Senior Medicare Advantage Claims Specialist
Verda Healthcare
Verda Healthcare, Inc. in Huntington Beach, CA is seeking a Senior Claims Examiner to review, analyze, and adjudicate complex professional, institutional, inpatient, outpatient, and Medicare Advantage claims in accordance with CMS regulations, provider contracts, and benefit plans. This role serves as a subject‑matter expert in claims processing, payment integrity, and compliance activities, supporting departmental productivity, training, and occasional audits. #J-18808-Ljbffr Verda Healthcare
$70.3k - $80k
...Verda Healthcare, Inc. Verda Healthcare, Inc. is a Medicare Advantage Prescriptions Drug Plan (MAPD) organization committed to the idea... ...that is free of worry and full of joy. We are looking for a Senior Claims Analyst to join our growing company with many internal opportunities...SeniorFull timeWork at officeRelocationMonday to FridayWeekend work$28 - $32 per hour
Verda Healthcare, Inc. is a Medicare Advantage Prescription Drug Plan (MAPD) organization committed to the idea that healthcare should be... ...lives, free of worry and full of joy. We are looking for a Senior Claims Examiner to join our growing company with many internal opportunities...SeniorFull timeWork at officeRelocationMonday to FridayWeekend work- Verda Healthcare in Huntington Beach is seeking a Senior Financial Analyst to manage financial operations and compliance for Medicare Advantage plans. The role involves regulatory reporting, financial reconciliation, and assisting in monthly financial closes. The ideal...Senior
$95k - $110k
...Job Description Description: Verda Healthcare, Inc. is a Medicare Advantage Prescriptions Drug Plan (MAPD) organization committed to the... ...that is free of worry and full of joy. We are looking for a Senior Financial Analyst – Medicare Advantage Finance to join our growing...SeniorFull timeRelocationMonday to FridayWeekend work- ...Care Health Plan in California seeks a Transitions of Care Coordinator II to manage complex non-clinical care transitions for Medicare Advantage members. You will coordinate post-discharge services, communicate across the care continuum, and support CMS/compliance...Senior
- ...Description: Verda Healthcare, Inc. is a Medicare Advantage Prescriptions Drug Plan (MAPD)... ...and full of joy. We are looking for a Senior Accountant – Medicare Advantage to join... ...deducts), including adjustments related to claims runout, retro eligibility, recoveries,...SeniorFull timeWork experience placementWork at officeRelocationMonday to FridayWeekend work
$110k - $200k
...accurate analysis, and coaching teammates on credit requirements.The Senior Credit Underwriter is primarily responsible for evaluating... ...development officers, relationship managers and/or product specialists and are responsible to develop, structure, analyze, covenant,...SeniorFull timeWork at officeFlexible hoursDay shift- ...Bank of America is seeking a Senior Credit Underwriter to support underwriting and monitoring for new and existing clients in partnership with a credit team. You will manage a portfolio with moderate complexity, perform financial analysis, and coach teammates on credit...Senior
$117k - $175k
...adherence to policy and procedure, providing loan structure analysis and recommendations, and monitoring portfolio performance.The Senior Credit Underwriter (SCU) partners closely with the Credit Advisor (CA) to develop and expand custom lending relationships with strategic...SeniorFull timeWork at officeDay shift- First Bank in Newport Beach, CA is seeking an experienced Commercial Underwriter to evaluate and structure credit for complex transactions, with emphasis on commercial real estate. The role includes preparing approval offerings, collaborating with relationship managers,...Senior
- A leading life insurance provider in California is seeking a skilled Life Insurance Underwriter to join their Consumer Markets Division. This fully remote role involves evaluating insurance applicants to correlate risk and make informed decisions. Successful candidates ...SeniorRemote job
- Bank of America is seeking a Senior Credit Underwriter to assess risk, perform detailed financial analysis, and document credit decisions for ultra-high-net-worth clients, including individuals, family offices, trusts, and specialized wealth entities, ensuring adherence...Senior
- Bank of America’s Senior Credit Underwriter role in Newport Beach focuses on evaluating financing opportunities, underwriting credit exposure, and negotiating loan documentation for new customers within Bank of America Business Capital (BABC). You will manage client portfolios...Senior
- Bank of America is seeking a Senior Credit Underwriter to assess creditworthiness and perform comprehensive financial analysis for ultra‑high‑net‑worth clients, including family offices and trusts. The role supports loan decisions, documents memos, and collaborates with...Senior
- Bank of America is seeking a Senior Credit Underwriter to perform risk assessment and repayment capacity analysis for ultra‑high‑net‑worth clients, including individuals, family offices, trusts, and specialized wealth entities. You will document credit analysis, assess...Senior
- Bank of America in Newport Beach, CA seeks an experienced CRE Credit Underwriter to lead underwriting for new and existing clients and to coach teammates on credit requirements. You will prepare and review analyses, assess risk, and deliver timely, accurate credit packages...Senior
- ...benefits may improve: Medical/dental/vision plans, which start from day one!Life and accident insurance401(K) and Roth optionsTax-advantaged accounts (HSA, FSA)Educational expense reimbursementPaid parental leaveOther benefits include:Digital mental health services (...Full timeLive outWork at officeLocal areaFlexible hours
- Allied Public Adjusters in Newport Beach, CA seeks a Senior Public Adjuster to independently handle complex claims, build strong cases, own negotiations, and manage client relationships throughout the appraisal and settlement process. You will collaborate with estimator...Senior
$32.5 - $36 per hour
Job Description Overview\n Intuit is seeking highly motivated individuals to join our dynamic team as dedicated year-round TurboTax Retail Experts in one of our TurboTax Retail or Flagship locations across the United States. This unique opportunity combines tax expertise...SeniorLocal area$84k - $167k
...team is trained across all of our products to give our customers insights into our entire portfolio.Job Title: Product Engineer - Senior/PrincipalWe are looking for a talented product engineer with high-speed IC test background. This role would be responsible for new...SeniorWork experience placement$160k - $225k
Newport Beach, California, United States Love working a claim but tired of having to do sales? We have a dedicated sales team that feeds... ...carriers have the information they need to do what's right. The Senior Public Adjuster is able to independently handle complex claims,...SeniorWork at officeHome office$50k - $70k
...Job Description Job Description Property Damage Claims Specialist Elite Sourcing is seeking an experienced Property Damage Claim Specialist to join a well-known Law Firm in Costa Mesa, CA. You will be responsible for investigating and evaluating property damage...Work at office$118k - $130k
...As an experienced Regulatory Reporting Senior Consultant, you will have the ability to... ...Responsibilities The Regulatory Reporting Specialist is responsible for overseeing the... ...Forensic portfolio. We “embed continuous advantage” through domain, industry, technology and...SeniorLocal areaVisa sponsorship- Fifth Third Bank in Costa Mesa, CA is seeking a Senior Credit Analyst who will support end-to-end underwriting and portfolio monitoring. You will independently analyze financial statements, prepare credit memos, and collaborate with Portfolio Managers, Underwriters, and...Senior
- ...Kind Lending is seeking a Senior Non-QM Underwriter to drive informed credit decisions and efficient loan evaluation. You will assess income types, review borrower documents, and apply sound underwriting judgment to protect quality standards. Candidates should bring 4...SeniorRemote work
$115k - $180k
The Senior Underwriter’s primary responsibility is to underwrite individual risks through a demonstration of the following skills and abilities... ...risk based on exposure and risk analysis. Ability to analyze claims and quantify losses.Financial proficiency. Understanding of...SeniorWork at officeLocal area$121k - $143k
...infrastructure. These solutions are powered by engineering for business advantage, transforming mission-critical operations. We enable clients to... ...Professional development From entry-level employees to senior leaders, we believe there’s always room to learn. We offer...SeniorLocal area- ...may improve: Medical/dental/vision plans, which start from day one! Life and accident insurance 401(K) and Roth options Tax‑advantaged accounts (HSA, FSA) Educational expense reimbursement Paid parental leave Other benefits include: Digital mental health services...Full timeInternshipLive outWork at officeLocal areaFlexible hours
$146k - $194k
...threats in space and ensure our Guardians maintain a decisive advantage in this contested warfighting domain.ABOUT THE JOBThis position... ...Should you encounter any questionable or fraudulent outreach claiming to be from Anduril, please report it immediately to ****@*****.***...SeniorFull timeWork experience placementImmediate start$84k - $166k
...experience designing and building analog semiconductor technology across the RF to Light spectrum.Job Title: Systems Design Engineer - Senior/PrincipalRole: Validation engineeringWe are looking for a talented experienced Validation Engineer to join our validation...SeniorLong term contract
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Medicare Advantage Claims Specialist. Be the first to apply!
- remote medical claims processor Huntington Beach, CA
- senior grant accountant Huntington Beach, CA
- senior consulting engineer Huntington Beach, CA
- senior brand strategist Huntington Beach, CA
- sr accountant Huntington Beach, CA
- senior medical science liaison Huntington Beach, CA
- senior property accountant Huntington Beach, CA
- senior software engineer remote Huntington Beach, CA
- senior mulesoft developer Huntington Beach, CA
- senior performance engineer Huntington Beach, CA



