Claims Service Associate

Purpose of this position is to lead a claims team to help to achieve loss and claims expense objectives, as well as deliver excellent claims service to customers. Responsibilities include fostering good relationships with independent agents. This claims leader must provide continuous training, coaching and feedback to the members of their claims team. Must...

PRIMARY PURPOSE:To supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the...

Now Hiring: Claims Team Lead Apply today because openings are limited Overview To supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on...

Now Hiring: Claims Team Lead Apply today because openings are limited Overview To supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on...

Job SummaryProvider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider...

Job DescriptionJob DescriptionJob SummaryThis position is responsible for timely completion of Medicare and Medicaid applications for new and existing providers, reviewing, and verifying information for Care Connections providers for submission to Molina's Corporate Credentialing Department, and other administrative tasks. Knowledge/Skills/AbilitiesCollects,...

Position at Martec International Who We Are: Martec International Inc. is a division of Hinton Transportation Investments, Inc. (HTI). Martec is a rapidly growing company that has over 60 years in the transportation industry and is the largest and most experienced single-source for repair parts and supplies distributed to the Americas. With continuous...

ResponsibilitiesHandle high volume of incoming callsReview charts and insurance referrals/authorizationsAssist physicians and administrators with business and patient care tasksCoordinate office communication flowGreet, direct, and assist visitorsEnsure accurate patient demographic and insurance informationVerify insurance information and call for...

Job Description Job Description Victoriam Management is sponsored by some of the most prestigious and nationally recognized telecommunication clients. We are one of the fastest-growing outreach programs in our area with a network impacting thousands of individuals nationwide. Currently, we are hiring a Marketing Associate to join our Long Beach based team...

Job DescriptionJOB DESCRIPTIONJob Summary Responsible for reviewing and resolving member and provider complaints/disputes and communicating resolution to members and provider (or authorized representatives) in accordance with the standards and requirements established by the Centers for Medicare and Medicaid KNOWLEDGE/SKILLS/ABILITIES Responsible for the...

Strategic Project Director, Shared Services Job Category :Shared ServicesRequisition Number :STRAT005863Apply nowPosted : March 11, 2024Full-TimeLocations Showing 1 locationLong Beach, CA 90806, USA Description About SCANSCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN...

Job DescriptionJOB DESCRIPTIONJob Summary Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member and provider complaints and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the...

The purpose of the Sr. Provider Data Analyst is to analyze complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and...

We are looking for a Care Associate to join our team. As a Care Associate, you will play a key role in providing support services to ensure smooth patient operations. Your responsibilities will include assisting professional staff in direct patient care, admitting and discharging patients, scheduling patient visits, and triaging patients when...

"Is your passion in retail?" We are looking for a Sales Associate at our store in Long Beach, CA. The ideal candidate will have prior Customer Service experience and solid working knowledge in a retail store environment. "Do you have the gift of motivating those around you?" The Sales Associate will have a working knowledge of all things UNTUCKit, along with...

Job DescriptionJOB DESCRIPTIONJob SummaryAnalyzes data for cost savings opportunities and performance improvement initiatives. Researches healthcare utilization and claims experience to identify areas of growth. Collaborates with Finance and corporate actuarial teams on IBNR calculations, capitation rate review, rate advocacy, and forecasting....

Job DescriptionJOB DESCRIPTIONJob SummaryAnalyzes data for cost savings opportunities and performance improvement initiatives. Research healthcare utilization and claims experience to identify areas of growth. Collaborates with the KY Finance and corporate actuarial teams on IBNR calculations, capitation rate review, rate advocacy, and forecasting. This is a...

Job DescriptionJOB DESCRIPTIONJob SummaryAnalyzes data for cost savings opportunities and performance improvement initiatives. Research healthcare utilization and claims experience to identify areas of growth. Collaborates with the KY Finance and corporate actuarial teams on IBNR calculations, capitation rate review, rate advocacy, and forecasting. This is a...

DSW, Inc. Long Beach Towne Center, Long Beach [Retail Associate / Retail Sales] As a Store Associate at DSW, you'll: Provide friendly service to customers shopping in store and those engaging through omni channel services; Perform salesfloor and warehouse functions throughout the store including assisting customers, placing merchandise, completing on line...

Overview At Office Depot Inc., the Services Advisor is a part-time role, providing "total solutions" to our customers encompassing Technology, Services, Furniture and Print offerings. The associate will quickly build and maintain customer relationships and become a trusted advisor by utilizing training of Technology products/services and print offerings. The...