Claims Examiner: Healthcare Claims & Denial Resolution
Career Advocates
A healthcare organization in Los Angeles is seeking a Claims Examiner responsible for researching and resolving claims, reviewing denials, and ensuring compliance with regulations. The ideal candidate will analyze claims, identify process improvements, and assist in reporting billing trends. Strong communication skills and familiarity with the Medi-Cal program are preferred. This role offers an opportunity to contribute to departmental improvement initiatives and ensure regulatory adherence. #J-18808-Ljbffr Career Advocates
Vacancy posted 4 days ago
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$84.24k - $126.36k
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Ultimate Staffing
Pasadena, CA7 hours ago - A healthcare organization is seeking a Claims Examiner in Los Angeles, California. The role involves adjudicating medical claims in compliance with company... ...claims, along with experience in provider dispute resolution. Familiarity with automated systems like Epic Tapestry...Suggested
$26 per hour
*Job Title: Claims Compliance Auditor* *Job Description* The... ...documentation and timely resolution of assigned cases *Authorization... ...* Prepare cases for denial and return to examiners when appropriate *... ...system configuration within a healthcare environment * Experience...SuggestedContract workTemporary workTEKsystems
Los Angeles, CA7 hours ago- ...Role: Join MedPOINT Management as an EDI Claims Specialist and play a crucial role in... ...exceptional service and support to our healthcare partners. Responsibilities: Process and... ...with payers to ensure timely payment and resolution of claims issues. Stay updated on industry...SuggestedRemote work
MedPOINT Management
Los Angeles, CA3 days ago - A prestigious healthcare company is seeking an experienced Claims Examiner to join their team. In this role, you will conduct claims analyses, adjudicate medical claims, and verify patient eligibility. The ideal candidate has 2-5 years of claims examining experience, a...
$72k - $141k
...direction, and within broad authority limits, to manage commercial claims with high complexity and exposure for a specialized line of business. Responsibilities include the coordination of all claim resolution activities in accordance with company protocols, while...Work experience placementWork at officeLocal areaShift work$68.48k - $115.49k
ICW Group is hiring a Senior Claims Examiner to manage moderate to complex claims and deliver high service levels... ...strategic recommendations. Utilizes appropriate resolution tactics (e.g., mediation, negotiation, denial, litigation or offer) to proactively drive outstanding...Full timeWork at officeLocal area$21.2 - $34.69 per hour
...damages and otherwise adjusts and negotiates claims within limit of authority. Every claim... ..., Claims Administration, Claims Resolution, Claims Review, Insurance Claims Investigations... ..., Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro...Contract workWork at officeWork from homeVisa sponsorshipWork visaAllstate Insurance Company
Los Angeles, CA7 hours ago- ...to help our insurance carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include: Manage a caseload of commercial auto claims from first notice of loss through resolution, ensuring timely, fair and accurate claims outcomes. Set-up...Full timePart timeWork experience placementWork at officeRemote workWork from home
Work At Home Vintage Experts LLC
Los Angeles, CA1 day ago - ...insurance Vision insurance Wellness resources The claims examiner is responsible for the adjudication of claims, in accordance... ...other rules applicable to specialty claims. · Coordinate resolution of claims issues with other Departments. · Assist Providers...Remote work
MedPOINT Management
Sherman Oaks, CA4 days ago - ...MedPOINT Management is seeking an EDI Claims Specialist to ensure accurate processing of electronic claims. This remote role requires... ...resolve discrepancies. Join us in a dynamic environment committed to exceptional service within healthcare management. #J-18808-Ljbffr...Remote work
MedPOINT Management
Los Angeles, CA3 days ago $85k - $105k
...Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Long Beach or Roseville, CA Are you looking for an... ...through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the...Work at officeRemote workFlexible hoursSedgwick
Los Angeles, CA1 day ago- ...Job Description The Claims Examiner is responsible for accurately and consistently adjudicating claims in accordance with policies,... ...filing and contract rates are applied. Responds and documents resolution of inquiries from internal departments. Assists Finance...Contract work
Cedars-Sinai
Los Angeles, CA2 days ago $23 - $26 per hour
...Claiming Analyst Sycamores provides a spectrum of equitable mental health services through various programs to multicultural populations... ...Record System will include but is not limited to working denials, processing voids and claims. Duties and Responsibilities: (...Hourly payWork experience placementLocal areaSycamores LLC
Los Angeles, CA1 day ago$72.91k - $85k
...Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation | Glendale, CA - Hybrid Are you... ...through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the...Work at officeFlexible hoursSedgwick
Glendale, CA4 days ago$100k - $120k
...) and/or CSA (Childhood Sexual Assault) claims handling experience. Handles complex, technically... ...effective plans to bring the claims to resolution while focusing on indemnity and expense... ...both reservation of rights and coverage denials. Maintains proper reserves on all...Contract workWork at officeLocal areaFlexible hoursSedgwick
Los Angeles, CA2 days ago$151k - $181.25k
...Senior Technical Garage Bodily Injury Claims Specialist Argo Group is an underwriter... ...to the best financial outcome and timely resolution. Properly set claim reserves.... ...(including language use restrictions), denial of family and medical care leave, disability...Local areaArgo Group
Los Angeles, CA2 days ago$151k - $181.25k
...designed to meet the unique coverage and claims-handling needs of businesses. The Argo... ...coordination ofexpertiseresources toassistin case resolution. ~ Preparing reports for file... ...(including language use restrictions), denial of family and medical care leave,...Full timeLocal areaArgonaut Management Services, Inc
Los Angeles, CA7 hours ago$100k
...Senior Inland Marine Technical Claims Specialist Argo Group is an underwriter of specialty... ...accurate, timely, and cost-effective resolution. Work Environment This is a 100%... ...(including language use restrictions), denial of family and medical care leave, disability...For contractorsWork at officeLocal areaArgo Group
Los Angeles, CA3 days ago- ...' Compensation Senior Claim Representative Location... ...Time Senior Claim Examiner for our West Coast/Pacific... ...attorneys of claim denials when applicable.... ...expedite fair and equitable resolution of claims and claim... ...experience is required (healthcare, short-term / long-term...Temporary workWork at office
Staffing the Universe
Los Angeles, CA7 hours ago - Sedgwick is seeking a Claims Examiner in Los Angeles, CA, to manage complex auto and commercial claims. The role demands at least 5 years... ..., including oversight of claims and ensuring timely resolution while maintaining compliance. The position offers job flexibility...Flexible hours
$77.5k
...JOB TITLE: Senior Claims Examiner, Public Entity DEPARTMENT: Claims Services LOCATION: Onsite - Downtown LA COMPANY OVERVIEW:... ...injury claims for public entity clients from assignment through resolution. In this role, you will apply your expertise in litigated...Temporary workFor subcontractorWork at officeFlexible hoursVenbrook
Los Angeles, CA3 days ago$80k - $98k
...Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Remote - Must Reside in Central Valley, CA Are you looking... ...well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the...Work at officeRemote workFlexible hoursSedgwick Law
Los Angeles, CA2 days ago- The Claims Examiner will be responsible for researchingand resolving pending claims, reviewing claim denials requiring manualreview, and ensuring timely processing in compliance with policies,procedures, and regulatory guidelines. The role involves determiningclaim payments...
- A leading claims management firm is seeking a Claims Examiner in Glendale, CA for a hybrid role. The successful candidate will analyze and adjudicate workers' compensation claims while ensuring timely resolution and excellent customer service. Required qualifications include...
- ...Innovative provider of automated healthcare billing solutions Industry Insurance... ...Advanced Analytics Claims Adjusting Insurance Finance... ...claims revenue cycle management denials prevention and resolution erisa appeals out of state medicaid...Flexible hours
Confidential
Los Angeles, CA7 hours ago - ...POSITION DETAILS Position Title: Senior Claims Examiner Department: Workers' Compensation California Reports To: Claims Supervisor... ..., and make appropriate recommendations and solutions for resolution Ability to be trustworthy, dependable, and team-...Work at officeImmediate startMonday to Friday
Elite CPA Corp
Los Angeles, CA3 days ago $80k - $98k
...Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | West Hills, CA (Remote 3 Days) Are you looking for an... ...well-developed action plans to an appropriate and timely resolution. Negotiates settlement of claims within designated authority...Work at officeLocal areaRemote workFlexible hoursHispanic Alliance for Career Enhancement
Los Angeles, CA3 days ago$38k - $63k
...up for government and non-government claims. Must work with other departments to... ...may be required to obtain account resolution. Monitors all denials for trends and issues and reports finding... ...within the following sectors: healthcare, insurance, business, finance or customer...Full timeTemporary workImmediate startFlexible hours
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