Senior Claims Audit & Training Lead
Providence
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
$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- 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
$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$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- 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
- ...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
- 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
- WelbeHealth is seeking an Outreach and Enrollment Training Manager in Los Angeles to onboard and train frontline O&E resources across markets. You will design, deliver, and evaluate field training for new staff and existing teams, traveling to markets up to 75% of the...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
- ...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
- ...(P&C) strategy/management consultant who leads project teams, manages consultants, and supports... ...-to market efforts, in-force management, claims? If so, here is where your journey begins... ...skilled team! About the role As a Senior Manager , you will be responsible for...SeniorClaimsFull time
- 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
- ...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
$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- ...Job Description Job Description Program Manager/Training Lead Employment Type: Full Time Department: Project Management Here... ...-deliver VCF Substantive training for VCF staff on end-to-end claims lifecycle processes. Substantive training includes curriculum...ClaimsFull timeFlexible hours
- ...providers and oversee client investigations to ensure completion of all required steps. The role requires strong knowledge of injury claims processes, familiarity with medical terminology, and the ability to file and obtain medical records efficiently. #J-18808-Ljbffr...SeniorClaims
$180k - $225k
...attorney looking to try complex cases or a senior litigator ready to take the next step... ...contributions ~ Strong partnerships with claims professionals ~ Professional growth and... ...experienced attorneys and provide leadership and training across the organization. Basic...SeniorClaimsFull timeTemporary workWork at officeLocal areaRemote workVisa sponsorship1 day per week- ...control and contract negotiation/claim management processes.... ...governance, internal/external audits, General Rate Cases, and regulatory... ...: A combination of education, training, and experience generally equivalent... .... Please include "Senior Cost Analyst" in the subject line...SeniorClaimsContract workTemporary workFor contractorsWork experience placement
$72k - $80k
MV Transportation is seeking a Safety and Training Manager in Los Angeles, California. You will lead compliance with State and Federal safety regulations... ...responsibilities include overseeing safety audits, managing employee claims, and fostering a strong safety culture...Claims- ...About Pivotal Health Pivotal Health is the leading technology platform that helps healthcare... ...providers efficiently dispute underpaid claims, reduce administrative burden, and... ...outcomes across the organization. As a Senior Applied AI/ML Engineer, you will design,...SeniorClaimsPermanent employmentFull timeRemote workVisa sponsorshipFlexible hours
- ...Jobot, a nationwide employer, seeks a Trial Attorney to lead defense efforts for a major insurer. You will oversee complex lawsuits... ...first-chair in trials, arbitrations, and appeals, and advise senior claims leadership on strategy and outcomes. The role is fully...SeniorClaimsRemote job
- 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
- Allied Public Adjusters in Southern California seeks an experienced professional to advocate for policyholders in property claims. Inspect losses, build defensible estimates, and collaborate with a Public Adjuster to gradually own smaller, routine claims with oversight...SeniorClaims
- ...strong e-discovery and case-management skills. The ideal candidate has 5+ years in litigation paralegal work, deep knowledge of California wage-and-hour claims, and proven ability to manage multiple complex matters in a fast-paced environment. #J-18808-Ljbffr TrueSeekSeniorClaims
- Southern California Edison (SCE) is seeking a Senior Workers' Compensation Claims Adjuster to expertly manage a complex caseload, including catastrophic claims, within a self-insured environment. You will coordinate investigations with management, medical providers, workers...SeniorClaims
- ...CORP (SpaceX) in Hawthorne, CA is seeking a Sr. Benefits Analyst specializing in Workers' Compensation. The role involves managing claims, explaining benefits to injured employees, and coordinating efforts for their return to work. The ideal candidate will have over 5...SeniorClaimsLocal area
- ...Job Description Job Description Job Summary Senior Paralegal Full-time Hybrid | Los Angeles or Emeryville CA. 3 days in... ...supporting class and collective actions and employment/ wage and hour claims. Must know at a confident, expert level how to run Tables of...SeniorClaimsFull timeWork at office3 days per week
$83.41k - $168.59k
...opportunities, a world-class training facility, and leading market tools, we help our... ...KPMG is currently seeking a Senior Associate, Infrastructure... ...contract reviews, compliance audits, project oversight and... ...recovery for change orders and claims, reasonableness of the estimate...SeniorClaimsFull timeContract workH1bLocal area$108k - $145k
...Senior Cost Manager As a Senior Cost Manager at Linesight, you will work with highly experienced, culturally diverse, and passionate... ...and agreement of final accounts, including the handling of any claims to ensure the client gets best value from works undertaken Create...SeniorClaimsContract work- ...attorney to join the Firm’s Insurance Recovery practice to secure defense and indemnity coverage for a range of third‑party liability claims. The candidate should have at least four years of experience in insurance coverage, ideally from an AmLaw 200 firm or policyholder...SeniorClaims
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