Claims Resolution Lead - Complex Claims & Compliance
$78.5k - $163.6kUCLA Outpatient Clinics
UCLA Outpatient Clinics is seeking a Claims Resolution and Reconciliation Supervisor in Los Angeles. This role involves overseeing daily claims operations, ensuring accurate, timely, and compliant processing of claims adjustments and disputes. The Supervisor will manage a team and monitor productivity to align with operational goals. Salary range for this position is approximately $78,500 - $163,600 annually, making it a vital role within the organization. Strong leadership and knowledge of claims processing compliance are essential. #J-18808-Ljbffr UCLA Outpatient Clinics
- Direct Jobs in Los Angeles is seeking a Claims Resolution and Reconciliation Supervisor to manage daily claims resolution operations. This position directs staff, ensuring compliance with regulatory standards and effective claims processing. The ideal candidate will have...Claims
- UCLA Health is seeking a Claims Resolution and Reconciliation Supervisor based in Los Angeles,... ...ensuring compliant and timely processing of complex claims adjustments and disputes. The... ...include monitoring metrics, ensuring compliance with industry standards, and...Claims
$78.5k - $163.6k
Description The Claims Resolution and Reconciliation Supervisor oversees daily claims resolution... ...accurate, and compliant processing of complex claims adjustments, provider disputes,... ...operational performance, and ensures compliance with DMHC and CMS requirements,...Claims$184.19k - $194.19k
...management, risk analysis and mitigation, claims support, compliance, and dispute resolution. We partner with the public sector... ...drive the successful delivery of complex infrastructure projects. Our... ...expertise to our clients. Title: Lead Project Cost Estimator Essential...ClaimsFull timeContract workTemporary workFor contractorsLocal area- ...University of California - Los Angeles Health is seeking a Claims Resolution and Reconciliation Supervisor responsible for overseeing daily... ...claims resolution operations. This role involves ensuring compliance with regulatory standards and providing direct supervision to...Claims
$78.5k - $163.6k
The Academy of Managed Care Pharmacy is seeking a Claims Resolution and Reconciliation Supervisor in Los Angeles, California, to oversee daily... ...operations. The role entails supervising staff, ensuring compliance with CMS and DMHC regulations, and monitoring operational...Claims$17 per hour
...over insurance denials, ensuring prompt resolution and securing payments for all stakeholders... ...conversations to untangle the complexities of denial issues Adhere meticulously... ...secrets of insurance eligibility, correcting claim denials with superhero finesse, and engaging...ClaimsWork at officeRemote workWork from homeFlexible hours$212k - $274.2k
...candidates for a position as Lead Counsel advising its businesses... ...and tasks, such as analyzing complex rights matters, reviewing and... ...intellectual property claims. Assist senior IP attorneys... ...colleagues, and diplomatic, creative resolution of conflicting needs....Claims$25 - $27 per hour
...Lead Medical Biller Skilled Wound Care is looking... ...in the end-to-end claims lifecycle, ensuring maximum... ..., resolving complex billing issues, and upholding... ...audits to ensure compliance with all regulatory and... ...productivity. Issue Resolution: Proactively identify...ClaimsWork experience placementWork at office- ...Los Angeles, CA, to manage a team of adjusters. The role includes leading claims processing and providing exceptional service to agents. You will oversee performance and conflict resolution on complex claims while developing your team. This position requires strong leadership...ClaimsRemote job
- A leading telehealth organization is seeking a Claims Follow-Up Lead to oversee complex claims resolutions and manage revenue cycle workflows. This is a remote full-time position requiring strong experience in behavioral health billing and government payer processes. The...ClaimsRemote jobFull timeFlexible hours
- The Los Angeles County Metropolitan Transportation Authority is seeking a manager to handle Public Liability & Property Damage claims. This role requires managing investigative staff, overseeing high exposure claims, and providing updates to insurance carriers. Qualifications...ClaimsWork at office
- ...scheduling, complaints, communication), and compliance (OSHA, HIPAA) to ensure smooth practice... ...: Managing billing, insurance claims, collections, payroll, budgeting, and financial... ..., performance reviews, conflict resolution, and fostering a positive environment....Claims
$25 - $30 per hour
Claims Follow-Up Lead-CA Department: Finance Employment Type: Full Time Location: California (Remote... ...responsible for resolving complex denials, accelerating accounts receivable... ...seek from you 1. High-Complexity Claims Resolution (Primary Function) Follow up on denied...ClaimsFull timeRemote workWork from homeHome office$100k - $171k
...our policyholders in moderately complex civil litigation matters involving claims for monetary damages or compensation... ...cases from inception through resolution, applying your legal knowledge, research... .... Documentation Accuracy and Compliance : Ensure all legal documents,...ClaimsFull timeLocal areaRemote workFlexible hours$160k - $185k
...Health Pivotal Health is the leading technology platform that helps... ...fairly in an increasingly complex reimbursement landscape. Today... ...like IDR (Independent Dispute Resolution) were designed to promote fairness... ...dispute underpaid claims, reduce administrative burden...ClaimsRemote workFlexible hours$22.5 per hour
...cannabis brands in the market today and has claimed the title of the best‑selling vape brand... ...of building a nationally recognized and leading brand, we want to hear from you!... ...goals Uphold the highest standards of compliance with local and state regulations, guaranteeing...ClaimsFull timeCasual workWork at officeLocal areaWorldwideNight shiftWeekend work$64.5k - $86.1k
Claims Field Property Adjuster Job Summary This Claims Property Field Adjuster... ...by the Interinsurance Exchange in compliance with all regulatory and statutory requirements... ..., negotiation, and claims resolution of low to moderate-complexity claims in compliance with...ClaimsFull timeWork at officeLocal area$72k - $141k
CNA Insurance is seeking an experienced claims manager responsible for overseeing unsupported excess claims. The role involves managing complex investigations, coordinating resolution activities, and collaborating with various stakeholders. Ideal candidates will have over...ClaimsFlexible hours- ...while supporting clients through complex legal matters, litigation, regulatory compliance, and transactional work. This... ...and legal matters. Evaluate legal claims and assess probable outcomes based... ..., litigation risks, and dispute resolution strategies. Maintain regular...Claims
- ...Management Services is seeking a Lead Project Cost Estimator to lead... ...pricing negotiations and claim evaluations. Review contractor... ...cost estimates for major and complex Type I, II, III, and V building... ...contractor claims and dispute resolution matters. Professional certifications...ClaimsFull timeFor contractorsWork at officeLocal areaImmediate start
- ...within HR, including LOA to ensure compliance with policies and regulations. The... ...practices, capable of handling complex investigations and leading/mediating crucial conversations. Essential... ...as needed, including enrollment, claims resolution, and employee education. Conduct...ClaimsWork at officeLocal area
$126k - $137k
...with commercial oversight and compliance including: Coordinate with... ...assess disputes and relief events claims to prepare responses to... ...compliance, analysis and issue resolution strategy. In conjunction with... ...including overseeing large, complex construction projects. Experience...ClaimsFull timeContract workWork experience placementWork at office- ...industry clients across a wide range of complex litigation, regulatory, compliance, and transactional matters... ...litigation matters from inception through resolution Draft pleadings, motions, briefs,... ...issues Support matters involving claims disputes, product sales and...Claims
$38k - $63k
...follow-up for government and non-government claims. Must work with other departments to... ...informed of patterns regarding billing edits, compliance issues, payments and or other issues... ...may be required to obtain account resolution. Monitors all denials for trends and...ClaimsTemporary workImmediate startFlexible hours$89.52k - $132.34k
...highly skilled and experienced Lead Field Service Technical... ...for supporting in-field issue resolution on complex technical issues relating to... ...Warranty team for warranty claim disputes, approvals, and authorization... ...certification standards and compliance are being met. Ensure a...ClaimsPermanent employmentTemporary work$127.12k - $137.12k
...program and project management, risk analysis and mitigation, claims support, compliance, and dispute resolution. We partner with the public sector and utility clients to drive the successful delivery of complex infrastructure projects. Our advisory services include...ClaimsFull timeContract workTemporary workLocal area$250k - $300k
...discrimination, harassment, and retaliation claims. Key responsibilities include fact... ...conducting legal research, and advising clients on complex employment law compliance issues. Experience with alternative dispute resolution, client counseling, and workplace investigations...ClaimsRemote work- ...primarily involving professional liability claims and disputes. Provide strategic legal... ...assessment to trial preparation and resolution. Handle complex legal research and analysis to... ...ongoing cases. Ensure clients are in compliance with applicable laws and regulations...ClaimsFull timeRemote work
- ...cases from inception through resolution, advocating for consumers, and... ...trial. Evaluate and pursue claims under applicable state Lemon... ...Conduct legal research and analyze complex factual and legal issues.... ...court deadlines, and ensure compliance with all procedural and ethical...ClaimsWork at office1 day per week
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