Claims Inquiry Unit Representative

Job DescriptionJob DescriptionSummary:To serve as a liaison between IPA and its Members and Providers. Ensures that all Members and Providers receive a level of service that exceeds their expectations. Respond to and resolve questions and problems from current Providers/Members, or their representative and other appropriate parties. Duties and...

Job DescriptionJob DescriptionClaims RepresentativeResiduals Enforcement Department Based in Los Angeles, CAWho We AreThrough the collective voice of more than 19,000 members, the Directors Guild of America (DGA) helps empower directorial teams to protect and enhance their legal and artistic rights, contend for their creative freedom, and strengthen their...

Job DescriptionJob DescriptionSummaryThe Web Inquiry Support Coordinator provides effective web communication between MSO, IPA providers, health plan representatives to coordinate member care. Communication to include accessibility to care, validating contract, modification request and ensuring timeliness standards are met. The Web Inquiry Support...

Job DescriptionJob DescriptionSummaryThe claims adjuster is responsible for the adjusting of claims, in accordance with outside regulations and the contractual obligations of the Health Plans and/or the IPAs. Researches, reviews and contacts provider services for problem claims and issues, as needed. Suggests process improvements to management and is a...

Job DescriptionJob DescriptionSummaryResponsible for accurate review and input of claims in accordance with outside regulation, internal production standards and contractual obligations of the organization. Duties and Responsibilities1. Accurately review all incoming claims to verify if required fields are populated.2. Process claims information into the...

Manager, Claims Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11073 Salary Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of...

Claims Adjuster - Workers Compensation Location: Los Angeles, CA. Hybrid-3 days in office Tuesday/Wed/Thursday , Flexible upon performance. Job Hours-8:00 am-4:30 am Duration: 6 months Job description Summary: The main function of a Claims Adjuster is to investigate, analyze, and determine the extent to which an insurance company is liable and to determine...

Salary Range: $45, Min.) - $45, Mid.) - $52, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...

Job Summary The Manager, Claims directs the efforts of others in the achievement of the strategic, regulatory and operational objectives of the Health Plan. Provides direct supervision to a team of claims examiners, data entry clerks and claims assistants and continuously monitors department for compliance with regulatory requirements. Ensures all work...

Salary Range: $102, Min.) - $132, Mid.) - $163, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...

Residuals Claims Rep The Residuals Department of the Writers Guild of America, West, is currently seeking qualified applicants for the position of Claims Representative. This position is a full time, non-exempt (hourly) position with excellent comprehensive benefits package. Compensation is commensurate with experience. The WGAW is an activist union...

**Job Summary**: The purpose of this position is to provide support to the Outside Medical Services department, Responsible for Coordinating and Processing Referrals in accordance with regulatory and organizational referral processing guidelines.Under direct supervision, Responsible for coordinating, resolving and communicating problems and issues between...

Job DescriptionJob DescriptionWe take pride in being there for our client’s customers. We help them deal with all inquiries and support them throughout their customer experience and the buying process, and that’s thanks to the talented and dedicated people who work with us. Working with us, you’ll get a competitive reward package and have the...

Job DescriptionJob DescriptionWe take pride in being there for our client’s customers. We help them deal with all inquiries and support them throughout their customer experience and the buying process, and that’s thanks to the talented and dedicated people who work with us. Working with us, you’ll get a competitive reward package and have the...

Salary Range:  $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.)   Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2...

Job Summary: The purpose of this position is to provide support to the Outside Medical Services department, Responsible for Coordinating and Processing Referrals in accordance with regulatory and organizational referral processing guidelines.Under direct supervision, Responsible for coordinating, resolving and communicating problems and issues between...

Salary Range: $55, Min.) - $69, Mid.) - $75, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...

Contact Center Representative Location US-CA-Los Angeles Job ID 2024-2209 Category Customer Service/Support Reports To SENIOR MANAGER, CUSTOMER EXPERIENCE FLSA Status Non-Exempt Type Regular Full-Time Posted Salary USD $24.00/Hr. Department Contact Center Shift 9:00am-5:00pm Union Representation Represented Union...

Salary Range: $102, Min.) - $132, Mid.) - $156, Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...

Salary Range: $102, Min.) - $132, Mid.) - $156, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...