Claims Manager

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 DescriptionAbout the CompanySERVPRO Global DRT is a leading provider of remediation and restoration services, offering best-in-class solutions for emergency and reconstruction needs 24/7. Our goal is to minimize disruption to our clients' lives and restore their properties to their original condition.Job SummaryWe are seeking a highly skilled Claims...

Job DescriptionJob DescriptionJob SummaryAs an Insurance & Claims Manager, you will be Zeeba’s superstar insurance guru who will partner with our CX, Operations, and Sales departments to provide the best experience for our clients for insurance auto claims. The ideal candidate has experience negotiating and dealing with insurance providers, assessing...

Claims Assessment Specialist - Managed Care Providers Avispa Technology is currently seeking a Claims Assessment Specialist to join a leading hospital and healthcare organization. This role involves conducting thorough reviews of claims and billing processes, managing denial resolutions, and processing various payer types including Medicare and...

Worker's Compensation Claims Coordinator Job DescriptionLocation: Los Angeles, CARole Overview: The Claims Management Coordinator will collaborate closely with the HR Analyst to ensure effective handling of Workers' Compensation claims and related processes.Manage and oversee HR Medical, Accommodations, and Workers' Compensation communications.Address...

Position OverviewWe are seeking a dedicated Claims Operations Coordinator III to join our team at Kaiser Permanente. This role is essential in ensuring the smooth processing of health insurance claims.Key ResponsibilitiesManage the adjudication process for health insurance claims, ensuring compliance with regulatory standards.Address and resolve disputes,...

Job SummaryMedPOINT Management is seeking a highly skilled Claims Examiner to join our team. As a Claims Examiner, you will be responsible for accurately reviewing and processing medical claims in accordance with regulatory guidelines and company policies.Key ResponsibilitiesReview and verify incoming provider claims to ensure all necessary information is...

Job DescriptionJob Description Summary:Accurate review, input and adjudication of provider specialty claims, including UB04s, in accordance with outside regulations, internal production standards and the contractual obligations. Knowledge of medical terminology necessary. Strong knowledge of Commercial, Medicare and Medi-Cal codes. Basic PC knowledge with...

Job DescriptionJob Description Summary:Accurate review, input and adjudication of provider specialty claims, including UB04s, in accordance with outside regulations, internal production standards and the contractual obligations. Knowledge of medical terminology necessary. Strong knowledge of Commercial, Medicare and Medi-Cal codes. Basic PC knowledge with...

Pre-Injury Consultant - ClaimsAt American International Group (AIG), we are redefining how we assist clients in navigating risk. As a Pre-Injury Consultant - Claims, you will play a crucial role in this evolution, enhancing your expertise and experience as a vital member of our organization.Contribute to Claims ExcellenceOur Claims division is recognized for...

Job DescriptionJob DescriptionGENERAL SUMMARYThe Claims Examiner position is primarily responsible for the accurate and timely adjudication of paper and/or electronically formatted claims received in the CMS 1500 and/or UB-04 format. The Examiner processes all claims and applicable claims correspondence in accordance with Medicare and Medi-Cal regulatory...

Job DescriptionJob DescriptionGENERAL SUMMARYThe Claims Examiner position is primarily responsible for the accurate and timely adjudication of paper and/or electronically formatted claims received in the CMS 1500 and/or UB-04 format. The Examiner processes all claims and applicable claims correspondence in accordance with Medicare and Medi-Cal regulatory...

Job DescriptionJob Description- National Insurance Carrier is looking for an experienced EPL Claims Manager that is currently managing a team. Prior experience in EPLI & professional liability claims is preferred but not mandatory. Will need a minimum of 5 to 7 years experience in EPL and or professional liability claims. JD preferred with good interpersonal...

Job DescriptionJob DescriptionResponsible 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...

Job DescriptionJob DescriptionResponsible 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...

Position Overview:We invite you to explore an exciting opportunity with MedPOINT Management as a Claims Examiner. This role is essential for ensuring the accurate processing and evaluation of provider specialty claims.Role Summary:The Claims Examiner will be responsible for the meticulous review, input, and adjudication of provider specialty claims,...

Job Overview:We invite you to explore an exciting opportunity with MedPOINT Management as a Claims Examiner. Please review the details below to understand the responsibilities and qualifications required for this role.Position Summary:The Claims Examiner will be responsible for the meticulous evaluation, input, and adjudication of provider specialty claims,...

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 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 OverviewSummary:Effectively manage, evaluate, and process provider specialty claims, including UB04 forms, in accordance with external regulations, internal protocols, and contractual obligations. A solid grasp of medical terminology is essential. Extensive knowledge of Commercial, Medicare, and Medi-Cal coding is required. Basic computer proficiency is...