Lead Claims Specialist

Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Monitor check run process for accuracy. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated h Claims, Claims Specialist, Processing, Specialist, Lead, Insurance, Healthcare

Elbi of America, a tank manufacturer and plumbing materials wholesaler, is looking for a Claims Specialist for its California facility, located in Anaheim, CA. - Opportunity to be a key member of a rapidly growing company, part of an international Group with 3 locations in the United States. - Exposure to new process re-engineering. - Competitive salary and...

Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Monitor check run process for accuracy. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans, client groups, and administrative contractual agreements. Designs, plans, directs and implements...

Description Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Monitor check run process for accuracy. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans, client groups, and administrative contractual agreements. Designs, plans, directs...

Job Description Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Monitor check run process for accuracy. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans, client groups, and administrative contractual agreements. Designs, plans, directs...

Plumbing materials manufacturer and wholesaler (piping, fittings, water tanks) in Anaheim seeking a strong QC/Claims Processor. The individual will primarily be interfacing with attorneys, insurance adjustors, our customers, property owners, and other claims specialists. This communication will take place primarily by emails and phone calls. They'll be...

Plumbing materials manufacturer and wholesaler (piping, fittings, water tanks) in Anaheim seeking a strong QC/Claims Processor. The individual will primarily be interfacing with attorneys, insurance adjustors, our customers, property owners, and other claims specialists. This communication will take place primarily by emails and phone calls. They'll be...

COMPANY OVERVIEW: Carl Warren & Company is a leading nationwide Third-Party Administrator (TPA) founded in 1944. Carl Warren has been a trusted partner specializing in property and casualty claims management, subrogation recovery, and litigation management for private and public sectors, insurance companies, and captives. Our clients count on us to care...

**Join Venbrook**: Our people are equipped with the tools—including enriching professional experiences, coaching, timely and productive feedback, and high-quality learning and development opportunities—to deliver against our commitment to you each day. We are committed to building lasting relationships with you and delivering value to your career...

Job DescriptionJob DescriptionBenefits/PerksCompetitive CompensationGreat Work EnvironmentCareer Advancement OpportunitiesJob SummaryAre you looking to launch a career in medical billing? Whether you're an experienced medical biller or a newcomer to the field, if you have a strong eagerness to learn, we want to hear from you!We are seeking a motivated...

Job DescriptionJob DescriptionBenefits:401(k) matchingCompetitive salaryHealth insurancePaid time offBenefits/PerksCompetitive CompensationGreat Work EnvironmentCareer Advancement OpportunitiesJob SummaryAre you looking to launch a career in medical billing? Whether you're an experienced medical biller or a newcomer to the field, if you have a strong...

Job DescriptionJob DescriptionBenefits:401(k) matchingCompetitive salaryHealth insurancePaid time offBenefits/PerksCompetitive CompensationGreat Work EnvironmentCareer Advancement OpportunitiesJob SummaryAre you looking to launch a career in medical billing? Whether you're an experienced medical biller or a newcomer to the field, if you have a strong...

The Post Close Team Lead is responsible for providing support and guidance to Post Close Specialist. Audit loan files that require a 2 nd level review or challenged files that require escalation to prepare for submission to agencies for endorsement/guarantee & loans salability. Work with Post Close Management team to maximize quality and production. Perform...

Come join our amazing team and work onsite in Anaheim! The Loss Mitigation Finalization Specialist will be responsible for the finalization, post-closing, and reporting processes related to Loan Modifications (“MOD”) and/or Partial Claims (“PC”). Perform all duties in accordance with the company’s policies and procedures, all US state and...

Description: **WHO WE ARE**: Are you interested in working for an organization whose mission it is to enable frail, underserved, and multicultural senior communities to live independently at home and in their communities, for as long as possible? Orange County Program of All-Inclusive Care for the Elderly (PACE) is dedicated to providing its participants...

Job DescriptionCome join our amazing team and work onsite in Anaheim The Loss Mitigation Finalization Specialist will be responsible for the finalization, post-closing, and reporting processes related to Loan Modifications ("MOD") and/or Partial Claims ("PC"). Perform all duties in accordance with the company's policies and procedures, all US state and...

Job DescriptionJob DescriptionHybrid $2,000 Sign-on BonusPatient Account Specialist I (Hospital or Healthcare Exp Req)Performs account follow up from third-party payers including traditional commercial insurance carriers, Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), EPO's, International Payers, Auto Liability and other...

Job DescriptionJob DescriptionHybrid $2,000 Sign-on BonusPatient Account Specialist I (Hospital or Healthcare Exp Req)Performs account follow up from third-party payers including traditional commercial insurance carriers, Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), EPO's, International Payers, Auto Liability and other...

JOB SUMMARY: Manages the Warranty Review Center’s daily activities, including all warranty claim authorization and statistical activities. PRINCIPAL DUTIES & RESPONSIBILITIES: - Manages day-to-day operations of the Warranty Review Center. Supervises staff, including performance review of claims analysis based on policy and procedure standards. Implements...

Job DescriptionJob DescriptionThe Membership Specialist (MS) will represent UFC GYM by providing a welcoming, informative and entertaining experience for all members and guests during their visits. The Membership Specialist is responsible for driving potential members into the gym to deliver industry leading customer services to them as well as our current...