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
- The University of California - Los Angeles Health is seeking a Claims Resolution and Reconciliation Supervisor responsible for overseeing daily claims resolution operations. This role involves ensuring compliance with regulatory standards and providing direct supervision...SeniorClaims
- UCLA Health is seeking a Claims Resolution and Reconciliation Supervisor based in Los Angeles, California. This role involves overseeing daily claims operations, managing a team of specialists, and ensuring compliant and timely processing of complex claims adjustments...SeniorClaims
- Los Angeles Metro is seeking a Senior Analyst to perform workers’ compensation functions in line... ...Duty Program. The role involves handling claims, processing medical bills, and working closely with legal personnel for resolutions. The ideal candidate will have a Bachelor’s...SeniorClaims
$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$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- ...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 workFlexible hours
- Direct Jobs in Los Angeles is seeking a Claims Resolution and Reconciliation Supervisor to manage daily claims resolution operations. This position directs staff, ensuring compliance with regulatory standards and effective claims processing. The ideal candidate will have...Claims
$100k - $105k
Hispanic Alliance for Career Enhancement is seeking a Claims Team Lead to oversee multiple teams managing workers compensation claims in a hybrid setup in California. This role requires extensive experience in claims handling and two years in a supervisory position. The...SeniorClaims$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$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- Arcadis is seeking a Principal Claims Consultant to join their Los Angeles team. This role requires a strong background in construction... ...skills, with a focus on managing claims analysis and resolution across various projects. Candidates should possess a Bachelor’s...SeniorClaims
$165.04k - $198.08k
Clearbrook Group Services Inc. is seeking a Senior Construction Defect Technical Claims Specialist Team Lead for in-office or fully remote work. This role involves adjudicating complex claims and contributing to client successes. Candidates must have extensive knowledge...SeniorClaimsRemote jobWork at office$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$187.5k - $225k
SwiftCruit seeks a Senior Construction Defect Technical Claims Specialist Team Lead to oversee claims handlers at our Los Angeles office. You’ll adjudicate complex claims, supporting a high-performance team and driving excellent customer service. The ideal candidate has...SeniorClaimsRemote jobWork at office- Argo Group is seeking a Senior Construction Defect Technical Claims Specialist Team Lead to manage complex claims and supervise a small team in Los Angeles or remotely. The role requires a minimum of seven years in claims adjudication and focuses on providing outstanding...SeniorClaimsRemote job
$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- JBA International is seeking a professional in Los Angeles with significant experience in personal injury claims. The role involves managing a high volume of cases and requires a robust understanding of injury claims, medical terminology, and communication with insurance...SeniorClaims
$78.5k - $163.6k
Description The Claims Resolution and Reconciliation Supervisor oversees daily claims resolution operations, ensuring timely, accurate, and compliant processing of complex claims adjustments, provider disputes, appeals, and grievances. This role provides direct supervision...Claims$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$20 - $28 per hour
...Medicare, Medicare Advantage). Core Responsibilities End-to-end claim submission for multi-disciplinary services Aggressive follow-... ...eligibility and benefit verification Accurate posting, reconciliation, and documentation Patient billing communication when required...SeniorClaimsFull time- The role of the Senior Accountant is to manage activities relating to the region’s financial... ...Month End Accounting, Journals & Reconciliations Post monthly depreciation, prepayment,... ...Payable Code regional creditors, expense claims, credit cards (AMEX), vendor credit requests...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 at office- ...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
- Now CFO is seeking a Senior Expense Accountant in Culver City, CA for a temp-to-hire position. In this role, you will maintain accounting... ...records, support AP/AR, and oversee month-end close and reconciliations. The ideal candidate has over 5 years of advanced accounting...SeniorTemporary work
- Providence Health & Services is seeking a Senior Claims Manager for Employment Practice Liability. This role will handle EPL claims remotely, ensuring compliance while managing various claims effectively. The candidate will need superior communication and negotiation skills...SeniorClaimsRemote job
$110k - $230k
A leading insurance firm is looking for a Financial Lines Claims Counsel in Los Angeles. The successful candidate will manage complex claims including Directors... ...Financial Institutions Liability from inception to resolution. The role requires strong communication and...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- 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
$100k - $110k
InterMed Cost Containment Services in Glendale, California, is seeking a Claims Manager responsible for overseeing a claims unit. This role involves coaching specialists and ensuring compliance with the Labor Code concerning workers’ compensation claims. Ideal candidates...SeniorClaims
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