Medical Claims Specialist Jobs in Los Angeles, California

74 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...

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...

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, you will help people resolve problems and live safer more secure live...

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...

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 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...

Who are we? Live Nation Entertainment is the world’s leading live entertainment and eCommerce company, comprised of four market leaders: Ticketmaster.com , Live Nation Concerts, Artist Nation and Live Nation Network. Ticketmaster.com is the global event ticketing leader and one of the world’s top five eCommerce sites, with over 27 million monthly unique visitors. Live Nation Concerts produces ove...

SUMMARY Responsible for handling cases of high complexity and/or exposure. Evaluate and settle claims within designated authority and may direct the investigation and claims settlement activities of Field Adjusters. ESSENTIAL DUTIES AND RESPONSIBILITIES A. Examine claims files, insurance policies and other documentation to determine coverage applicable to a claim loss. Present cases to the Coverag...

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...

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 ...

BLVD TREATMENT CENTERS INTENSIVE OUTPATIENT TREATMENT Revenue Cycle Specialist – Greater Los Angeles A new boutique outpatient facility for the treatment of addictive and co-occurring disorders is seeking an outgoing and experienced Revenue Cycle Specialist. The position will manage all of the revenue cycle, take charge of current processes and implement necessary change. Job Description • R...

Principal Duties and Responsibilities Develop an understanding and working knowledge of Unum's disability products, policies and contracts. Develop an understanding of the applicable contract/policy definitions of disability and relevant provisions, clauses, exclusion, riders and waivers as well as statutory requirements. Become familiar with reference materials and tools regarding medical, voc...

Principal Duties and Responsibilities Develop an understanding and working knowledge of disability products, policies and contracts. Develop an understanding of the applicable contract/policy definitions of disability and relevant provisions, clauses, exclusions, riders and waivers as well as statutory requirements. Become familiar with reference materials and tools regarding medical, vocationa...

About the Job Our client, a mainstay in the financial industry for well over 100 years is searching for an experienced Worker's Compensation Specialist to join their team. Position Summary In charge of handling all aspects of workers’ compensation claims for California and other states as needed. Responsibilities include: filing claims, directing employees to doctors, managing leave process, an...

Position Description 553632: Medical Coding Compliance Manager - Western United States Telecommuter Health care isn't just changing. It's growing more complex every day. ICD10 replaces ICD9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and health care organizations continue to adapt, and we are a vital part of their evolution. And that's what f...

553632: Medical Coding Compliance Manager - Western United States Telecommuter Health care isn't just changing. It's growing more complex every day. ICD10 replaces ICD9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and health care organizations continue to adapt, and we are a vital part of their evolution. And that's what fueled these exciting n...

This position will provide leadership for a large network of community physicians to drive a value-based care agenda. The Medical Director will enforce policies and procedures designed to improve clinical quality and patient experience, while simultaneously improving clinical efficiency and lowering the overall total cost of care. The Medical Director will engage primary care physicians and specia...