Warranty Claims Specialist

Opportunity for a Warranty AdministratorAudi Long Beach is in search of a dedicated Warranty Administrator to enhance our operations. In this pivotal role, you will be responsible for managing warranty claims, ensuring adherence to manufacturer standards, and processing claims with precision.What We Offer:Comprehensive health, dental, and vision...

Opportunity for a Warranty AdministratorAudi Long Beach is in search of a dedicated Warranty Administrator to manage warranty claims effectively. This role is essential in ensuring that all claims are processed in accordance with manufacturer standards and submitted without delay.Employee Benefits:Comprehensive health, dental, and vision coverageGenerous...

At Sedgwick, we prioritize the well-being of our team members, recognizing that our colleagues are our most valuable asset. A career with us embodies a culture of compassion and support, offering you the flexibility to balance your professional and personal life. Here, you have the chance to engage in meaningful work every day, with resources available to...

Insurance Claims Support SpecialistAt Automobile Club of Southern California, we take pride in being a leader in the insurance sector, renowned for our commitment to exceptional customer service and the welfare of our members. We are currently looking for an entry-level Insurance Claims Support Specialist to assist in our auto claims operations. This...

About Morgan StephensMorgan Stephens is a leading healthcare organization dedicated to providing exceptional service to our members. We are seeking a highly skilled Appeals Specialist I to join our team.Job SummaryThe Appeals Specialist I will be responsible for reviewing and resolving member and provider complaints in accordance with CMS standards. This...

Job Summary:We are seeking a highly skilled Claims Loss Reporting Specialist to join our team at AAA - The Automobile Club. As a leader in the insurance industry, we pride ourselves on our dedication to legendary customer service and our commitment to the well-being of our members.About the Role:As a Claims Loss Reporting Specialist, you will be responsible...

Job SummaryWe are seeking a highly skilled Medical Biller to join our team at JOSEPH VARDAYO MD INC. As a Medical Biller, you will play a crucial role in ensuring the smooth processing of medical claims and maintaining accurate patient records.ResponsibilitiesClaims Processing: Assist clients with processing insurance claims through private insurance and...

Job OverviewAs a Clinical Review Nurse, you will leverage your clinical expertise to assess documentation for medical necessity and the appropriate level of care. Your role will involve utilizing MCG/InterQual guidelines, state and federal regulations, billing and coding standards, and Molina policies to validate medical records and claims submitted,...

Senior Claims Operations ManagerVERDA HEALTHCARE, INC. is dedicated to enhancing the healthcare landscape across the nation. Our organization prioritizes excellence, integrity, and innovation in serving our Medicare beneficiaries. We invite you to explore a career with us, where diversity is celebrated and professional development is encouraged.Key...

Job OverviewAs a key member of our clinical team, the Clinical Review Nurse Specialist is responsible for evaluating medical documentation to confirm medical necessity and the appropriate level of care. This role involves utilizing MCG/InterQual guidelines, state and federal regulations, billing, and coding standards, as well as Molina policies to ensure...

Job SummaryMolina Healthcare is seeking a skilled Healthcare Network Specialist to join our team. As a key member of our Provider Network Administration team, you will be responsible for ensuring the accuracy and timeliness of critical provider information on all claims and provider databases.Key ResponsibilitiesReceive and review information from external...

Job OverviewAre you dedicated to supporting the health and well-being of your community? Do you possess strong organizational and communication skills, along with a positive attitude? If you are an experienced Billing Specialist, The Children's Clinic dba TCC Family Health offers an excellent opportunity for you to join our dynamic team.About UsTCC Family...

Benefits:• 401(k) Plan• Comprehensive Health Insurance• Paid Time Off• Competitive Compensation Package• Positive Work Environment• Opportunities for Career AdvancementJob Overview:We are looking for a dedicated Healthcare Billing Specialist to become a vital part of our team. In this role, you will engage closely with clients to address...

Job OverviewPosition SummaryUtilizing extensive clinical expertise, the incumbent will be responsible for evaluating documentation to confirm medical necessity and the appropriate level of care in accordance with MCG/InterQual standards, state and federal regulations, billing and coding guidelines, as well as Molina policies. This role involves validating...

Senior Claims Operations ManagerVERDA HEALTHCARE, INC. is dedicated to enhancing the healthcare landscape across the nation. Our organization prioritizes excellence, integrity, and innovation in serving our Medicare beneficiaries. Become a part of a diverse team that fosters your professional development.Key ResponsibilitiesOversee the identification of...

Your Role The Pharmacy Prior Authorization team at Blue Shield of California is dedicated to delivering prompt and precise responses to a variety of stakeholders, including healthcare providers, pharmacy personnel, members, and brokers, as well as internal team members regarding outpatient pharmacy benefit inquiries. The Pharmacy Benefit Specialist will...

Job OverviewPosition SummaryThe Senior Fraud Investigation Specialist role is primarily focused on enhancing the daily functions and strategic initiatives of the Special Investigations Unit (SIU).Core Responsibilities• Address all claims of potential fraud, waste, and abuse (FWA). Conduct thorough investigations into fraudulent, wasteful, and abusive...

Job SummaryBeach Front Property Management, Inc. is seeking a highly skilled Benefits and Compliance Specialist to join our team. The ideal candidate will be responsible for managing and overseeing various aspects of employee benefits and compliance programs.Key Responsibilities401k Retirement Plan ManagementAdminister and manage the company's 401k...

Job OverviewPosition Summary The Senior Fraud Investigation Specialist role is primarily tasked with facilitating the daily functions and strategic initiatives of the Special Investigations Unit (SIU). Core Competencies Address all reports of potential fraud, waste, and abuse (FWA). Execute thorough investigations into fraudulent, wasteful, and abusive...

Job OverviewPOSITION SUMMARYThe HCC Coding Specialist plays a crucial role in managing and training for Risk Adjustment HCC coding, ensuring seamless collaboration among healthcare providers, office personnel, and health plan representatives to meet organizational objectives.KEY RESPONSIBILITIESAnalyze medical records to identify, gather, evaluate, and...