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$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- The Financial Compliance Auditor III Claims at L.A. Care Health Plan audits claims processed by delegated groups and contracted plans, ensuring compliance with federal and state regulations and contract terms. You will test and report on timeliness and accuracy, and mentor...SeniorClaimsContract work
- ...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
- 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
$180k - $200k
...Program Manager/Training Lead Employment Type: Full Time Department: Project Management Here at CGS, we are seeking a Program Manager... ...-deliver VCF Substantive training for VCF staff on end-to-end claims lifecycle processes. Substantive training includes curriculum...ClaimsFull timeFlexible hours- 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
- Sompo seeks a Sr. Casualty Claims Counsel to join our US Casualty Claims team. The role focuses on primary and excess casualty matters with emphasis on coverage issues and emerging risks, delivering rigorous analysis and timely resolutions. The candidate will hold a JD...SeniorClaimsWork at office
- ...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
$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- ..., 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
$129.3k - $172.3k
...decision maker rather than just an advisor? Want better work-life balance? Ready for a change with an in-house opportunity? The Senior Claims Counsel position with First American Title Insurance Company provides an excellent opportunity for counsel to engage in complex...SeniorClaimsRemote work- 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
- 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
- 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
- NKSFB, LLC is seeking a Senior Insurance Specialist to manage client insurance portfolios, advise on risk management, and... ...environment. You will handle communications with brokers, process claims, and contribute to audits and policy maintenance using Applied Epic. A strong...SeniorClaims
- ...Companies in the United States is seeking an experienced attorney to supervise and handle complex product liability litigation and claims under minimal supervision, providing liability assessment and recommendations to clients to ensure high-quality handling and supervision...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
$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$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$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$158.5k - $186k
...Bachelor's degree in architecture, engineering, or construction management. You will play a key role in price negotiations and contractor claim reviews, ensuring accountability and accuracy in all estimations. This position offers a competitive salary range of $158.5K to $186...SeniorClaimsFor contractors$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 officeRemote workHome office- ...Senior Litigation Attorney A well-established and growing litigation... ...disputes, contract-related claims, property-related litigation,... ...commercial controversies. Serve as lead attorney in depositions,... ...supervising, mentoring, or training junior attorneys is a plus....SeniorClaimsContract work
$80k - $150k
...Federal (Contact Government Services) is seeking a Senior Auditor to assist district legal staff by conducting medical claims data analysis, forensic investigations,... ...negotiations as requested Testify as required Perform training and give presentations on data analysis tools...SeniorClaimsFull timeFlexible hours$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- Providence has a role focused on developing and delivering claims training programs to advance the quality and productivity of the Claims Department. Under the supervision of the Claims Director, you will coordinate, plan, schedule, deliver, and evaluate staff education...Claims
- ...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
- Clyde & Co US LLP is seeking a Senior Counsel with 10+ years of insurance coverage experience to join our rapidly expanding insurance coverage... ..., non-litigation role focuses on coverage analysis, strategic claim guidance, and producing detailed opinions and memoranda for...SeniorClaims
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