Supervisor, Claims Processing

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...

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 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:  $102,183.00 (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 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 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 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 Senior EDI Claims Specialist is responsible for overseeing the retrieval, processing, validation, and posting of electronic claim data files into MPM’s core system, EZ-CAP®. Serving as a subject matter expert, the Senior EDI Claims Specialist will support the EDI Claims Team through training, monitoring of workflows,...

***This is a fully remote role but you must live IN CALIFORNIA Must Haves: 3+ years’ experience with handling Indemnity Claims in CA Experience handling Workers Compensation Claims Bilingual (English/Spanish) – highly preferred for their client!!! Plusses: Bachelor’s degree Self-Insured Certificate and State Certification Day to Day: Insight Global is...

Salary Range: $77, Min.) - $100, Mid.) - $123, 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 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: $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...

Salary Range:  $77,265.00 (Min.) - $100,445.00 (Mid.) - $123,625.00 (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...

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...

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...

Job Description Job Description Job Summary As 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...

**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 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...

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...

**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...