Senior Claims Resolution & Reconciliation Lead
$78.5k - $163.6kAcademy of Managed Care Pharmacy
The Academy of Managed Care Pharmacy is seeking a Claims Resolution and Reconciliation Supervisor in Los Angeles, California, to oversee daily claims resolution operations. The role entails supervising staff, ensuring compliance with CMS and DMHC regulations, and monitoring operational metrics for efficiency. Candidates should have a bachelor's degree, a minimum of 5 years in medical claims processing, and at least 2 years in a supervisory role. The position offers a salary range of $78,500 - $163,600 annually. #J-18808-Ljbffr Academy of Managed Care Pharmacy
- ...substantial work on wage and hour class actions, PAGA claims, and arbitration matters Proven ability to lead legal teams and supervise junior attorneys... ...volume or mass arbitration matters from intake through resolution In-depth familiarity with arbitration venues...SeniorClaims
$25 - $27 per hour
...Lead Medical Biller Skilled Wound Care is looking for a Lead... ...expertise in the end-to-end claims lifecycle, ensuring maximum revenue... ...productivity. Issue Resolution: Proactively identify, report... ...claims efficiently. Payment Reconciliation: Analyze and interpret all...ClaimsWork experience placementWork at office$78.5k - $163.6k
UCLA Outpatient Clinics is seeking a Claims Resolution and Reconciliation Supervisor in Los Angeles. This role involves overseeing daily claims operations, ensuring accurate, timely, and compliant processing of claims adjustments and disputes. The Supervisor will manage...Claims$117k - $184.4k
AXA XL is seeking a Claims Professional to manage high-value liability claims across the United States. The role requires advanced claim handling skills and effective communication. You will coordinate with various stakeholders to ensure optimal outcomes. Salary range...SeniorClaims$116.3k - $264.6k
...hospital billing operations in Los Angeles, California. This role is pivotal in ensuring accurate claims submissions to various payers, including Medicare and Medi-Cal, while leading a team focused on optimizing revenue cycle performance. The ideal candidate will have...SeniorClaims$90k - $100k
...Containers, North America's leading metal food packaging manufacturer... ...communication and issue resolution related to supplier payments... ...monthly journal entries, reconciliations, accruals, and financial analysis... ...Process mill and vendor claims and support monthly executive...SeniorClaims- A leading telehealth organization is seeking a Claims Follow-Up Lead for a fully remote position. The ideal candidate will resolve denials, manage accounts receivable, and support workflow execution within a mission-driven team. Candidates should have 3-5+ years in behavioral...SeniorClaimsRemote jobFlexible hours
- ...BryceTech is looking for an experienced Senior Acquisition Lead to support our US Space Force, Space... ..., fiscal year planning, continuing resolution management, unfunded requirement... ...procedures, and performance. Perform IMS reconciliation to ensure activities are traceable...SeniorContract workFor contractorsWork at office
- Senior Oracle HCM Payroll Cloud Lead - Onsite in Irvine, CA Optomi, in partnership with a leading financial... ...in production support and issue resolution during payroll cycles Leading end... ..., off‑cycle payrolls, and payroll reconciliation Experience supporting multi‑state...SeniorHourly payContract work
$78.5k - $163.6k
Direct Jobs is seeking a Claims Quality Supervisor in Los Angeles to lead audit and quality assurance initiatives across the claims operations. This position requires a minimum of 5 years of claims experience and 2 years of supervisory experience. Key responsibilities...SeniorClaims- Insight Global is seeking a Senior Healthcare Claims Investigation Analyst in Los Angeles, California. The role involves responsible for intake... ...triage, and regulatory reporting of healthcare fraud and abuse leads. The successful candidate will coordinate case intake,...SeniorClaims
$85k - $95k
Downtown Boulder Partnership is looking for a Senior Claims Analyst in North Hollywood, CA, to lead all insurance-related matters. Candidates should have over 5 years of experience and a valid Property & Casualty license. The role offers an annual salary between $85,000...SeniorClaims$20 - $28 per hour
...Medicare, Medicare Advantage) Core Responsibilities End-to-end claim submission for multi-disciplinary services Aggressive... ...Insurance eligibility and benefit verification Accurate posting, reconciliation, and documentation Patient billing communication when...SeniorClaimsFull time- ...support customer pass-through reporting. Complete monthly journal entries and account reconciliations, including rebates, tariffs, freight, and in transit. Manage vendor claims, support collections, and compile monthly reports for executive review. Review...SeniorClaims
$23.94 - $35.92 per hour
...professional to join our team as a Loan Resolution Specialist. In this role, you will... ...payment histories and perform account reconciliation to ensure account accuracy. • Educate... ...chase when necessary. Documentation and Claims • Review and follow up on letters of...ClaimsHourly payFull timeLocal area$155k - $190k
...Duties & Key Responsibilities: Conduct scheduling activities while leading, managing, and supervising project scheduling activities of... ...historical schedule information to defend against or initiate a claim. The salary range for this position is estimated to be 155,000....SeniorClaimsPermanent employmentContract workTemporary workFor contractorsWork at officeRemote workLong distance$100k
...to meet the unique coverage and claims-handling needs of businesses.... ...Description Business Title(s): Senior Construction Defect Technical Claims Specialist Team Lead Employment Type: Full-Time... ...financial outcome and timely resolution. Properly setting claim...SeniorClaimsFull timeLocal areaRemote work- ...StoneTurn together form a leading global advisory firm... .... Operating at a Senior Analyst / Staff Accountant... ...administration and claims activity in accordance... ..., and timely resolution Support communication... ...general ledger accounting, reconciliations, and financial reporting...SeniorClaimsContract workInterim roleWork at officeLocal area
- AXA Group is seeking a Claims Manager for Construction Defects in various US locations including Los Angeles, CA. This role involves leading a team handling high exposure claims and ensuring exceptional customer service. The ideal candidate will have a Bachelor’s degree...SeniorClaims
$25.25 - $37.85 per hour
...Team Lead, Operations Support We are seeking a savvy people manager to join us as... ...Leaders-On-Duty (LOD) in resolving customer claims. Store Supplies Management Assist,... ...resolving customer claims Review refund reconciliation and liaise with Loss Prevention for follow...ClaimsHourly payWork experience placementWork at office$126.1k - $168.13k
A leading title insurance provider in Los Angeles seeks a Senior Claims Counsel to manage title insurance and escrow claims. This role involves complex legal analysis, overseeing litigation, and developing resolution strategies. The ideal candidate needs 12+ years of experience...SeniorClaims- ...Collaborate with Finance on invoice accuracy, deductions, and claims related to logistics. Assist with seasonal logistics planning... ...proficiency in Microsoft Excel (pivot tables, VLOOKUPs, data reconciliation). ~ Excellent organizational skills with the ability to...SeniorClaimsWork experience placementSeasonal work
- Millennium Space Systems is seeking a Senior Accountant to oversee critical accounting functions and ensure accurate financial reporting... ...responsibilities include month-end close support, account reconciliations, and financial analysis along with process improvements. Join...Senior
- Mattel, Inc.and Subsidiaries is seeking a motivated Senior Counsel for its Global Employment Law team. This role supports various business clients while focusing on employment-related advice, claims defense, and litigation. The ideal candidate will have 8+ years of experience...SeniorClaims
$82k - $125k
...Rennert & Feldman is seeking a Senior Tax Staff Accountant with... ...budgets, investment analysis, tour reconciliations, etc. Assist with tour... ...Rennert & Feldman ("GRF") is a leading full-service business... ...may be barred from filing a claim under the provisions of the Workers...SeniorClaimsWork experience placementWork at officeLocal area3 days per week- ...Accounting, or Finance, and 7-10 years of applicable experience. Responsibilities include detailed reconciliations, developing policies, resolving financial issues, and leading projects. This role offers opportunities to act as a subject matter expert and mentor to other...Senior
- AvonRisk in Glendale, California is looking for a Claims Manager to oversee a team of Claims Specialists and Assistants. The role involves ensuring compliance with Labor Code regulations, conducting performance evaluations, and offering guidance on complex claims. Applicants...SeniorClaims
$77k - $202k
...careers, now and in the future. As a Senior Associate, you'll work as part of a team... ...a focus on underwriting profitability, claims analysis, and reserve adequacy Demonstrates... ...of reinsurance cash management and reconciliation processes Demonstrating knowledge of...SeniorClaimsFull timeContract workH1b$35.5 - $44.24 per hour
...through some of the world's leading and most valued brands, including... ...JOB DESCRIPTION The Senior Financial Analyst will perform... ...record payments of benefits claims, health and flexible savings,... ...provider Prepare monthly reconciliation of the benefits and payroll bank...SeniorClaimsHourly payLocal areaFlexible hours- ...Maintain accurate tax workpapers and reconciliations of tax accounts Support federal and... ...cannabis brands in the market today and has claimed the title of the best-selling vape... ...of building a nationally recognized and leading brand, we want to hear from you!...SeniorClaimsLocal areaShift work
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