Medical Claims Examiner III

Job DescriptionJob DescriptionAn Healthcare IPA in Long Beach is in the need of a Medical Claims Examiner III. This role of Medical Claims Examiner III is will be an essential position within the organization. The Medical Claims Examiner III is responsible for collaborating with the team to meet productivity goals as well as ensure quality. The Medical...

Job SummaryWe are seeking a highly skilled Medical Claims Examiner to join our team at Ultimate Staffing. As a Medical Claims Examiner, you will be responsible for reviewing and processing medical claims, ensuring accuracy and compliance with industry guidelines.Key ResponsibilitiesReview and process medical claims, including professional and facility...

Job Summary:This position is open to Hybrid for the right candidate in the greater Long Beach/Los Angeles area. As a Medical Claims Examiner, you will be responsible for auditing claims processing quality, developing and maintaining standard reports, and assisting the Claims Supervisor/Director in reviewing quality auditing tracking and reporting. You will...

This position is open to Hybrid for the right candidate in the greater Long Beach/Los Angeles area! Responsibilities:Parameters of the provider's contract obligations.Audit claims processing quality, develops, maintains and runs standard reportsAssist the Claims Supervisor/Director in reviewing the quality auditing tracking/reporting (financial and...

Job SummaryWe are seeking a skilled Workers Compensation Claims Examiner to join our team at Sedgwick Claims Management Services.Key Responsibilities:Analyze mid- and higher-level workers compensation claims to determine benefits due.Ensure ongoing adjudication of claims within company standards and industry best practices.Identify subrogation of claims and...

Job Summary:This position is open to Hybrid candidates in the greater Long Beach/Los Angeles area. We are seeking a skilled Medical Claims Examiner to join our team at Ultimate Staffing.Responsibilities:• Audit claims processing quality and develop standard reports• Assist the Claims Supervisor/Director in reviewing quality auditing tracking/reporting...

Responsibilities:Parameters of the provider's contract obligations.Audit claims processing quality, develops, maintains and runs standard reportsAssist the Claims Supervisor/Director in reviewing the quality auditing tracking/reporting (financial and procedural)Coordinating with various departments to resolve disputes or issuesMaintain the Claims department...

Job Title: Workers Compensation Claims ExaminerMary Kraft HR is seeking an experienced Workers Compensation Claims Examiner to join our team. As a key member of our claims team, you will be responsible for analyzing and managing complex workers' compensation claims, including indemnity claims, to determine benefits due.Key Responsibilities:Analyze and...

Our client, is in need of a Temporary Workers' Compensation Claims Examiner for their Long Beach Office to work on a remote basis. The ideal candidate will have 3+ years of California Workers Compensation Experience.Required Qualifications:3+ years of experience handling Workers' Compensation claims in California.Ability to negotiate settlement of claims...

Our client, is in need of a Temporary Workers' Compensation Claims Examiner for their Long Beach Office to work on a remote basis. The ideal candidate will have 3+ years of California Workers Compensation Experience.Is this your next job Read the full description below to find out, and do not hesitate to make an application.Required Qualifications:3+ years...

Job Title: Claims Examiner - Workers CompensationMary Kraft HR is seeking a skilled Claims Examiner to join our team. As a Claims Examiner, you will be responsible for analyzing complex workers' compensation claims to determine benefits due.Job Summary:The ideal candidate will have a strong understanding of California Workers' Compensation laws and claim...

Job Title: Claims Examiner - Workers CompensationMary Kraft HR is seeking an experienced Claims Examiner to analyze and process complex workers' compensation claims. The ideal candidate will have a strong understanding of California Workers' Compensation laws and claim procedures.Key Responsibilities:Analyze and process complex workers' compensation claims...

About SCANSCAN Group is a not-for-profit organization dedicated to addressing the most pressing issues affecting older adults in the United States. As a leading expert in senior healthcare, SCAN has been a mission-driven organization for over 45 years, committed to keeping seniors healthy and independent. Our team of talented professionals is passionate...

Job DescriptionJob DescriptionDescription:To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.Manages workers compensation claims determining compensability and...

Job SummaryAdvanced Medical Manage seeks a skilled Claims Auditor to ensure compliance with regulatory requirements and optimize claims processing.Key Responsibilities:Prepare and coordinate complex regulatory reports for submission.Assist in audit preparations, analyze data, identify deficiencies, and track corrective action.Query, analyze, and interpret...

We are currently hiring for a Claims Customer Service Advocate III to join BlueCross BlueShield of South Carolina. In this role as a Claims Customer Service Advocate III, you will provide prompt, accurate, thorough, and courteous responses to all com Customer Service, Claims, Advocate, Service, Processing, Retail, Healthcare, Customer

Medical Biller Job DescriptionWe are seeking a highly skilled Medical Biller to join our team at JOSEPH VARDAYO MD INC. As a Medical Biller, you will be responsible for processing insurance claims, collecting necessary documentation from clients, and communicating with physicians' offices and hospitals to obtain records.Key Responsibilities:Process insurance...

Job Title: Claims Audit ManagerAdvanced Medical Manage (AMM) is seeking a highly skilled Claims Audit Manager to join our team. As a Claims Audit Manager, you will play a critical role in ensuring the accuracy and compliance of claims processing within our organization.Key Responsibilities:Prepares and coordinates the completion of complex regulatory and...

Job Title: Claims Audit ManagerAdvanced Medical Manage is seeking a highly skilled Claims Audit Manager to join our team. As a Claims Audit Manager, you will be responsible for ensuring that incoming claims are processed in accordance with policies, procedures, and guidelines, as outlined by AMM and contractual agreements.Key Responsibilities:Prepares and...

Job Title: Claims Audit ManagerAdvanced Medical Manage is seeking a highly skilled Claims Audit Manager to join our team. As a Claims Audit Manager, you will be responsible for ensuring the accuracy and compliance of claims processing in accordance with AMM policies and procedures.Key Responsibilities:Prepares and coordinates the completion of complex...