Medical Claims Examiner III

**Job Summary**Cedars-Sinai is seeking a skilled Claims Examiner to join our team in Managed Care. As a Claims Examiner, you will be responsible for accurately and consistently adjudicating claims in accordance with policies, procedures, and guidelines.**Key Responsibilities:**Process claims according to all CMS and DMHC guidelines.Investigate and complete...

Job Title: Medical Claims Examiner IJob Summary:Insight Global is seeking a Medical Claims Examiner I to join our team. As a Medical Claims Examiner I, you will be responsible for reviewing and processing medical claims, ensuring accuracy and compliance with company policies and procedures.Key Responsibilities:• Investigate and adjudicate complex claim...

Job SummaryMedPOINT Management is seeking a highly skilled Refund Claims Examiner to join our team. The successful candidate will be responsible for reviewing, requesting, and keeping record of claim refunds accurately using Access, Excel, Word, EZ Cap, and medical claims information.Key ResponsibilitiesProcess and post all daily refund checks...

We're looking for a skilled Claims Examiner Workers Compensation to join our team at Sedgwick. As a key member of our team, you'll be responsible for analyzing complex workers' compensation claims to determine benefits due, working with high-exposure claims involving litigation and rehabilitation, and ensuring ongoing adjudication of claims within service...

Job SummaryThe Jonus Group is seeking a highly skilled Senior Auto Liability Claims Examiner to join our team. As a key member of our claims department, you will be responsible for conducting thorough investigations to determine coverage, liability, and damages related to personal auto insurance claims.Key ResponsibilitiesConduct thorough investigations to...

Job Title: Claims AdjusterLocation: Los Angeles, CA 90071Duration: 3+ months contract to begin withPosition Type: Hourly contract Position (W2 only)Note:Job schedule-40 hours on site Job hours-8:00-4:30 Interview process-WEBEX prescreen/Then in-person interview Summary:The main function of a Workers' Compensation Claims Adjuster is to investigate, analyze,...

Job SummaryThe Medical Claims Specialist is responsible for the accurate and timely adjustment of hospital risk claims, ensuring compliance with regulatory requirements and contractual obligations. This role involves researching and reviewing claims, collaborating with providers and other departments to resolve issues, and suggesting process improvements to...

This role is a key part of Zenith Insurance Company's hybrid work schedule, offering flexibility to work from home on select days of the week in accordance with the in-office schedule established by regional executive leadership. The selected candidate must be able to report to the regional branch office on a weekly basis.Job SummaryInvestigate and...

Job SummaryThe Claims Management Director will oversee the Claims Department, ensuring compliance with regulatory requirements and maintaining high-quality claims processing. This role requires strong leadership and analytical skills, with the ability to develop and implement policies and procedures to improve claims auto adjudication.The ideal candidate...

Job DescriptionThis is a challenging role that requires analytical skills to resolve workplace claims. As a Claims Professional in Employment Practices Liability, you will use your knowledge of Employment Law, contracts, and claims to partner with defense counsel and insureds in resolving discrimination, harassment, and other workplace-related claims.The...

Job Title: Medical Claims SpecialistVolt is seeking a highly skilled Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will play a critical role in ensuring timely and accurate payment of medical claims.Key Responsibilities:Review and analyze medical claims to identify potential issues and discrepancies.Communicate with payors...

Job DescriptionSummary:Refund Examiner plays a key role in ensuring accurate and timely refund processing. We seek a highly detail-oriented individual with strong analytical skills to join our team at MedPOINT Management.Duties and ResponsibilitiesProcess and post daily refund checks.Prepare weekly and monthly reports for management on refund requests and...

Job SummaryAt Medix, we are seeking a highly skilled Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will play a critical role in ensuring the accuracy and efficiency of our claims processing operations.Key ResponsibilitiesReview claims for accuracy and completeness, ensuring that all necessary information is included.Expedite...

Job SummaryMedPOINT Management seeks a skilled Claims Adjuster to join our team. The ideal candidate will have a strong background in claims examination and a proven ability to work efficiently in a managed care environment.Key Responsibilities:Review and adjust claims in accordance with departmental policies and procedures.Coordinate resolution of claims...

Job SummaryAs a Senior Claim Specialist at Chubb, you will play a critical role in resolving workplace claims in a collaborative and paperless environment. With a strong analytical mindset and excellent communication skills, you will work closely with defense counsel and insureds to negotiate settlements and resolve discrimination, harassment, and other...

Job DescriptionMedPOINT Management is seeking a skilled Claims Adjuster to join our team. The ideal candidate will have experience in a managed care environment and strong organizational and mathematical skills.Duties and Responsibilities Accurately review all incoming adjustment requests to verify necessary information is available. Meet production...

Chubb is seeking a Workers' Compensation Claims Assistant to provide advanced technical support to our claim examiners. This role offers a hybrid work schedule with a minimum of 3 days per week working from our Los Angeles Office.Assist claim examiners with contacts to ensure accurate compensability decisions.Maintain active file diaries to ensure delegated...

We are seeking a highly skilled Medical Biller to join our team at Health Atlast West LA.The ideal candidate will have experience with medical billing from start to finish, including setting up patient accounts, verifying information, and uploading claims to clearing houses.Responsibilities will include authorizing and verifying insurance benefits, billing...

Job SummaryTokio Marine HCC is seeking a Claims Assistant to join our team in downtown Los Angeles. As a Claims Assistant, you will be responsible for setting up electronic files with documents, dates, and well-written summaries, updating claimants and internal colleagues by phone and written correspondence about the status of claims, and performing other...

Claims Assistant Job Description at Tokio Marine HCCAbout the RoleWe are seeking a Claims Assistant to join our team at Tokio Marine HCC. As a Claims Assistant, you will be responsible for setting up electronic files, updating claimants and internal colleagues, and processing mail and payment checks.Key Responsibilities* Set up electronic files with...