Claims Service Representative 2

Claims Service Representative 2 - Casualty Prompt Response The Automobile Club is seeking Casualty Prompt Response Claims Representative handing bodily injury claims, you’re bringing your expertise to a best-in-class organization that is focused on delivering quality service to our members. Under the general supervision of Claims Management, your...

Claims Service Representative 3 - MedpayWHAT YOU’LL DO: When you join the Automobile Club of Southern California as a Medicare Representative, you're bringing your expertise to a best-in-class organization that is focused on delivering quality service to our members. As a Representative within our Medicare department you will:Achieve/Exceed set...

Claims Service Representative 3 - MedpayThis position handles moderate to higher complexity claims matters involving material damage, property and / or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include investigation, evaluation, and negotiation of...

Job DescriptionJob Description This position is located in Cypress, CA The Need: We are seeking a Claims Supervisor to join our growing team. In this role, you will be responsible for providing leadership and oversight to the Claims team. Accountable for ensuring the team adheres to standard work and meets department key performance indicators. ESSENTIAL...

Job DescriptionJob Description This position is located in Cypress, CA The Need: We are seeking a Claims Supervisor to join our growing team. In this role, you will be responsible for providing leadership and oversight to the Claims team. Accountable for ensuring the team adheres to standard work and meets department key performance indicators. ESSENTIAL...

(Workers Compensation Claims Examiner I - Medical Claims) Intro Our client, the largest privately held third party claims administrator in the United States, is seeking a Workers Compensation Medical Claims Examiner I. We are looking for a professional with 2-5 years of experience in Texas Workers' Compensation Claims and a Texas Workers' Compensation...

Job Description: Position is fully remote and will be a temp role through 3/31/23. Position has the option to go perm based on positive work. Candidates can sit anywhere in the US and schedule will be M-F 9AM-5PM local time. The training schedule will be M-F 9AM-5PM EST. Daily responsibilities will include the following: Candidates will be reviewing medical...

**JOB DESCRIPTION** **Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines, audit results, and federal regulations to determine overpayment accuracy and provider compliance. Interacts with health plans and vendors regarding recovery outstanding...

Job Description: Pay Range $44hr - $49hr To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation. To ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements;...

Job Description Job Summary Job Duties Uses analytical skills to conducts research and analysis for issues, requests, and inquiries of high priority claims projects Assists with reducing re-work by identifying and remediating claims processing issues Locate and interpret regulatory and contractual requirements Tailors existing reports or available data...

Job DescriptionJob Description The focus of this position will be research and root cause analysis of claims / config issues with direct provider interaction and collaboration with our provider relations team. Additionally, the role will help with overpayment recovery, claims payment and adjustment projects, and reviewing proposed SAI concepts from PI and...

Job DescriptionJob DescriptionSparrow Company is looking for a Customer Service Account Representative for one of our clients in the LONG BEACH, CA area.This person will be responsible for providing external customer support and internal support functions relative to sales. Ensure customers receive product order on time and in good condition. Ensure...

**Job Duties**: - As an authorized representative for Amazon, we are responsible for - Sales Service Representatives go to local multi-dwelling properties in Southern California and work with condominiums, apartment buildings, and building portfolios to ensure they're set up with this complimentary service. - Sales Service Representatives are responsible...

Position: Client Service Representative Location: Onsite in CA Salary: Weekly Pay Retail Experience Preferred / Cashier Skills a Plus - Training Provided Are you a people person with a passion for delivering exceptional customer service? If you're outgoing, hardworking, and looking for a rewarding opportunity in Santa Ana, we've got the perfect job for you!...

Job DescriptionJob DescriptionPosition: Client  Service Representative  Location: Onsite in CASalary: Weekly PayRetail Experience Preferred / Cashier Skills a Plus - Training Provided Are you a people person with a passion for delivering exceptional customer service? If you're outgoing, hardworking, and looking for a rewarding opportunity in Santa...

**Job Summary** **Long Beach Firemen's Credit Union is looking for an experienced Full-Time Member Service Representative I, II, III (Teller) who can provide excellent service while cross-training in various areas of the credit union.** **Responsibilities and Duties** - Process deposits, withdrawals, and payments - Selling money orders and cashier's...

Job DescriptionJOB DESCRIPTIONJob Summary Responsible for reviewing and resolving member and provider complaints 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...

Work at AEG **Guest Service Representative - Part-Time** **AEG Worldwide** is the worlds leading sports and live entertainment company with operations in the following business segments: * **AEG Facilities**, which with its affiliates owns, manages or consults with more than 120 venues * **AEG Presents**, which is one of the largest live music companies in...

Job Summary Responsible for reviewing and resolving member and provider complaints 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 comprehensive research and resolution...

**Position Title**:Provider Relations Representative **Department**: Business Development **Reports To**:Director of Business Development ***: External sales, marketing and referral development activities geared toward specific market segments including, but not limited to; Medical Groups, Independent Practice Associations, Hospitals, Private Physicians,...