Senior Claims Resolution & Reconciliation Lead
University of California
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 to the claims processing staff. The ideal candidate will have a bachelor's degree and extensive experience in medical claims processing, including leadership experience. A demonstrated ability to communicate effectively and manage operational priorities is essential. #J-18808-Ljbffr University of California
$78.5k - $163.6k
...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...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... ...Transitional 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
$25 - $27 per hour
...Wound Care is looking for a Lead Medical Biller to join our rapidly... ...expertise in the end-to-end claims lifecycle, ensuring maximum... ...productivity. Issue Resolution: Proactively identify, report... ...claims efficiently. Payment Reconciliation: Analyze and interpret all Explanation...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- 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
$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- ...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
- ...Mercury Insurance Company is seeking a Vendor Management Specialist Senior to oversee vendor networks supporting the claims process. This role involves sourcing and onboarding vendors, monitoring performance, and ensuring compliance with company guidelines. Applicants...SeniorClaimsRemote work
- 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- Tokio Marine America in Pasadena is seeking a skilled attorney to supervise and handle complex product liability litigation under minimal supervision. Applicants must hold a J.D. or LLB degree and be admitted to the Bar, with at least five years of tort experience. The...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 $85,00...SeniorClaims- 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
- Clearbrook Group Services Inc. is seeking a Senior Construction Technical Claims Specialist Team Lead in Los Angeles. This role involves supervising a team of claims handlers and adjudicating complex construction claims remotely or on-site. The ideal candidate will have...SeniorClaimsRemote 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$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- 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- ...Gallagher Bassett is seeking a Claims Adjuster in Los Angeles, California, for a fully remote position. This role calls for a minimum of 5 years of claims management experience and active adjusters' licenses in AR, LA, and MS. You will provide exceptional customer service...SeniorClaimsRemote work
$117k - $195k
...certificates, and making and following through with claims against insurance policies. Facilitates... ...coordination with OAI. Responsibilities Leads the identification, assessment, and... ...and external brokers, ensuring timely resolution, compliance with policy terms, and root‑cause...SeniorClaimsContract workLocal areaShift work$20 - $28 per hour
...Medicare, Medicare Advantage) Core Responsibilities End‑to‑end claim submission for multi‑disciplinary services Aggressive follow‑... ...Insurance eligibility and benefit verification Accurate posting, reconciliation, and documentation Patient billing communication when required...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
- ...Argonaut Management Services, Inc is seeking a Senior Environmental Technical Claims Specialist to manage complex commercial environmental claims from its Los Angeles office. This in-office position requires proven experience and a strong focus on client relationships...SeniorClaimsWork at officeRemote work
$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- ...AS&G Claims Administration is seeking an AvonRisk Claims Unit Manager in Glendale, California. This role involves overseeing a team of Claims Specialists, ensuring compliance with company standards and providing guidance on complex claims. The ideal candidate will have...SeniorClaims
- 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
- ...A prominent insurance firm in Los Angeles is seeking a Senior Technical General Liability Bodily Injury Claims Specialist. This individual will adjudicate complex bodily injury claims independently while working closely with senior management. Candidates should possess...SeniorClaimsWork at office
$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
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