Claims Coordinator

Job SummaryThe National Guard Employment Network is seeking a highly skilled Medical Claims Processor to join our team. As a Medical Claims Processor, you will be responsible for handling Personal and Business Insurance Auto Bodily Injury claims from the first notice of loss through resolution/settlement and payment process.Key ResponsibilitiesProvides...

Job SummaryWe are seeking a highly organized and detail-oriented Benefits and Leave Specialist to support the administration of employee benefits programs and leave of absences processes.Key ResponsibilitiesAssist the Benefits Manager in the administration of employee benefits programs, including health insurance, disability insurance, life insurance,...

Diagnostic Scheduling Coordinator Job SummaryWe are seeking a highly organized and detail-oriented Diagnostic Scheduling Coordinator to join our team at ExamWorks. As a Diagnostic Scheduling Coordinator, you will be responsible for scheduling diagnostic testing, communicating with clients and physicians, and coordinating with the client to obtain required...

Job SummaryWe are seeking a highly motivated and detail-oriented Medical Record Coordinator to join our team at ExamWorks. As a Medical Record Coordinator, you will be responsible for servicing inquiries from clients, physicians, and nurses, while performing a wide range of data processing tasks, including data preparation, data entry, and documentation.Key...

Job DescriptionThe Senior Claims Specialist at CorVel Enterprise Comp, Inc. plays a crucial role in managing complex and problematic workers' compensation claims. This position requires strong analytical and problem-solving skills to determine benefits due and work closely with case managers and attorneys to achieve the best possible outcome.This is a remote...

About the RoleWe are seeking a highly skilled Boiler and Machinery Risk Control Manager to join our team at 020 Travelers Indemnity Co. As a key member of our risk control team, you will be responsible for managing Boiler and Machinery Risk Control services and staff in a defined region.Key ResponsibilitiesManage work assignments in assigned territory to...

About Teledyne Defense ElectronicsWe have over 50 years of experience in designing, developing, and manufacturing sophisticated microwave/RF components and integrated assemblies for demanding challenges. Our products and capabilities are sought after by civilian and military organizations across various global markets.Job Summary:The Purchasing Supervisor...

Your RoleThe Medical Management team at Blue Shield of California is dedicated to ensuring that our organization is at the forefront of medical, medication, and payment policy to accelerate the emergence of a value-based healthcare system in California. As the Medical Director, Utilization Management (CalPERS), you will report to the Vice President, Medical...

About the RoleWe are seeking a highly skilled Litigation Paralegal to join our team at Travelers Insurance. As a key member of our legal team, you will be responsible for performing complex paralegal duties and providing support to attorneys in legal case preparation and file management.Key ResponsibilitiesConduct moderate to complex legal research and...

Your RoleBlue Shield of California is seeking a seasoned leader to oversee the behavioral health program for all product lines. The Director of Behavioral Health will report to the Senior Director of Care Management.In this role, you will be the subject matter expert and leader for utilization management and case management behavioral health.Your WorkBe...

Job DescriptionWe are seeking an experienced Construction Manager/Resident Engineer to support our growing construction management practice in California. This position will lead construction management teams in the execution of CM projects, support our design teams with constructability reviews, and support our business development teams in winning new CM...

About the RoleAs a highly motivated and customer-focused individual, you will play a key role in generating exceptional client experiences that reinforce the growth of a successful insurance agency.With a strong attention to detail and excellent communication skills, you will enhance your career while resolving customer inquiries, coordinating with other...

Job SummaryWe are seeking a highly skilled Accounting Specialist to join our team at Alura Workforce Solutions. As an Accounting Specialist, you will be responsible for a variety of specialized duties to support the daily functions within the Accounting Department.Key ResponsibilitiesAct as a trusted resource for the organization and consistently demonstrate...

Job Summary:We are seeking an experienced Accounting Specialist to join our team at Alura Workforce Solutions. The successful candidate will be responsible for a variety of specialized duties to support the daily functions within the Accounting Department.This position will support various programs and processes of a broad and varied nature related to one or...

Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Medical Director, Utilization Management (CalPERS) will report to the Vice President, Medical Management. In this role you will deliver and...

Job Description: Summary: The main function of Pharmacy Services is to provide efficient and accurate responses to external customers (physicians, office staff, pharmacy providers, members and brokers) and internal team members. Resolves outpatient pharmacy benefit coverage (inclusion/exclusion), prescription claim problems, communicates drug formulary...

Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Medical Director, Utilization Management (CalPERS) will report to the Vice President, Medical Management. In this role you will deliver and...

Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Medical Director, Utilization Management (CalPERS) will report to the Vice President, Medical Management. In this role you will deliver and...

Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Medical Director, Utilization Management (CalPERS) will report to the Vice President, Medical Management. In this role you will deliver and...

Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Medical Director, Utilization Management (CalPERS) will report to the Vice President, Medical Management. In this role you will deliver and...

Your RoleThe Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Medical Director, Utilization Management (CalPERS) will report to the Vice President, Medical Management. In this role you will deliver and...

Job DescriptionYour Role The Pharmacy Prior Authorization team provides efficient and accurate responses to external customers (physicians, office staff, pharmacy providers, members, and brokers) and internal team members for all outpatient pharmacy benefit inquiries. The Pharmacy Technician, Intermediate, will report to the Operations Supervisor. In this...

Your Role The Pharmacy Prior Authorization team provides efficient and accurate responses to external customers (physicians, office staff, pharmacy providers, members, and brokers) and internal team members for all outpatient pharmacy benefit inquires. The Pharmacy Technician, Intermediate will report to the Operations Supervisor. In this role you will...

Your Role The Medi-Cal Member Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post-service or claim denial. The Medi-Cal Appeals and Grievances RN Senior will report to the Appeals and Grievances Manager. In this role you will perform accurate and timely clinical...

Your RoleThe Medi-Cal Member Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post-service or claim denial. The Medi-Cal Appeals and Grievances RN Senior will report to the Appeals and Grievances Manager. In this role you will perform accurate and timely clinical...

Your Role The Medi-Cal Member Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post-service or claim denial. The Medi-Cal Appeals and Grievances RN Senior will report to the Appeals and Grievances Manager. In this role you will perform accurate and timely clinical...

Your Role The Medi-Cal Member Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post-service or claim denial. The Medi-Cal Appeals and Grievances RN Senior will report to the Appeals and Grievances Manager. In this role you will perform accurate and timely clinical...

Your Role The Medi-Cal Member Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post-service or claim denial. The Medi-Cal Appeals and Grievances RN Senior will report to the Appeals and Grievances Manager. In this role you will perform accurate and timely clinical...

Your RoleBelow covers everything you need to know about what this opportunity entails, as well as what is expected from applicants.The Medi-Cal Member Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post-service or claim denial. The Medi-Cal Appeals and Grievances...

Job DescriptionJob DescriptionKimco Staffing is currently seeking for a Purchasing Coordinator in Rancho Cucamonga!Schedule: Monday-Thursday 8:00 AM to 4:30 PM and Friday 7:30 AM to 4:00PMPay Rate: $22/Hr. *Temp. to Hire Opportunity Job Responsibilities : Schedule vendor deliveries with carriers for both warehouses taking into account total trucks by day and...

About us: Teledyne Defense Electronics has over 50 years of experience in the design, development, and manufacture of sophisticated microwave/RF components and integrated assemblies for the most demanding challenges. Our products and capabilities are sought after by civilian and military organizations spanning numerous global markets, including Aviation,...

About us: Teledyne Defense Electronics has over 50 years of experience in the design, development, and manufacture of sophisticated microwave/RF components and integrated assemblies for the most demanding challenges. Our products and capabilities are sought after by civilian and military organizations spanning numerous global markets, including Aviation,...

Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Medical Director, Utilization Management (CalPERS) will report to the Vice President, Medical Management. In this role you will deliver and...

Company DescriptionJoin a multibillion-dollar global company that brings together amazing technology, people, and operational scale to become a powerhouse in the memory industry. Headquartered in Rancho Cordova, California, Solidigm combines elements of an established, successful technology company with the spirit, agility, and entrepreneurial mindset of a...