Director of Insurance Claims Operations
7 days ago
AHFs National Chief of Claims Administration is responsible for leading the Claims Department in achieving regulatory compliance, grant contract requirements, and service goals. The ideal candidate will have experience in claims management, a strong understanding of federal and state regulations, and excellent leadership skills.
**Responsibilities:
- Ensure the claims management system is compliant with various grant contracts, CA state MediCal and Department of Managed Care, and federal CMS/Medicare regulatory and contractual requirements.
- Develop and maintain a best-in-class claims department that produces timely and accurate claim management results.
- Collaborate with the Chief of Care Management and Division Executive Management to set the strategic direction of the Claims Department.
**Salary Range:** $150,000 - $220,000 per year
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Insurance Claims Analyst Trainee
3 weeks ago
Los Angeles, California, United States Sedgwick Claims Management Services Full time**Job Overview:**Sedgwick Claims Management Services is seeking a detail-oriented Insurance Claims Analyst Trainee to join our team. In this role, you will work closely with experienced claims professionals to analyze workers compensation, general liability, or disability claims.As an Insurance Claims Analyst Trainee at Sedgwick, you will have the...
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Los Angeles, California, United States Sedgwick Claims Management Services Full time**Job Description:**Sedgwick Claims Management Services is seeking a highly skilled General Liability and Disability Claims Specialist to join our team. In this role, you will work closely with our claims professionals to analyze general liability and disability claims.As a General Liability and Disability Claims Specialist, you will apply your knowledge of...
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Insurance Claims Administrator
1 week ago
Los Angeles, California, United States MedPOINT Management Full timeJob DescriptionAs a Claims Operations Generalist at MedPOINT Management, you will play a critical role in ensuring compliance with regulatory and contractual standards. You will assist in various functions, including claims auditing, adjudication, adjusting, investigation/analyzing, and other special projects as needed.Main Duties and ResponsibilitiesAssist...
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Claims Operations Specialist
3 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeJob TitleClaims Operations GeneralistAbout the RoleWe are seeking a highly skilled Claims Operations Generalist to join our team at MedPOINT Management. As a Claims Operations Generalist, you will be responsible for assisting in various functions to maintain compliance with regulatory and contractual standards.Key ResponsibilitiesAssist in claims auditing,...
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Insurance Claims Adjuster
6 days ago
Los Angeles, California, United States Property Claim Professionals Full timeJob DescriptionWe are seeking an experienced Multi-Line Claims Adjuster to join our team at Property Claim Professionals. As a key member of our claims department, you will be responsible for investigating and settling insurance claims in a timely and professional manner.Key Responsibilities:Conduct thorough investigations of property and liability claims,...
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Insurance Claims Examiner
6 days ago
Los Angeles, California, United States Argo Group Full timeJob OverviewArgo Group is a leader in specialty insurance with a culture that values respect, equality, wellness, and opportunity. We're an innovative organization that's agile and impactful in our industry.Our collaborative workplace is designed to ensure all employees feel comfortable bringing their whole selves to work, confident in respectful treatment,...
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Insurance Claim Processor
1 week ago
Los Angeles, California, United States Dental Office Full timeWe are seeking an experienced Insurance Claim Processor to join our team at the Dental Office in Los Angeles, CA. In this role, you will be responsible for processing dental claims, monitoring patient accounts, and ensuring accurate and timely payment from insurance companies.Our ideal candidate will have experience with Dentrix software and strong knowledge...
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Insurance Claim Processor
2 weeks ago
Los Angeles, California, United States Dental Office Full timeJob ResponsibilitiesWe are seeking a skilled Dental Biller to join our team in Los Angeles, CA. In this role, you will be responsible for processing and submitting dental claims, as well as managing patient accounts and communicating with patients regarding payment options.To be successful in this position, you must have strong organizational skills,...
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Insurance Claims Specialist
2 weeks ago
Los Angeles, California, United States Jobot Full timeJob Overview Jobot is a national law firm specializing in subrogation and recovery for the worldwide insurance and self-insured markets. We are seeking an experienced Insurance Claims Specialist to join our team. As a key member of our litigation department, you will work closely with clients to provide exceptional service and achieve successful outcomes.
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Insurance Claims Coordinator
2 weeks ago
Los Angeles, California, United States To Help Everyone Health & Wellness Centers Full timeResponsibilities and QualificationsAs a Medical Billing Specialist, your key responsibilities will include:Gathering patient information from progress notes and completing claim forms electronicallyPosting charges and payments into the billing management systemMaintaining records to re-bill denials or unpaid claimsReconciling and filing outstanding...
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Claims Operations Specialist
7 days ago
Los Angeles, California, United States MedPOINT Management Full timeAbout the RoleWe are seeking a highly skilled and experienced Claims Operations Generalist to join our team at MedPOINT Management. In this role, you will be responsible for assisting Claims Operations in various functions to maintain compliance with regulatory and contractual standards.The ideal candidate will have 3 years of experience as a Claims Examiner...
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Insurance Claims Surveillance Professional
6 days ago
Los Angeles, California, United States Ethos Risk Services Full timeAbout the RoleWe are seeking an motivated and detail-focused individual to join our team as a Insurance Claims Surveillance Professional. As a key member of our team, you will play a critical role in helping us identify and prevent fraudulent insurance claims.Your primary responsibility will be to conduct thorough investigations, gather evidence, and analyze...
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Insurance Benefits Manager
2 weeks ago
Los Angeles, California, United States Insurance Search Specialists Full timeJob OverviewWe are seeking a skilled Insurance Benefits Manager to join our team in Los Angeles. The ideal candidate will have a minimum of 2 years of experience in account management within the insurance sector and a current life and health license.Key Responsibilities:Account Management: Oversee daily operations, ensuring all client needs are addressed...
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Senior Fraud Investigator Insurance Specialist
4 weeks ago
Los Angeles, California, United States Allstate Insurance Full timeNational General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us ahead of our customers' evolving needs. We offer home, auto, and accident and health insurance through a large network of independent insurance agents and directly to consumers.Job Overview:This role investigates complex claims for potential...
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Case Manager
7 days ago
Los Angeles, California, United States Oaks Law Firm Full timeWe are seeking a highly motivated and organized Case Manager - Insurance Claims Specialist to join our team at Oaks Law Firm. As a key member of our pre-litigation team, you will play a critical role in handling insurance claims, filing liens, and communicating with clients and medical providers.Responsibilities:Filing insurance claims and obtaining...
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Insurance Industry Professional
2 weeks ago
Los Angeles, California, United States Insurance Search Specialists Full timeAbout the Position:We are seeking a skilled Employee Benefits Account Manager to join our team at Insurance Search Specialists. This role offers an excellent opportunity for career growth and professional development in the insurance industry.Key Responsibilities:Account Management: Oversee daily operations, ensuring all client needs are addressed with...
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Insurance Bad Faith Claims Specialist
2 weeks ago
Los Angeles, California, United States JBA International Full timeJob OverviewWe are seeking an experienced Litigation Lawyer to join our team at JBA International. This role involves litigating insurance bad faith claims on behalf of clients who have had their policies unlawfully canceled by insurance companies.
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Personal Lines Insurance Specialist
2 weeks ago
Los Angeles, California, United States Insurance Search Specialists Full timeJob DescriptionThis is a unique opportunity to join a dynamic insurance brokerage firm as a Personal Lines insurance specialist. Our ideal candidate will have extensive experience working with high-net-worth clients, excellent communication skills, and a deep understanding of personal risk exposure.Key ResponsibilitiesClient Relationship Management: Build...
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Claims Assistant
7 days ago
Los Angeles, California, United States West Coast Trial Lawyers Full timeResponsibilities and RequirementsInteracting with adjusters and medical providers to facilitate the claims processSending letters of representation and other necessary documentsOpening and managing insurance claims from inception to resolutionConfirming coverages and verifying claimant informationRequesting police reports and gathering supporting...
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Los Angeles, California, United States Progressive Insurance Full timeJob SummaryWe are seeking a highly skilled Litigation Attorney to join our Progressive Insurance Defense team.About the RoleThis is a hybrid position that requires occasional travel to an office for meetings and/or training. You must reside within a reasonable driving distance of the office you will support.ResponsibilitiesProvide legal representation to...