Insurance Claims Examiner
4 weeks ago
We are seeking a highly skilled Insurance Analyst I to join our team at Eisenhower Health. As a key member of our Patient Financial Services department, you will be responsible for managing new accounts, resolving claims, and ensuring compliance with regulatory requirements.
Key Responsibilities- Manage new accounts and resolve claims in a timely and efficient manner
- Interface with other departments to obtain necessary information for claim processing
- Communicate with patients and guarantors to solicit payment
- Work all accounts listed in the Follow-Up queue to promote collection
- Stay current on payer requirements and process incoming correspondence
- Record accurate and definitive notes in the electronic account file
- Escalate account management to Supervisor as needed
- Perform other job-related tasks as assigned
- High school diploma or higher level degree
- One year of billing/collections experience or equivalent
- Preferred: Experience with managed care and Medicare/Medi-Cal Billing regulations
We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.
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Insurance Claims Examiner
3 weeks ago
Rancho Cucamonga, California, United States Aspire General Insurance Full timeJob Summary:Aspire General Insurance is seeking a detail-oriented and customer-focused Claims Adjuster to investigate, evaluate, and settle insurance claims in a fair and timely manner.Key Responsibilities:Review and analyze insurance policies to determine coverageInvestigate claims by interviewing claimants, witnesses, and medical expertsEvaluate evidence,...
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Claims Examiner III
3 weeks ago
Rancho Cordova, California, United States Tristar Insurance Services LLC Full timeJob DetailsJob Title: Claims Examiner IIIJob Location: Sacramento - Rancho Cordova, CARemote Type: HybridPosition Type: Full TimeEducation Level: High School Diploma or GEDSalary Range:$85,000.00 - $95,000.00Travel Percentage: NoneJob Shift: DayJob Category: InsuranceJob SummaryAt Tristar Insurance Services LLC, we are seeking an experienced Claims Examiner...
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Insurance Claims Specialist
4 weeks ago
Rancho Mirage, California, United States Integrated Resources Full timeJob Title: Insurance Claims SpecialistIntegrated Resources is seeking an experienced Insurance Claims Specialist to join our team. As an Insurance Claims Specialist, you will be responsible for managing new accounts, processing claims, and ensuring timely resolution of all accounts as instructed by management.Key Responsibilities:Manage new accounts, on a...
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Insurance Claims Specialist
4 weeks ago
Rancho Mirage, California, United States eTeam Full timeJob Title: Insurance AnalystLocation: RemoteDuration: 3 months + possible extensionJob Summary:We are seeking an experienced Insurance Analyst to join our team at eTeam. The successful candidate will be responsible for managing new accounts, processing claims, and ensuring compliance with regulatory requirements.Key Responsibilities:Manage new accounts and...
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Insurance Claims Specialist
3 weeks ago
Rancho Mirage, California, United States Eisenhower Health Full timeJob SummaryA highly skilled Insurance Claims Specialist is needed to join the Eisenhower Health team. The ideal candidate will have a strong background in medical billing and collections, with excellent communication and problem-solving skills.Key Responsibilities Manage new accounts and follow-up on existing ones to promote payment and resolution Interface...
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Psychological Examiner
4 weeks ago
Rancho Mirage, California, United States Loyal Source Government Services Full timeAbout the RoleLoyal Source Government Services is seeking a skilled Psychological Examiner to join our team. As a key member of our team, you will be responsible for conducting comprehensive mental health examinations for veterans filing disability claims for mental health conditions.Key Responsibilities:Conduct thorough mental health assessments and provide...
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Medical Claims Examiner
3 weeks ago
Rancho Cordova, California, United States National Guard Employment Network Full timeJob 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...
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Senior Workers Compensation Claims Adjuster
3 weeks ago
Rancho Cordova, California, United States Travelers Insurance Full timeJob SummaryWe are seeking a highly skilled Senior Workers Compensation Claims Adjuster to join our team at Travelers Insurance. As a Senior Workers Compensation Claims Adjuster, you will be responsible for managing Workers' Compensation claims with lost time to conclusion and negotiating settlements where appropriate to resolve claims.Key...
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Claims Specialist
4 weeks ago
Rancho Cucamonga, California, United States CorVel Corporation Full timeJob SummaryThe Claims Specialist is responsible for managing workers' compensation claims within delegated authority to achieve the best possible outcome. This role supports the goals of the claims department and CorVel Corporation.Key ResponsibilitiesReceive and confirm claims, verifying policy coverage and acknowledging the claimant.Determine the validity...
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Claims Supervisor
3 weeks ago
Rancho Cordova, California, United States Prime Therapeutics Full timeJob DescriptionAs a Claims Supervisor at Prime Therapeutics, you will be responsible for managing a team of claims processors to ensure timely and accurate processing of medical claims. Your primary goal will be to meet or exceed customer requirements and business objectives.Key Responsibilities:Manage cross-functional team members to meet or exceed service...
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Senior Claims Specialist
3 weeks ago
Rancho Cucamonga, California, United States CorVel Enterprise Comp, Inc. Full timeJob 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...
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Claims Specialist
4 weeks ago
Rancho Cucamonga, California, United States CorVel Corporation Full timeThe Claims Specialist at CorVel Corporation manages workers' compensation claims within company best practices, ensuring a best possible outcome under the direct supervision of a senior claims professional. This is a remote position.Key Responsibilities:Receives claims, confirms policy coverage, and acknowledges the claimDetermines validity and...
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Claims Assistant
4 weeks ago
Rancho Cucamonga, California, United States CorVel Corporation Full timeAs a Claims Assistant at CorVel Corporation, you will play a vital role in supporting the claims staff in the setup and administration of workers' compensation claims and case management. This is a hybrid work arrangement that offers a unique blend of flexibility and collaboration.Key Responsibilities:Set up new claims and manage the claims process from...
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Clinical Psychologist
4 weeks ago
Rancho Mirage, California, United States Loyal Source Government Services Full timeJob Title: Clinical PsychologistAt Loyal Source Government Services, we are seeking a highly skilled Clinical Psychologist to join our team of dedicated professionals. As a Clinical Psychologist, you will play a critical role in conducting comprehensive mental health examinations for veterans filing disability claims for mental health conditions.Key...
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Insurance Account Representative
3 weeks ago
Rancho Mirage, California, United States Melanie Villeneuve - State Farm Agent Full timeJob SummaryWe are seeking a highly motivated and customer-focused Insurance Account Representative to join our team at Melanie Villeneuve - State Farm Agent. As an Insurance Account Representative, you will play a vital role in our daily business operations and customers' success. Your primary responsibility will be to establish and maintain strong customer...
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Claims Manager
3 weeks ago
Rancho Cucamonga, California, United States CorVel Enterprise Comp, Inc. Full timeJob DescriptionThe Claims Manager is responsible for overseeing the overall operation of a designated office. This role involves formulating and administering company best practices, developing long-range goals and objectives, analyzing costs, activities, and operations, and supporting the goals of the claims department and CorVel. This is a remote...
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Healthcare Claims Analyst
3 weeks ago
Rancho Cucamonga, California, United States Inland Empire Health Plan Full timeJob SummaryWe are seeking a skilled and detail-oriented Healthcare Claims Analyst to join our team at Inland Empire Health Plan. As a key member of our claims department, you will be responsible for conducting quality audits of claims, analyzing errors, and determining root causes for appropriate classification.Key ResponsibilitiesConduct quality audits of...
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Claims Coordinator
4 weeks ago
Rancho Cordova, California, United States Kustom US Full timeAt Kustom US, we're seeking a skilled Claims Coordinator to join our team. As a key member of our restoration team, you'll play a vital role in the initial intake, lead creation, and coordination of activities related to mitigation and reconstruction services. Your administrative expertise will ensure efficient workflow and communication between different...
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Claims Coordinator
3 weeks ago
Rancho Cordova, California, United States Kustom US Full timeWe are seeking a Claims Coordinator to be integral to our team success. This role focuses on the initial intake, lead creation, and coordination of activities related to mitigation and reconstruction services.This role involves a variety of administrative tasks, ensuring efficient workflow and communication between different departments and external...
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Insurance Defense Litigation Attorney
3 weeks ago
Rancho Cucamonga, California, United States Liberty Mutual Full timeThe role of an insurance defense litigation attorney at Liberty Mutual involves managing the entire legal process, from investigation and discovery to trial preparation and court proceedings. This includes representing clients in depositions, site inspections, court hearings, and trials.As a field attorney, you will develop appropriate legal strategies for...