Senior Claims Audit & Training Lead
PROVIDENCE, INC.
Providence is seeking a leader to manage the claims internal audit functions, overseeing audit processes for adjudicated claims and encounters, and ensuring accuracy of check runs. You will develop policies for periodic audits to meet state and federal requirements, including AB1455 tracking and provider dispute resolution considerations. Join Providence Clinical Network in a role that designs and implements training programs, adapts to policy changes, and ensures compliance across affiliated #J-18808-Ljbffr PROVIDENCE, INC.
$70k - $83k
A leading healthcare organization is seeking a highly motivated Senior Claims Auditor in Monterey Park, CA. This role involves auditing health plan claims, ensuring compliance with CMS regulations, and collaborating with various departments. Ideal candidates will possess...SeniorClaims$115.44k - $148.15k
A leading health organization is seeking a Senior Manager for Claims Delegation Audit in Monterey Park, CA. The role involves management of Claims Delegation Audits, strategy development, and ensuring compliance with regulations for Medicare and Medicaid. Candidates should...SeniorClaims$125k - $140k
Astrana Health Management is looking for a Senior Manager for Claims Delegation Audit in Monterey Park, CA. As a key leader, you will oversee claims audits and ensure compliance with Medicare, Medicaid, and other regulations. This role requires a Bachelor's degree and...SeniorClaims- ...invests in its people and their ability to drive real progress.The Senior Claims Manager position will be responsible for technical oversight... ...environment for all employees. We offer first class training and development opportunities to all employees. Our aim is to...SeniorClaimsFull timeWorldwide
- ...Role: Lagstein Law Firm is looking for a driven and experienced Senior Personal Injury Case Manager to join our dynamic legal team in... ...clients through every stage of their personal injury claims — making a real difference when it matters most. Responsibilities...SeniorClaims
- ...Senior Vice President, Head of Claims Intake About the Company Insurance claims operations leader focused on efficient intake, reporting, and client... ...efficiency of operations. This includes building and leading high-performing teams across various locations and...SeniorClaims
- Dormont Manufacturing Co is seeking a Senior Auditor in Los Angeles, California. This role involves conducting medical claims data analysis, forensic investigations, and preparing expert reports. Candidates should have over 5 years of experience in forensic financial accounting...SeniorClaims
- A leading insurance provider in California seeks a Senior Claims Specialist to manage various insurance claims. The ideal candidate will possess 6-10 years of relevant experience, excellent communication skills, and a Juris Doctor degree. Responsibilities include handling...SeniorClaims
$137.5k - $167k
...designed to meet the unique coverage and claims-handling needs of businesses. The Argo... ...Holdings Inc.Job DescriptionBusiness Title(s): Senior Claims Account ManagerEmployment Type:... ...objectives, and runoff management goals.Lead audits, claim reviews, large loss reviews, and...SeniorClaimsFull timeWork at officeLocal areaImmediate start$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 & Officers and Financial Institutions Liability from inception to resolution. The role requires strong communication...SeniorClaims$95.4k - $208.3k
A leading healthcare organization located in Los Angeles is seeking a Claims Manager to oversee the claims leadership team. This role requires five or more years of claims operations experience and three years in a managerial position within the claims processing environment...SeniorClaimsFlexible hours- A leading insurance company in Los Angeles seeks an experienced Claims Supervisor to manage a team of Personal Auto Claims Adjusters. The role involves overseeing claims handling processes to ensure timely resolution and high customer satisfaction. Ideal candidates should...SeniorClaimsFull time
- ...Certified Industrial Hygienist (CIH). The ideal candidate will possess extensive experience in forensics, insurance loss, environmental claims management, and be adept at recognizing hazards. This position includes responsibilities for conducting investigations, providing...SeniorClaims
- RLI Insurance Company is seeking a Technical Claim Manager within its PSG to handle complex professional liability matters involving architects, engineers, and surveyors nationwide. You will own caseloads, conduct detailed investigations, and manage attorney relationships...SeniorClaims
$75k - $98k
Hankey Group is seeking an experienced Claims Supervisor in Los Angeles to lead a team of Personal Auto Claims Adjusters. The role involves overseeing claims handling processes, ensuring timely and accurate resolutions while maintaining customer satisfaction. Ideal candidates...SeniorClaimsRemote job- Westfield Specialty in Los Angeles is seeking an experienced insurance claims manager to handle public and private D&O, E&O, and EPL claims. The ideal candidate will have 6-10 years of relevant experience, a Juris Doctor degree, and must possess strong communication skills...SeniorClaimsLocal area
- ..., providing expert guidance to managers and employees on liability matters. The ideal candidate offers risk management experience, claims handling, investigations, and a track record of program development. Certification in risk management is a plus, with opportunities...SeniorClaims
$200k - $235k
URGENTLY NEEDING LITIGATORS! APPLY NOW!SENIOR ASSOCIATE ATTORNEY - SPECIALTY (INSURANCE COVERAGE... ...Monday in the office)Our client, a leading international law firm, is seeking a... ...environmental matters), errors and omissions claims involving attorneys, agents, and accountants...SeniorClaimsWork at officeRemote workFlexible hours$200k - $235k
URGENTLY NEEDING LITIGATORS! APPLY NOW!SENIOR ASSOCIATE ATTORNEY - SPECIALTY (INSURANCE COVERAGE... ...Monday in the office)Our client, a leading international law firm, is seeking a... ...environmental matters), errors and omissions claims involving attorneys, agents, and accountants...SeniorClaimsWork at officeRemote workFlexible hours$130k - $210k
General Matter, based in Los Angeles, CA, is seeking a Training Manager responsible for establishing training programs in support of uranium enrichment operations. The role requires collaboration across departments to design and evaluate training to ensure statutory compliance...Senior- TikTok is seeking a Senior Internal Auditor (General Audit) in Los Angeles. You will drive end-to-end audit projects, assess risks, controls, and process improvements, and report findings to senior management. This role emphasizes data analytics, cross-functional collaboration...Senior
- City National Bank is seeking a Senior Policy & Procedure Writer to develop, update, and maintain policies, procedures, and training materials across mortgage processes. You will translate... ...training materials, and supporting audits and quality assurance. #J-18808-Ljbffr...Senior
$220k - $250k
Senior Employment Defense AttorneySalary: $220k-$250k/yrLocation: Los... ...Defense Attorney to lead and manage complex employment-... ...contribute to business development and training efforts.Key... ...and jury trial conduct.Defend claims under PAGA, wage-and-hour statutes...SeniorClaims- Astrana Health in Monterey Park, CA is seeking a Senior Claims Auditor to join our Ops - Claims Ops team. You will analyze and audit health plan claims, ensure documentation compliance, and support CMS/DMHC guideline adherence across audits. Collaboration with multiple...SeniorClaimsRemote job
- A government services provider in Los Angeles is seeking a Senior Auditor to conduct financial analyses and support legal investigations... ...and litigation consulting. Responsibilities include analyzing claims, creating damage models, and reporting findings to legal teams....SeniorClaimsFull time
- ...major infrastructure firm in Los Angeles is seeking Contracts and Claims Managers to oversee contract management and claims resolution... ...skills. This role includes developing contract strategies, leading change management processes, and ensuring compliance with various...SeniorClaimsContract workFlexible hours
- Onyx Law Firm seeks a seasoned Senior Trial Paralegal with seven years of substantive litigation experience and direct, hands-on handling... ...and motions. Strong analytical skills and ownership of complex claim files are essential. The candidate will review policies, manage...SeniorClaimsContract work
$125k - $140k
...Description Description The Senior Claims Manager, Claims Delegation... ...oversight of all Claims Delegation Audits, including health plan and... ...score improvement Lead audit planning, pre‑audit readiness... ...Documentation, Compliance & Training Review and approve audit‑related...SeniorClaimsContract workWork at office$210k - $270k
...law firm, is seeking a mid to senior-level Associate Attorney to... ...California wage & hour class action claims and PAGA matters,... ...litigation experience, ongoing training, and meaningful opportunities... ...and advance within a market-leading practice, this role provides...SeniorClaims- ...revenue under management, complexity, strategic accounts, etc.About YouRequired: Bachelor's degree with 5+ years client service and/or claims management experience -OR- High School degree/GED with 10+ years client service and/or claims management experience. 1+ years...SeniorClaimsLocal area
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