Claims Operations Specialist

Role OverviewWe are seeking an experienced Claims Management Specialist to join our team at Ascendion. As a Claims Management Specialist, you will be responsible for managing all aspects of personal injury cases, from intake to resolution. This includes gathering and reviewing medical records, coordinating with medical providers and insurance adjusters, and...

We are seeking an experienced Compensation Claims Specialist to oversee and negotiate bodily injury claims for Plaintiffs' side cases in the Mid-Wilshire area. As a key member of our team, you will be responsible for negotiating personal injury cases against insurance companies, supervising a team, and reviewing demand packages.Our ideal candidate will have...

Volt Workforce Solutions is currently seeking a Medical Claims Specialist to join their team in the SFV area.This role offers a competitive salary of $21-25 per hour, providing an excellent opportunity for individuals looking to excel in a dynamic and fast-paced environment.

Job Title: Accident Claims Specialist Los AngelesAbout the Role:We are seeking a skilled Accident Claims Specialist to join our team at Swyft Staffing in Los Angeles. As an Accident Claims Specialist, you will be responsible for assisting attorneys with various duties assigned to them.Key Responsibilities:The ideal candidate will have excellent communication...

L.A. Care Health Plan, the nation's largest publicly operated health plan, is seeking a skilled Claims Supervisor to join our team.Job SummaryThe successful candidate will work closely with the Claims Manager to oversee daily operations, ensuring high-quality performance and compliance with state and federal regulations.This role requires managing new...

La-Z-Boy Incorporated is a leading manufacturer of comfort-related products. We are committed to fostering an environment in which all employees feel valued, included, and empowered to do their best work.About the RoleThis position plays a crucial role in ensuring customer satisfaction by resolving escalated warranty claims. As a Senior Warranty Claims...

West Coast Trial Lawyers, a renowned law firm in Downtown Los Angeles, is seeking an experienced Personal Injury Claims Specialist to join their dynamic team. With a strong background in personal injury matters and proficiency in Microsoft Office and Outlook, the ideal candidate will be responsible for interacting with adjusters and medical providers,...

Job OverviewProsum is seeking a highly skilled Insurance Billing and Claims Specialist to join our team. This role plays a crucial part in ensuring seamless billing processes, maintaining compliance with industry guidelines, and fostering exceptional relationships with clients.Key ResponsibilitiesReview and resolve claim edits in the billing scrubber for...

AXA XL is seeking a highly skilled Large Loss Claims Specialist to join our Construction Defect Claims team.We deliver on our claims promise by having the best systems, the best people, and the best partnerships in place. Our team handles complex construction defect claims, requiring the right balance of knowledge and skills. In claims, experience matters,...

Regal Medical Group OpportunityWe are seeking a highly skilled and experienced Medical Claims Specialist to join our team at Regal Medical Group.Key Responsibilities:Lead the maintenance of our claims processing system, ensuring accuracy and reliability.Implement data integrity initiatives for all supporting system configurations, including fee schedules,...

Job Title: Damage Claims ExpertAbout Us:At Wilshire Law Firm, we are committed to providing exceptional legal services to our clients. Our team of experts is dedicated to helping individuals resolve their property damage claims efficiently and effectively.Salary: $45,760 - $66,560 per year, depending on experience.Job Description:We are seeking a highly...

Job OverviewWe are seeking a detail-oriented Insurance Customer Service Representative to provide exceptional customer experiences and foster long-term relationships.The ideal candidate will possess excellent communication skills, be motivated, and have a customer-centric approach.Key ResponsibilitiesRespond to customer inquiries via phone, email, and chat...

Medicare Advantage EDI Operations SpecialistUCLA Health is seeking a highly skilled EDI Operations Specialist to join our Medicare Advantage Operations team. As a key member of our team, you will be responsible for maintaining and running processes/jobs for electronic claims and other EDI transactions. This will involve working with external trading...

Job Summary:">This position serves as a key liaison between IPA and its Members and Providers, ensuring exceptional service levels.">Responsibilities:">Key responsibilities include providing multi-channel support, explaining plan details, claim processes, payment, denials, benefits clarification, eligibility verification, and claim status. The ideal...

About the RoleWe are seeking a highly skilled Medical Claims Specialist to lead our data management team at Regal Medical Group.This is a full-time position that offers a competitive salary of $102,000 - $125,000 per year, based on experience, as well as a comprehensive benefits package.The ideal candidate will have 3-5 years of experience in HMO claims...

Overview">We are seeking a highly skilled and detail-oriented Healthcare Operations Specialist to join our team. In this role, you will play a critical part in ensuring the smooth operation of our healthcare services.">About Us">TBWA\\(Chiat\\(Day">is a global advertising agency that helps businesses succeed through creative and effective marketing...

Job Summary">We're seeking an experienced Claims Representative Senior to join our team at UnitedHealth Group. In this role, you'll be responsible for conducting complex research, analysis, and evaluations of claims data to resolve disputes and discrepancies.">Responsibilities">">Conduct thorough research and analysis of claims data to identify discrepancies...

MedPOINT Management: Encounter Operations SpecialistEstimated Salary Range: $55,000 - $70,000 per year.At MedPOINT Management, we are seeking a skilled Encounter Operations Specialist to join our team. As an Encounter Operations Specialist, you will play a critical role in ensuring the smooth operation of our encounter data extractions and submissions for...

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 Title: Operations Excellence SpecialistAt Thrive Now HR, we are seeking a highly skilled and experienced Operations Excellence Specialist to lead our high-performing team in delivering exceptional customer experiences.About the RoleThis is a high-visibility position that requires a strong leader with excellent operational skills, strategic thinking, and...