Supervisor, Medical Claims

Our client, a National Third Party Administrator, is looking for a Temporary Workers' Compensation Supervisor for their temporary remote opportunity.Required Qualifications:3 years of Supervising California Workers Compensation AdjustersMonitor colleagues' workloads, provide training, and monitor individual claim activitiesSIPPreferred Qualifications:College...

Our client, a National Third Party Administrator, is looking for a Temporary Workers' Compensation Supervisor for their temporary remote opportunity.Required Qualifications:3 years of Supervising California Workers Compensation AdjustersMonitor colleagues' workloads, provide training, and monitor individual claim activitiesSIPPreferred...

**Claims Examiner III** **Role Insights** **Primary Responsibilities** - Audit claims processing quality, develops, maintains and runs standard reports - Assist the Claims Supervisor/Director in reviewing the quality auditing tracking/reporting (financial and procedural) - Coordinating with various departments to resolve disputes or issues - Maintain the...

Job Description: Position is fully remote and will be a temp role through 3/31/23. Position has the option to go perm based on positive work. Candidates can sit anywhere in the US and schedule will be M-F 9AM-5PM local time. The training schedule will be M-F 9AM-5PM EST. Daily responsibilities will include the following: Candidates will be reviewing medical...

Date Posted: 05/09/2024 Hiring Organization: Rose International Position Number: 463794 Job Title: Claims Examiner Job Location: Long Beach, CA, USA, 90806 Work Model: Hybrid Employment Type: Temporary Estimated Duration (In months): 8 Min Hourly Rate ($): 60.00 Max Hourly Rate ($): 60.00 Must Have Skills/Attributes: Claims, Document...

Date Posted: 05/09/2024 Hiring Organization: Rose International Position Number: 463794 Job Title: Claims Examiner Job Location: Long Beach, CA, USA, 90806 Work Model: Hybrid Employment Type: Temporary Estimated Duration (In months): 8 Min Hourly Rate ($): 60.00 Max Hourly Rate ($): 60.00 Must Have Skills/Attributes: Claims, Document...

Job Description Job Summary Thorough knowledge of processing professional, outpatient facility, and inpatient facility claims for Medicare, Medicaid, and Marketplace plans. Assists Molina departments with reviewing and conducting analysis of claims to ensure regulatory requirements are appropriately applied. Clearly documents claims research results and...

Job DescriptionJob DescriptionClaims Team Lead - Workers' CompensationWork location: prefer onsite, but will accept remote (within CA) or hybrid. Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience.Primary Purpose: To supervise the operation of multiple...

Job DescriptionJOB DESCRIPTIONJob Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding...

Job Description: Pay Range $55hr - $60hr Responsibilities: Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency. Develops and manages workers compensation claims' action plans to resolution, coordinates...

Job DescriptionJob DescriptionThis position will be a remote position. Must have a California SIP (Workers Compensation - Sr. Work Comp Claims Adjuster)POSITION SUMMARY: Under minimal supervision manages all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines.DUTIES AND RESPONSIBILITIES:Effectively...

(Workers Compensation Claims Examiner Level III) Intro Our client, the largest privately held third party claims administrator in the United States, is seeking a Workers Compensation Claims Examiner Level III. The ideal candidate will have a minimum of 5 years of experience in Texas Workers' Compensation Claims and hold a Texas Workers' Compensation...

Claims Service Representative 2 - Casualty Prompt Response The Automobile Club is seeking Casualty Prompt Response Claims Representative handing bodily injury claims, you're bringing your expertise to a best-in-class organization that is focused on delivering quality service to our members. Under the general supervision of Claims Management, your...

**Overview** **Responsibilities** The Laboratory Supervisor in Blood Bank is responsible for the technical performance and for the management of the personnel in the Blood Bank department. The Laboratory Supervisor in Blood Bank must be able to work in all areas within the section. The Laboratory Supervisor in Blood Bank must also work closely with the...

Claims Service Representative 2 - Casualty Prompt Response The Automobile Club is seeking Casualty Prompt Response Claims Representative handing bodily injury claims, you’re bringing your expertise to a best-in-class organization that is focused on delivering quality service to our members. Under the general supervision of Claims Management, your...

**TITLE** GOVERNMENT ADMINISTRATION MANAGER *** Reports to AMM Director of Administration. Individual is responsible for overseeing all aspects of AMM operations utilized to provide Fiscal Intermediary services to assigned Government contracts, Fiscal Intermediary clients, including maintaining communication with client leadership, resolving problems, and...

In good company. We're a global specialty insurance and reinsurance company enhanced by data and technology, focused on producing sustainable underwriting profitability and delivering significant shareholder value. Headquartered in Bermuda, we operate on a global basis, with over 500 employees and key underwriting operations in London, Bermuda, the US and...

_**Must have at least 3 years of medical management experience.**_ **Job Summary**: The Office Manager is responsible for overseeing staff, implementing corporate policies and procedures, maintaining administrative systems, and working closely with other departments. An Office Manager plays a crucial role in the efficient functioning of their respective...

The Long Beach VA Medical Center is currently recruiting for one (1) Supervisory Medical Technologist to work in Pathology and Laboratory Medicine Services Long Beach, CA. The incumbent has full supervisory responsibility in a complexity index group Medical, Technologist, Supervisor, Chemistry, Clinical, Management, Healthcare

Job DescriptionJob DescriptionOverviewThis position is responsible for all aspects of nursing care and the supervision of clinical support and nursing staff. The RN Supervisor is responsible for overseeing the day-to-day staff activities. Will interact, coordinate, and facilitate activities with all disciplines, departments, and appropriate regulatory...