Claims Examiner

Job DescriptionJob DescriptionThe claims examiner is responsible for the adjudication of claims, in accordance with outside regulations and the contractual obligations of the Health Plans and/or the Hospital Client. Researches, reviews and contacts provider services for problem claims and issues, as needed. Suggests process improvements to management and is...

Job DescriptionJob DescriptionJob SummaryThe Claims Examiner is key in the daily operations and processing of medical claims. The Examiner is responsible for the review and accurate payment of PPO health claims under the Health and Welfare Plan.This is a full-time position based in Pasadena, CA. Essential job functions include but are not limited to:Accurate...

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...

Salary Range:  $55,245.00 (Min.) - $69,045.00 (Mid.) - $75,955.00 (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 million...

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...

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 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...

Job DescriptionJob DescriptionSummary:As a Provider Dispute Resolution Examiner, you will be responsible for handling the provider dispute resolution process, resolving disputes in a timely and fair manner, and maintaining accurate records of disputes and their resolution. You will collaborate with providers, internal teams, and external stakeholders to...

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...

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...

Salary Range: $45, Min.) - $47, Mid.) - $55, 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 sure...

Salary Range: $117, Min.) - $152, Mid.) - $188, 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:  $117,509.00 (Min.) - $152,762.00 (Mid.) - $188,015.00 (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 DescriptionJob DescriptionA small Worker's Compensation Defense firm in Sherman Oaks is looking for an associate attorney full time, preferably with at least one year of solid work experience as an attorney.  Must have strong verbal and writing skills, motivated, organized and hard working. Competitive compensation and benefits package.Company...

The Clinical Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient clinic, inpatient admission, ancillary services and/or chemotherapy and other infused treatments as needed in assigned service line. The Specialist will be instrumental in obtaining written...

**Full Job Description** **The Accident Guys**' personal injury law firm located in the Mid-Wilshire area seeks a full-time, **EXPERIENCED BODILY INJURY SETTLEMENT NEGOTIATOR **who could oversee and negotiate bodily injury claims for Plaintiffs’ side claims. **We are looking for someone with previous experience handling and examining bodily injury claims...

Job descriptionThe Accident Guys' personal injury law firm located in the Mid-Wilshire area seeks a full-time, EXPERIENCED BODILY INJURY SETTLEMENT NEGOTIATOR who could oversee and negotiate bodily injury claims for Plaintiffs’ side claims.We are looking for someone with previous experience handling and examining bodily injury claims for Auto Insurance...

Job descriptionThe Accident Guys' personal injury law firm located in the Mid-Wilshire area seeks a full-time, EXPERIENCED BODILY INJURY SETTLEMENT NEGOTIATOR who could oversee and negotiate bodily injury claims for Plaintiffs’ side claims.We are looking for someone with previous experience handling and examining bodily injury claims for Auto Insurance...

Job DescriptionJob DescriptionWatts Health Center is seeking a Dental Lab Technician for our Los Angeles clinic. You will be responsible for maintaining and improving patient’s oral health by fabricating fixed and removable prostheses according to dentist prescriptions.RESPONSIBILITIES:Read prescriptions or specifications, and examine models and...