South Orange County is seeking a Full- time long-term medical biller/collector. The medical biller/collector will be responsible for the timely Billing, follow-up and reimbursement of claims filed by the Insurance Billing Department. The Billing/Collections Specialist will have oversight of the accounts receivable, and be responsible for maintaining detailed and accura...
Humana Inc. Irvine, CA
Claims Analyst Requisition ID 140499 Business Overview Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and...
Role: Claims Analyst Assignment: CA Sr Market Location: Irvine, CA Humana is looking for associates dedicated to service, and who believe in following the golden rule: treat others the way you want to be treated. Humana was founded on this basic premise of how people should be treated, and this value is very much alive in our expectations for providing our customers with perfect service today. ...
Western Dental Orange, CA, 92856
Western Dental Services, Inc., California’s largest dental services provider and one of the nation’s largest dental HMO’s, is looking for a bright, motivated, Medical Billing Specialist to support Revenue Cycle Management. Key Responsibilities: • Ensures accurate and timely billing of claims. • Performs follow-up on open insurance claims and balances. • Monitors, researches and resolves unpaid...
Integrated Healthcare Holdings Santa Ana, CA, 92701
Integrated Healthcare Holdings Inc, is looking for a dynamice MediCal Specialist to work in thier busy Corporate Business Office. Qualified candidate will be responsible for electronic and harcopy billing and follow-up of all inpatient and outpaitent Med-Cal, CCS Hospital claims. Qualifications: Must have a minimu;m of one (1) year of acute care hospital billing and folow-up experience preferabl...
For more than 80 years, SchoolsFirst FCU has remained rooted in the philosophy of “people helping people.” Today, SchoolsFirst FCU is the nation’s largest educational credit union, with more than 600,000 Members, $10 billion in assets, and over 40 service locations in Southern California. Originally based in Orange County, the credit union now operates in 10 counties throughout Southern Calif...
RESPONSIBILITIES: Kforce has a client seeking a Reimbursement Specialist in Huntington Beach, California (CA). This position is responsible for payment/claim review to ensure accurate payments/reimbursement. This position will work with commercial and government payors: HMO, PPO, Medicare, Medi-Cal. REQUIREMENTS: 2+ years of collections/payment review experience Working knowledge of contract r...
Acentec Irvine, CA
We are a medical software company that helps our clients with their billing needs. We are looking for an experienced Medical Billing Specialist to perform billing duties, handle claims, patient phone calls and communicate with providers and office staff. Essentical Functions: 1. Post EOBs 2. Post ERAs 3. Post patient payments 4. Appeal Payer claim denials 5. Follow up on unpaid accounts rece...
Oceans Medical Staffing Mission Viejo, CA
A busy specialty practice in South Orange County is seeking a Full- time long-term medical biller/collector. The medical biller/collector will be responsible for the timely Billing, follow-up and reimbursement of claims filed by the Insurance Billing Department. The Billing/Collections Specialist will have oversight of the accounts receivable, and be responsible for maintaining detailed and accura...
Bring your benefits experience and leave administration knowledge to this opportunity to join a public company where you'll grow professionally as part of a steady, stable HR department. As Benefits and Leave Specialist, you'll help the team meet business needs by executing day-to-day hands-on benefits and leave requests, as well as working on some analyst level activities. You'll have opportuniti...

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