Senior Claims Specialist

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,...

Los Angeles Unified School District (LAUSD) is the 2nd largest public school district in the United States. The school district consists of Los Angeles and all or portions of several adjoining Southern California cities. LAUSD educates and empowers all students as future leaders. Job Summary Los Angeles Unified School District (LAUSD) Workers' Compensation...

ESIS, Inc., a Chubb company, provides claim and risk management services to a wide variety of commercial clients. ESIS' innovative best-in-class approach to program design, integration, and achievement of results aligns with the needs and expectations of our clients' unique risk management needs. With 70 years of experience, and offerings in both the U.S....

**Position**: Medical Claims Review Specialist **Location**: 10920 Wilshire Blvd, Los Angeles, CA 90024 **Duration**: 24 week contract **SHIFT**: M-F 8-5 **Note**: This position is 99% remote, with only the orientation and occasional meetings requiring onsite presence. **Job Summary**: We are seeking a skilled Revenue Integrity Analyst / Claims Review...

Job DescriptionJob DescriptionThe EDI Claims Specialist is responsible for retrieving, processing, validating, and posting electronic claim data files into MPM’s core system, EZ-CAP®. Reporting to the Supervisor, EDI Claims, the EDI Claims Specialist will ensure all files are processed timely and meet compliance regulations. Duties and Responsibilities...

The Claims Analyst is responsible for monitoring liability claims, verifying and updating information on submitted claims. Reviews contract information and policies to determine which charges are eligible for reimbursement. Ensures completeness and accuracy with claims processing in order to support the organization’s revenue cycle. •Reviews claims and...

Job Description Job Description Our client is looking for a strong claims adjuster with a background in either worker's comp or bodily injury claims. This position is entirely remote. Under general supervision, this position adjudicates Long Term Care Insurance claims. Work involves the interpretation of insurance contracts and benefits schedules and...

Job DescriptionJob DescriptionOur client is looking for a strong claims adjuster with a background in either worker's comp or bodily injury claims. This position is entirely remote.Under general supervision, this position adjudicates Long Term Care Insurance claims. Work involves the interpretation of insurance contracts and benefits schedules and...

_**This is an open call for resumes from Veterans, **_**VRA eligible, 30% or more disabled, VA Training Program, and Military spouses**_**. This is not a guarantee of employment.**_ For consideration at SSA under non-competitive hiring authorities for veterans, please visit FedsHireVets.gov to learn more about opportunities for veterans. **Duties** -...

**About C2PM**:C2PM stands at the forefront of the construction consulting landscape, offering a full spectrum of program management, construction management, and specialized engineering services. We pride ourselves on tackling public works infrastructure, transportation, aviation, maritime, federal, water, and wastewater projects with unmatched...

Job Description:Claims Revenue Analyst, Senior ConsultantMazars USA is hiring - If you are looking for a career where you can truly have a say, make an impact, and bevalued, Mazars is the right place for you!Our Consulting practice seeks an experienced consultative professional to join our Healthcare Consulting team as a Senior Consultant focused on...

The Senior IT Training Specialist will lead the development, delivery, and coordination of end-user technology training for IT applications and systems to foster smooth transitions for employees during current-to-future state transitions, and will support the development of business process training. The Senior IT Training Specialist will focus on ...

Geosyntec has an exciting opportunity for a Senior Marketing Specialist in our Los Angeles, California offices, or the opportunity to work remotely. The Senior Marketing Specialist will work directly with technical leads and the regional marketing team. The Senior Marketing Specialist will develop compliant, comprehensive, and compelling submittals...

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: $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...

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is...

Our outstanding dental practice is seeking an exceptional Dental Billing and Coding Specialist for an opportunity to join our dedicated team. Company Overview: Dental Specialists of California is a leading dental clinic dedicated to providing exceptional oral health care to our patients. With a commitment to excellence and a focus on patient satisfaction,...

Job DescriptionJob DescriptionDescription/Job SummaryJob Description-Human Resources SpecialistThe HR Specialist (HRS) with Leave & Benefit Administration concentration supports a group of clients, includes but not limited to: Assists all employee benefit programs, such as medical, dental, ancillary benefits, life insurance accident and disability insurance,...

Senior Project Manager - Healthcare Job Description Summary We are looking for a Senior Project Manager with strong HCAi experience. This candidate must have: a minimum of 8 years experience on HCAi projects and have worked on at least one project $100M-$500M or multiple $50M. This candidate will work on projects in the LA metropolitan area. Job...

Salary Range: $50, Min.) - $62, 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...