Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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

Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Senior Medicare Advantage Claims Specialist in Huntington Beach, CA vacancy
  • Verda Healthcare, Inc. in Huntington Beach, CA is seeking a Senior Claims Examiner to review, analyze, and adjudicate complex claims...  ...across professional, institutional, inpatient, outpatient, and Medicare Advantage lines. The role requires expertise in CMS regulations,... 
    Senior

    Verda Healthcare Inc

    Huntington Beach, CA
    3 days ago
  • $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... 
    Senior
    Full time
    Work at office
    Relocation
    Monday to Friday
    Weekend work

    Verda Healthcare

    Huntington Beach, CA
    3 days ago
  • $28 - $32 per hour

    Senior Claims Examiner Verda Healthcare, Inc. is a Medicare Advantage Prescription Drug Plan (MAPD) organization committed to the idea that healthcare should be easily and equitably accessible to all currently available in Texas and Arizona. Our mission is to ensure that... 
    Senior
    Full time
    Work at office
    Relocation
    Monday to Friday
    Weekend work

    Verda Healthcare

    Huntington Beach, CA
    5 days ago
  • Auto Club Enterprises in Costa Mesa, CA, seeks a Claims Complex Property Adjuster to handle high-complexity homeowner claims across markets...  ...with counsel on litigated files, and prepare formal reports for senior management. Occasional travel is required; competitive pay with... 
    Senior

    Auto Club Of Southern Calif

    Costa Mesa, CA
    1 day ago
  • Verda Healthcare in Huntington Beach, CA is seeking an experienced Senior Claims Analyst. This full-time role requires expertise in healthcare claims operations and strong technical knowledge of claims systems. The candidate will act as a liaison between Claims Operations... 
    Senior
    Full time

    Verda Healthcare

    Huntington Beach, CA
    3 days ago
  • A leading mortgage company in Newport Beach is hiring an experienced Non-QM Underwriter to analyze and evaluate loan applications. This role focuses on Non-QM products and requires strong attention to detail, risk assessment skills, and a solid understanding of compliance...
    Senior

    Bluepointmtg

    Newport Beach, CA
    2 days ago
  • AAA Auto Club Enterprises is seeking an experienced claims professional to handle high-complexity homeowner claims. The role involves interpreting loss information, conducting investigations, evaluating coverage and damages, and negotiating settlements within authority... 
    Senior

    AAA Auto Club Enterprises

    Costa Mesa, CA
    5 days ago
  • AAA Auto Club Enterprises is seeking a Claims Senior Auto Adjuster to support the Auto Claims Operation by handling claims of material damage, property damage, and liability lines of insurance, under limited supervision and within defined procedures. You will evaluate coverage... 
    Senior

    AAA Auto Club Enterprises

    Costa Mesa, CA
    1 day ago
  •  ...planning professional to educate and support Wealth Advisors in designing and implementing sophisticated wealth transfer and tax-advantaged strategies for executives, entrepreneurs, and high net worth clients. You will partner with Underwriting, Implementation, and product... 
    Senior

    The Goldman Sachs Group

    Newport Beach, CA
    3 days ago
  • $120k - $125k

     ...relentless focus on achieving sales goals. 9. Bachelor's degree in Business, Marketing, or a related field. An MBA will be considered an advantage. This is an exciting opportunity for a motivated sales leader to join a dynamic team and play a key role in driving our company... 
    Senior
    Permanent employment
    Local area

    Jobot

    Newport Beach, CA
    4 days ago
  •  ...Ayco is seeking an experienced Wealth Strategy professional to educate Wealth Advisors on sophisticated wealth transfer and tax-advantaged life insurance strategies. You will work with advisors to design, implement, and optimize planning for high net worth clients. You... 
    Senior

    Goldman Sachs Group

    Newport Beach, CA
    2 days ago
  • 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

    Allied Public Adjusters

    Newport Beach, CA
    3 days ago
  • $750 per month

     ...career. Try new things, learn new skills and discover what you excel at—all from Day One.Job DescriptionThe Commercial Real Estate Senior Underwriter manages portfolio risk by ensuring timeliness and accuracy of all credit actions, by providing guidance on credit structure... 
    Senior
    Full time
    Work experience placement
    Work at office
    Local area
    3 days per week

    US Bank

    Newport Beach, CA
    2 days ago
  • $70k - $88k

     ...for our customized solutions, backed by targeted risk control and claims services. Our employees are passionate about providing insurance...  .... The opportunity We currently have an opportunity for a Senior Claim Representative to join our Liability team based in our... 
    Senior
    Full time
    Work at office
    Flexible hours

    Atlantic Specialty Insurance Company

    Irvine, CA
    21 days ago
  • Auto Club Enterprises in California is seeking a Property Claims Specialist to support homeowner policies written by the Interinsurance Exchange. The role handles low to moderate complexity claims, interprets First Notice of Loss reports, conducts investigations, evaluates... 
    Work at office

    AAA Auto Club Enterprises

    Costa Mesa, CA
    4 days ago
  • $28.93 - $38.53 per hour

    Job Summary The Claims Senior Auto Adjuster supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of material damage, property damage, and/or liability lines of insurance written by the Interinsurance Exchange in compliance with... 
    Senior
    Full time
    Work at office
    Local area

    AAA Auto Club Enterprises

    Costa Mesa, CA
    3 days ago
  • $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,... 
    Senior
    Work at office
    Home office

    Allied Public Adjusters

    Newport Beach, CA
    3 days ago
  • $60k - $75k

     ...service advertising agency, is looking for a Freelance Senior Finance and Accounting Specialist (AR/AP)!We are a hybrid workplace, x3 days week in-...  ...methods to get there and stay there. The closeness is our advantage. That’s where momentum and growth live. #J-18808-... 
    Senior
    Freelance
    Work at office
    Local area
    Worldwide

    INNOCEAN Worldwide Canada

    Huntington Beach, CA
    1 day ago
  • DK Law is seeking an experienced Claim Specialist to join our Property Damage team in Costa Mesa, CA. You will investigate and evaluate property damage claims arising from automobile accidents, working closely with our demands team and clients to ensure fair compensation... 
    Work at office

    Usaccidentlawyer

    Costa Mesa, CA
    5 days ago
  • $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

    Elite Sourcing

    Costa Mesa, CA
    13 days ago
  •  ...Savant Senior Living in Costa Mesa, CA is seeking a friendly Server to join our dining team. You will greet residents, take and deliver orders, and help maintain a clean, welcoming dining area that supports a positive dining experience for seniors. We value excellent... 
    Senior

    Savant Senior Living

    Costa Mesa, CA
    1 day ago
  • $28.74 - $36.72 per hour

    Overview If you are a highly motivated individual with an active, unrestricted credential (CPA/EA/Practicing Attorney) and excellent communication skills, we need you to help our customers complete their taxes using Intuit TurboTax products. You will be working toward...
    Senior
    Remote work

    Intuit

    Newport Beach, CA
    3 days ago
  •  ...Atria Senior Living, Inc. is seeking a Community Business Director (CBD) in Newport Beach, CA to oversee business office functions, payroll and benefits, and front desk operations. This role serves as a primary resource for residents, families, and staff on billing... 
    Senior
    Work at office

    Atria Senior Living

    Newport Beach, CA
    2 days ago
  • A defense technology company in Costa Mesa is seeking a Staff Controls Engineer to lead the design and implementation of automation systems in manufacturing. You will architect and debug PLC code while ensuring compliance and safety standards are met. The ideal candidate...
    Senior

    anduril

    Costa Mesa, CA
    2 days ago
  • $75k

     ...benefits as well as access to our Employee Assistance Program (EAP) and well-being coaching services. In addition, employees can take advantage of voluntary benefits such as home, auto and pet insurance, and discounted legal and financial services. For more details, feel... 
    Senior
    Temporary work
    Casual work
    Worldwide
    Flexible hours
    Night shift

    FindLaw

    Costa Mesa, CA
    2 days ago
  • $50k - $63.16k

     ...Senior Account Executive US-CA-Irvine Job ID: 34756 Type: Full-Time # of Openings: 1 Category: Sales/Business...  ...competitive benefits package, continuous training and education advantages, and an active account base to advance your career. You can also... 
    Senior
    Full time
    Temporary work
    For contractors
    For subcontractor
    Casual work
    Work at office
    Local area
    Immediate start

    Canon U.S.A., Inc.

    Newport Beach, CA
    18 hours ago
  • Anduril Industries in California is seeking a highly motivated Program Manager to own a portfolio of government reference architecture programs. You will serve as the single point of ownership, aligning technical, cost, and schedule baselines with engineering, contracts...
    Senior

    Anduril Industries, Inc.

    Costa Mesa, CA
    4 days ago
  • Anduril Industries is seeking a Planning Process Analyst to drive cross-functional planning improvements across Demand and Supply teams. You will lead initiatives from kickoff to execution, aligning planning, product, and engineering to ensure timely hardware delivery with...
    Senior

    Anduril Industries

    Costa Mesa, CA
    4 days ago
  • Huntington Beach Hospital in Huntington Beach, CA, is seeking a social work professional to provide clinical oversight for ASWs and MFTIs, supervise program development, and support patients and families facing hospitalization, illness, or trauma. The role requires a Master...
    Senior

    Huntington Beach Hospital

    Huntington Beach, CA
    5 days ago
  • $130k

     ...Senior Associate Attorney – Newport Beach, CA Lorber, Greenfield & Olsen, LLP has been a trusted name in civil litigation defense for...  ...general contractors in complex construction defect and casualty claims — and our AV® Peer Review Rating from Martindale-Hubbell is a testament... 
    Senior
    For contractors
    Work at office
    Remote work

    Lorber, Greenfield & Olsen, LLP

    Newport Beach, CA
    18 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Senior Medicare Advantage Claims Specialist. Be the first to apply!