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
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Claims Resolution Lead - Complex Claims & Compliance in Los Angeles, CA vacancy
- Aon is seeking a Complex Construction Claims Strategic Lead based in Los Angeles to lead claims strategies across multi-line construction programs. You will work closely with high-profile clients, providing expert guidance in navigating complex claims issues. The successful...Claims
$162.5k - $250k
Are you ready to shape the future of complex construction claims strategy within Construction & Infrastructure... ..., claims insight, and the ability to lead high-impact client engagements from... ..., helping define coverage strategy, resolution approach, and claims philosophyfor...ClaimsFull timeContract workTemporary workPart timeLocal area$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$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$110.4k - $187.8k
...Private/Not For Profit Team Lead-Executive Underwriter Chubb... ...Leaders to effectively manage a complex portfolio of Fiduciary, ERISA... ...excellence, superior claims handling expertise and local... ...equal employment opportunity and compliance with all laws and regulations...ClaimsWork at officeLocal areaFlexible hoursChubb
Los Angeles, CA1 day ago- ...California seeks a Patient Safety, Risk & Resolution Specialist to oversee patient grievances... ...multiple responsibilities including claims administration and data analysis. The ideal... ..., with demonstrated abilities in legal compliance, effective communication, and managing sensitive...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 officeSkilled Wound Care
Los Angeles, CA1 day ago- ...brokerage, underwriting, and claims services, reporting directly... ...Litigation Management Manages complex litigation portfolios with a... ...matters toward favorable resolution. Keeps leadership informed without... ...trusted partnerships with compliance, risk, operations, and executive...ClaimsContract work
Venbrook
Los Angeles, CA3 days ago - ...Lead Claims Relationship Management The Opportunity The purpose... ..., policy changes, and compliance with legislation. Promote... ...from application to claims resolution. Experience with distribution... ...decided based on the role's complexity, its location, and the candidate...ClaimsFull timePart timeWork experience placementWork at officeWork from home
QBE Insurance
Los Angeles, CA1 day ago $78.5k - $163.6k
UCLA Outpatient Clinics is seeking a Claims Quality Supervisor to lead audit and quality assurance initiatives in Los Angeles. This position requires... ...oversight of quality monitoring systems, management of compliance and performance audits, and leadership of the customer...Claims- ...Contribute to case strategy for complex or high-value matters and represent... ...and hour class actions, PAGA claims, and arbitration matters Proven ability to lead legal teams and supervise junior... ...arbitration matters from intake through resolution In-depth familiarity with...Claims
Crew Connectors
Beverly Hills, CA1 day ago $78.5k - $163.6k
Direct Jobs is seeking a Claims Quality Supervisor in Los Angeles to lead audit and quality assurance initiatives across the claims operations. This position requires a minimum of 5 years of claims experience and 2 years of supervisory experience. Key responsibilities...Claims- 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
$135k - $175k
...associates, customer service representatives, claims examiners, and loss control... ...communication skills ~ Proven ability in complex account analysis, prioritization, organization... ...to equal employment opportunity and compliance with all laws and regulations pertaining...ClaimsFull timeTemporary workLocal areaChubb
Los Angeles, CA22 hours ago$80.1k - $107k
Claims Field Senior Property Adjuster Job Summary This position handles moderate to complex claims matters involving homeowner property insurance... ...Exchange in compliance with all regulatory and statutory... ...negotiation strategies, and claims resolution of moderate to complex...ClaimsFull timeWork at officeLocal areaAAA Auto Club Group
Los Angeles, CA4 days ago- 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
$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. * Assisting senior IP attorneys... ...colleagues, and diplomatic, creative resolution of conflicting needs. *...ClaimsThe Walt Disney Company
Burbank, CA2 days ago$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 workSTIIIZY
Hawthorne, CA4 hours ago$178.6k - $221.89k
...administration and liability claims management, safety and injury... ...professional who thrives in a complex, fast-paced public sector... ...from initial filing through resolution. You'll partner closely with... ...building a culture of safety and compliance while providing exceptional customer...ClaimsFull timeContract workPart timeWork experience placementWork at officeLocal areaMonday to FridayCity of Beverly Hills
Beverly Hills, CA3 days ago- ..., quality control, and compliance across the pre-litigation... ...escalation point for complex cases, coverage issues, and high-value claims. Monitor statutes, deadlines... ...negotiations and case resolution strategies.... ...injury attorney looking to lead a high-performing team,...ClaimsFull time
Block LLP
Burbank, CA21 days ago - ...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
MICHELLE TO DDS INC
Los Angeles, CA4 days ago $78.5k - $163.6k
Academy of Managed Care Pharmacy is seeking a Claims Quality Supervisor in Los Angeles. This role involves leading audit and quality assurance initiatives to ensure compliance with regulations and operational efficiency. The ideal candidate will have over 5 years of claims...ClaimsWork at office$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- ...Lead Outpatient Medical Coder The Lead Outpatient... ...coding accuracy, compliance, and productivity standards... ..., and expertise on complex coding scenarios, and... ...Services (PFS) regarding OP claims rejection/denial... ...accurate coding, denial resolution, and appeals...ClaimsFull timeContract work
$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$117.51k
...Manager, Financial Compliance Audit, $10,000 SIGN ON BONUS... ...of a variety of complex areas across all lines... ...developing timelines, leads others to complete deliverables... ..., and issue resolution on financial solvency... ...to assign the annual claim processing and financial...ClaimsFull timeWork at officeRelocation packageL.A. Care Health Plan
Los Angeles, CA3 days ago$72.5k
...enforce contracts, research and files claims, as well as participate in... ...Investigates and files claims for non-compliance of contract and sees through to resolution. Participates with the Legal... .../experience preferred due to the complexity of chain-of-title and financial assurances...ClaimsContract workWork at officeWork from homeRelocation package2 days per week- ...operations, including: Medical billing Claims submission Payment posting Accounts... ...Denial rates Collection rates Ensure compliance with HIPAA, payer guidelines, and healthcare... ...with insurance companies for claims resolution Prepare reports and present performance...Claims
- QBE Americas, Inc. is seeking a Senior Specialist in Specialty Claims (Aviation) to manage operational and technical aspects of Aviation... ...provides leadership in handling complicated claims, ensures compliance with aviation insurance policies, and drives continuous improvement...Claims
- ...caseload from inception to resolution. This role is designed... ...thrives on autonomy, complex problem-solving, and... ...counsel and lead litigation across the... ...reasonable accommodation claims. PAGA and Class Action... ...witnesses. Regulatory & Compliance Counseling: Act as a...Claims
Lighting Staffing Agency
Los Angeles, CA3 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Resolution Lead - Complex Claims & Compliance. Be the first to apply!
Related searches
- vice president claims Los Angeles, CA
- medical claims auditor Los Angeles, CA
- claims attorney Los Angeles, CA
- claims counsel Los Angeles, CA
- claims associate Los Angeles, CA
- claims coordinator Los Angeles, CA
- compliance examiner Los Angeles, CA
- regulatory affairs part time Los Angeles, CA
- compliance lead Los Angeles, CA
- regulatory affairs consultant Los Angeles, CA