We have other current jobs related to this field that you can find below
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Claim WC Technical Assistant
4 weeks ago
Los Angeles, United States CHUBB Full timeChubb is currently seeking a Workers’ Compensation Claim Technical Assistant for our West Region. The successful applicant will be providing advanced technical support to our claim examiners for multiple jurisdictions. This position offers a hybrid work schedule with a minimum of 3 days per week working from the Los Angeles Office. When necessary,...
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Workers Compensation Claims Consultant
2 months ago
Los Angeles, United States Momentum Resource Solutions Full timeJob DescriptionJob DescriptionThis is a fully remote contract opportunity! Job DescriptionThe Claim Consultant has a minimum of 5+ years of CA WC Indemnity/litigated claim handling or oversight/management experience.• Is organized to establish and follow-up on established action plans and diaries• Possesses interpersonal skills to engage claim...
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Claims Assessment Specialist
5 days ago
Los Angeles, California, United States Preferred IPA of California Full timePOSITION SUMMARYThe Claims Assessment Specialist plays a crucial role in ensuring the precise and prompt evaluation of both paper and electronic claims submitted in CMS 1500 and UB-04 formats. This role involves processing all claims and relevant correspondence in alignment with Medicare and Medi-Cal regulatory standards, contractual obligations, and...
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Claims Assessment Specialist
5 days ago
Los Angeles, California, United States Avispa Technology Full timeClaims Assessment Specialist - Managed Care Providers Avispa Technology is looking for a skilled Claims Assessment Specialist to join our team. This role involves performing thorough reviews of claims and billing processes, managing denial resolutions, and processing various payer types including Medicare and Commercial Payers. The ideal candidate will...
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Claims Processing Specialist
5 days ago
Los Angeles, California, United States Preferred IPA of California Full timePOSITION SUMMARYThe Claims Processing Specialist is tasked with ensuring the precise and prompt evaluation of claims submitted in CMS 1500 and/or UB-04 formats. This role involves managing all claims and related correspondence in compliance with Medicare and Medi-Cal regulations, contractual obligations, and established operational protocols. The Specialist...
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Managed Care Claims Specialist
4 hours ago
Los Angeles, California, United States Avispa Technology Full timeClaims 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...
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Hospital Risk Claims Specialist
5 days ago
Los Angeles, California, United States MedPOINT Management Full timeJob OverviewThe Hospital Risk Claims Specialist plays a crucial role in managing hospital-related risk claims, ensuring compliance with external regulations and the contractual commitments of Health Plans and/or Hospitals/IPAs. This position involves thorough research, review, and communication with provider services to resolve claims-related issues...
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Claims Evaluation Specialist
5 days ago
Los Angeles, California, United States Avispa Technology Full timeJob OverviewClaims Review Specialist - Managed Care ProvidersA leading healthcare organization is in search of a Claims Review Specialist to perform comprehensive reviews of claims and billing processes, manage denial resolutions, and oversee transactions involving Medicare, Medi-Cal, and various Commercial Payers. The ideal candidate will possess over three...
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Claims Processing Specialist
5 days ago
Los Angeles, California, United States OGara Coach Company Full timeJob OverviewOBJECTIVE:The Claims Processing Specialist is responsible for the preparation, documentation, and reconciliation of warranty claims, ensuring accurate submission to manufacturers and distributors for faulty components.KEY RESPONSIBILITIES:Evaluate warranty claims, confirming compliance with manufacturer or distributor requirements.Input necessary...
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Claims Operations Support Specialist
5 days ago
Los Angeles, California, United States MedPOINT Management Full timeJob OverviewPosition Summary:The Claims Operations Support Specialist plays a crucial role in facilitating the daily functions of the claims department. This position is designed to assist various sub-departments within Claims Operations, ensuring seamless workflow and efficiency.Key Responsibilities:• Digitally archive claims and relevant documents into...
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Claim Recovery Specialist
2 months ago
Los Angeles, United States Konkordia Phoenix PLC, Inc. Full timeJob DescriptionJob DescriptionSalary: CommissionPhoenix Loss Control is seeking qualified individuals to fill 1099 contractor openings for Claim Recovery Specialists. Phoenix Loss Control supplies investigation, billing and financial recovery services for telecommunications, cable, and utility providers across the United States who have experienced property...
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Claims Correspondence Specialist
6 minutes ago
Los Angeles, California, United States The Dominguez Firm, LLP. Full timeJob OverviewThe Claims Correspondence Specialist will collaborate closely with the Personal Injury Division. This role demands exceptional attention to detail, the ability to manage multiple tasks efficiently, and the capacity to thrive in high-pressure situations. Additionally, the Claims Correspondence Specialist may undertake special assignments as...
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Claims Settlement Specialist
5 days ago
Los Angeles, California, United States The Matian Firm, APC Full timeJob OverviewThe Matian Firm, APC is seeking a Claims Settlement Specialist to enhance our Personal Injury Department. This position involves overseeing and negotiating the resolution of personal injury claims prior to litigation. The ideal candidate will possess exceptional communication and negotiation abilities, substantial experience with insurance...
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Senior Claims Adjustment Specialist
6 days ago
Los Angeles, California, United States Motion Picture Industry Pension & Health Plans Full timePosition Overview:We are seeking a meticulous and experienced Senior Claims Adjustment Specialist to join our dynamic Medical Claims Department. This role is essential in ensuring the accurate and timely processing of medical claims adjustments.About the Organization:The Motion Picture Industry Pension & Health Plans (MPI) is a distinguished multi-employer...
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Field Property Claims Specialist
5 days ago
Los Angeles, California, United States American Family Insurance Agency Staff Full timeJoin Our Team at American Family Insurance Agency Staff At American Family Insurance Agency Staff, we are undergoing a significant transformation in our claims operations, focusing on enhancing customer experiences and effectively safeguarding their aspirations during challenging times. Our mission is to leverage our extensive knowledge, innovative...
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Bodily Injury Claims Specialist
5 days ago
Los Angeles, California, United States Aspire General Insurance Full timeAspire General Insurance Company, along with its associated general agent, Aspire General Insurance Services, is dedicated to providing affordable specialty auto insurance solutions while maintaining exceptional service standards. Our core values can be encapsulated in the acronym ABLE: to always act with integrity, be authentic, learn and grow, and execute...
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Senior Claims Adjustment Specialist
6 days ago
Los Angeles, California, United States Motion Picture Industry Pension & Health Plans Full timeThe Motion Picture Industry Pension & Health Plans (MPI) is seeking a meticulous and organized Senior Claims Adjustment Specialist to enhance our Medical Claims Department within the Adjustments Team. Position Overview:This role is essential for ensuring the precise and timely processing of medical claims adjustments. Key Responsibilities:Evaluate and test...
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Field Auto Claims Specialist
6 days ago
Los Angeles, California, United States Allstate Insurance Company Full timeAbout Allstate Insurance CompanyAllstate Insurance Company is a leader in the insurance industry, dedicated to providing innovative solutions that meet the evolving needs of our clients. We specialize in a wide range of insurance products, including auto, home, and health insurance, delivered through a robust network of independent agents and...
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Claims Examiner
2 months ago
Los Angeles, United States Preferred IPA of California Full timeJob 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...
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Claims Examiner
2 months ago
Los Angeles, United States Preferred IPA of California Full timeJob 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...
ESIS Claims Specialist, WC
3 months ago
The ESIS Senior Work Comp Claim Representative, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines.
Note: This is a hybrid position requiring 3 days in the Chatsworth office and 2 days working from home.
Duties include but are not limited to:
* Under limited supervision, receives assignments and reviews claim and policy information to provide background for investigation and may determine the extent of the policy's obligation to the insured depending on the line of business.* Contacts, interviews and obtains statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information.* Depending on line of business may inspect and appraise damage for property losses or arranges for such appraisal.* Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extend of the company's obligation to the insured under the policy contract.* Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc.* Sets reserves within authority limits and recommends reserve changes to Team Leader.* Reviews progress and status of claims with Team Leader and discusses problems and suggested remedial actions.* Prepares and submits to Team Leader unusual or possible undesirable exposures.* Assists Team Leader in developing methods and improvements for handling claims.* Settles claims promptly and equitably.* Obtains releases, proofs of loss or compensation agreements and issues company drafts in payments for claims.* Informs claimants, insureds/customers or attorney of denial of claim when applicable.
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