Medical Claims Specialist Jobs in Los Angeles, California

77 jobs

Healthcare Sr. Claims Examiner Opportunities Dell is looking for Sr. Level Claims Examiners with payer healthcare experience to join our team as part of this new, exciting organization. Through the process of change, we are challenging ourselves to work faster, smarter, and more efficiently. These roles will be a key component in shaping how the business will work in the short, medium, and long t...

Required Qualifications: 3+ years experience handling California workers' compensation claims Ability to handle claims from start to finish including litigation & medical cost containment Must be current on hours for Experienced Adjuster Designation Preferred Qualifications: College Degree Job Description: Our client, a leading insurance company, has an immediate opening for a Senior Worker...

DUTIES The Claims Coordination of Benefits (COB) Specialist will work with the Senior Claims Coordination of Benefits Specialist to define, develop and executive the activities of the Coordination of Benefits unit to ensure that L.A. Care remains fully compliant with all Federal, State and regulatory requirements pertaining to claims payment and coordination functions. Using a hands-on approach t...

Job Description & Responsibilities: •Position audits medical claims that have been processed by various insurance companies for multiple clients. •Successful candidates must have experience processing or auditing, claims for insurance carriers, third party administrators or self- insured plans. •Audit indemnity medical claims to ensure they are processed in accordance with provider contracts an...

Field Auto Claims Specialist - Los Angeles, CA-61554 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 an Auto Claims Specialist, yo...

Located in El Segundo, the 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. ESSENTIA...

Job Summary: Handle litigated or complicated general liability, product liability, and umbrella policies, as well as liability under homeowners and automobile policies, and other suits which may be assigned. Duties include reviewing, monitoring and directing the activities of attorneys and outside vendors. Essential Job Functions: 1. Handle litigated or complicated claims, including but not lim...

DUTIES The position of Claims Trainer is primarily responsible for reviewing and monitoring the quality of work generated within the department based on established departmental guidelines. Responsible for providing ongoing training on the core processing system, claims processing procedures, communicating regulatory changes which will affect established procedures, establishing quality and perf...

The Claims Project Specialist provides support to the Claims department ensuring timeliness and effectiveness of projects. The Project Specialist defines, develops and executives project planning deliverables including work plans and schedules for multiple projects. The Project Specialist in conjunction with manager identifies needed resources and defines roles and responsibilities for assigned pr...

Come join us and find out why Cedars-Sinai has been ranked as one of the top 100 best places to work in IT as ranked by 2014 Computerworld Magazine. Always at the forefront of technologies, Cedars-Sinai is implementing EPIC as its comprehensive electronic medical record system. We are currently looking for an Applications Specialist (experienced in Claims) Under general supervision, independently ...

Job Summary: Handle claims under commercial automobile policies, assigned by the immediate supervisor. Evaluate claims, investigate claims, negotiate settlement, and direct attorneys and independent vendors assigned to those claims. Essential Job Functions: 1. Confirm coverage and policy information. 2. Initially establish and maintain proper loss reserve, and negotiate loss settlements. 3. C...

About Tokio Marine: Tokio Marine has been conducting business in the U.S. market for over a century and we are licensed to write all lines in 50 states, Puerto Rico and the District of Columbia. We provide unique insurance and risk management tools from our experienced staff of account executives, underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team ...

Claims Property Field Adjuster - Los Angeles, CA-62977 Description Advance your career at Liberty Mutual Insurance- A Fortune 100 Company! A Property Loss Specialist is dedicated to providing superior customer service to Liberty Mutual Insurance customers by providing a fair and timely resolution of a large volume of homeowner claims. Liberty Mutual Insurance is an industry leader in employee d...

Claims Field Property Adjuster - Safeco - Los Angeles, CA-62023 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 Property Clai...

Healthcare Sr. Claims Examiner Opportunities Dell is looking for Sr. Level Claims Examiners with payer healthcare experience to join our team as part of this new, exciting organization. Through the process of change, we are challenging ourselves to work faster, smarter, and more efficiently. These roles will be a key component in shaping how the business will work in the short, medium, and long t...

Healthcare Sr. Claims Examiner Opportunities Dell is looking for Sr. Level Claims Examiners with payer healthcare experience to join our team as part of this new, exciting organization. Through the process of change, we are challenging ourselves to work faster, smarter, and more efficiently. These roles will be a key component in shaping how the business will work in the short, medium, and long t...

As a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work! We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS®! Headquartered in Reno, Nevada, EMPL...

JOB SUMMARY: Vacancy Identification Number (VIN): 1400533 OUR MISSION : To fulfill President Lincoln's promise "To care for him who shall have borne the battle, and for his widow, and his orphan" by serving and honoring the men and women who are America's Veterans. As a VA professional, your opportunities are endless. Not only is it the largest, most technologically advanced integrated health c...

Qualifications include: minimum of 2 year of experience in Medical Business Office.For this position, you will need to interpret EOBs and Insurance Claims and be able to accurately post payments to the proper accounts. This is a high volume position and excellent data entry skills are necessary. Some training will be provided but we would prefer to interview someone with prior accounts receivable ...

Looking for RN Medical Field Case Managers in Bakersfield, San Jose, San Diego, Oakland, Los Angeles, Orange County, Corona, or Fresno, CA areas. SUMMARY The Medical Field Case Manager accepts assignments from an employer, insurance company, or other responsible party regarding an injured or disabled individual and assesses the information provided to determine the individual’s specific health c...