Claims Service Representative 2

Claims Service Representative 2 - Casualty Prompt Response The Automobile Club is seeking Casualty Prompt Response Claims Representative handing bodily injury claims, you're bringing your expertise to a best-in-class organization that is focused on delivering quality service to our members. Under the general supervision of Claims Management, your...

Job DescriptionJob Description This position is located in Cypress, CA The Need: We are seeking a Claims Supervisor to join our growing team. In this role, you will be responsible for providing leadership and oversight to the Claims team. Accountable for ensuring the team adheres to standard work and meets department key performance indicators. ESSENTIAL...

Date Posted: 05/09/2024 Hiring Organization: Rose International Position Number: 463794 Job Title: Claims Examiner Job Location: Long Beach, CA, USA, 90806 Work Model: Hybrid Employment Type: Temporary Estimated Duration (In months): 8 Min Hourly Rate ($): 60.00 Max Hourly Rate ($): 60.00 Must Have Skills/Attributes: Claims, Document...

Date Posted: 05/09/2024 Hiring Organization: Rose International Position Number: 463794 Job Title: Claims Examiner Job Location: Long Beach, CA, USA, 90806 Work Model: Hybrid Employment Type: Temporary Estimated Duration (In months): 8 Min Hourly Rate ($): 60.00 Max Hourly Rate ($): 60.00 Must Have Skills/Attributes: Claims, Document...

Date Posted: 05/09/2024 Hiring Organization: Rose International Position Number: 463794 Job Title: Claims Examiner Job Location: Long Beach, CA, USA, 90806 Work Model: Hybrid Employment Type: Temporary Estimated Duration (In months): 8 Min Hourly Rate ($): 60.00 Max Hourly Rate ($): 60.00 Must Have Skills/Attributes: Claims, Document...

Apply Today! (TSR, Technical Service Support Representative) Job location: Long Beach, CA Shift: WEEKEND. Hours: 6 AM -6 PM SAT & SUN. with choice of 2 days during the week. Compensation: $22 Type: Office Type: Temp- Full time, with opportunity to be Representative, Support, Equipment Repair, Technical Support, Service, Retail, Staffing

Job Description: Position is fully remote and will be a temp role through 3/31/23. Position has the option to go perm based on positive work. Candidates can sit anywhere in the US and schedule will be M-F 9AM-5PM local time. The training schedule will be M-F 9AM-5PM EST. Daily responsibilities will include the following: Candidates will be reviewing medical...

**JOB DESCRIPTION** **Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines, audit results, and federal regulations to determine overpayment accuracy and provider compliance. Interacts with health plans and vendors regarding recovery outstanding...

Job Description The focus of this position will be research and root cause analysis of claims / config issues with direct provider interaction and collaboration with our provider relations team. Additionally, the role will help with overpayment recovery, claims payment and adjustment projects, and reviewing proposed SAI concepts from PI and provide guidance...

Job DescriptionJob DescriptionClaims Team Lead - Workers' CompensationWork location: prefer onsite, but will accept remote (within CA) or hybrid. Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience.Primary Purpose: To supervise the operation of multiple...

Job DescriptionJob Description The focus of this position will be research and root cause analysis of claims / config issues with direct provider interaction and collaboration with our provider relations team. Additionally, the role will help with overpayment recovery, claims payment and adjustment projects, and reviewing proposed SAI concepts from PI and...

Job DescriptionJob DescriptionThis position will be a remote position. Must have a California SIP (Workers Compensation - Sr. Work Comp Claims Adjuster)POSITION SUMMARY: Under minimal supervision manages all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines.DUTIES AND RESPONSIBILITIES:Effectively...

Job DescriptionJob DescriptionThis position will be a remote position. Must have a California SIP (Workers Compensation - Sr. Work Comp Claims Adjuster)POSITION SUMMARY: Under minimal supervision manages all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines.DUTIES AND RESPONSIBILITIES:Effectively...

Job DescriptionJob DescriptionSparrow Company is looking for a Customer Service Account Representative for one of our clients in the LONG BEACH, CA area.This person will be responsible for providing external customer support and internal support functions relative to sales. Ensure customers receive product order on time and in good condition. Ensure...

Job DescriptionJOB DESCRIPTIONJob Summary Molina Health Plan Dental Provider Network Management and Operations jobs are responsible for dental network development, dental network adequacy and dental provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant...

**Remote and must live New York** **Job Description**: Job Summary Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and...

Job Description***Remote and must live in downstate New York***Job DescriptionJob SummaryMolina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant...

Job Duties: As an authorized representative for Amazon, we are responsible for - Sales Service Representatives go to local multi-dwelling properties in Southern California and work with condominiums, apartment buildings, and building portfolios to ensure they're set up with this complimentary service. Sales Service Representatives are responsible for going...

Job Description***Remote and must live in downstate New York***Job DescriptionJob Summary Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant...

Job DescriptionJOB DESCRIPTIONJob Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding...