Senior Claims Delegation Audit Leader
$125k - $140kAstrana Health Management
Astrana Health Management is looking for a Senior Manager for Claims Delegation Audit in Monterey Park, CA. As a key leader, you will oversee claims audits and ensure compliance with Medicare, Medicaid, and other regulations. This role requires a Bachelor's degree and extensive experience in claims administration. The ideal candidate will have strong leadership, analytical skills, and proficiency in systems like EzCap. The compensation range is $125,000 - $140,000 annually, and a hybrid work structure is in place. #J-18808-Ljbffr
$115.44k - $148.15k
A leading health organization is seeking a Senior Manager for Claims Delegation Audit in Monterey Park, CA. The role involves management of Claims Delegation Audits, strategy development, and ensuring compliance with regulations for Medicare and Medicaid. Candidates should...SeniorClaims$125k - $140k
...Sr. Manager - Claims Delegation Audit Department: Ops - Claims Ops Employment Type: Full Time Location: 1600 Corporate Center Dr.,... ...Compensation: $125,000 - $140,000 / year Description The Senior Claims Manager, Claims Delegation Oversight, is responsible...SeniorClaimsFull timeContract workWork at office$115.44k - $148.15k
...Sr. Manager - Claims Delegation Audit Department: Ops - Claims Ops Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park... ...Compensation: $115,441 - $148,149 / year Description The Senior Claims Manager, Claims Delegation Oversight, is responsible...SeniorClaimsFull timeContract workWork at office- ...communication of company-wide risks. This role involves managing insurance procurement, developing compliance policies, and handling claims and litigation. The ideal candidate will have experience in risk management, strong analytical skills, and expertise in insurance...SeniorClaims
$180k - $280k
...Senior Attorney – Wage & Hour Class Action Location: California Our client is seeking an experienced Senior Attorney to handle complex... ...overtime violations, meal/rest break issues, and other labor law claims. What You’ll Do Draft and manage pleadings, motions, and legal filings...SeniorClaims$125k - $140k
...Astrana Health Management is seeking a Sr. Manager - Claims to oversee daily claims processing and ensure quality and compliance. In this role, you will lead a team to drive operational execution and resolve escalations. The position requires a Bachelor's degree and management...SeniorClaims- ...change control and contract negotiation/claim management processes. Assist in the... ...corporate/OU governance, internal/external audits, General Rate Cases, and regulatory filings... ....com for consideration. Please include "Senior Cost Analyst" in the subject line of your...SeniorClaimsContract workTemporary workFor contractorsWork experience placement
$35 - $40 per hour
...Senior Procurement Advisor – Telecom & Network Services Rosemead, CA (Hybrid 2 days/week) Duration: initial 18-month contract Pay Rate... ...internal business partners and external suppliers. Review supplier claims, contract compliance issues, delivery concerns, and service...SeniorClaimsContract work2 days per week$95.4k - $208.3k
...A leading healthcare organization located in Los Angeles is seeking a Claims Manager to oversee the claims leadership team. This role requires five or more years of claims operations experience and three years in a managerial position within the claims processing environment...SeniorClaimsFlexible hours- ...A major infrastructure firm in Los Angeles is seeking Contracts and Claims Managers to oversee contract management and claims resolution on large-scale infrastructure projects. The ideal candidate will have over 10 years of relevant experience and strong negotiation skills...SeniorClaimsContract workFlexible hours
- ...A leading insurance company in Los Angeles seeks an experienced Claims Supervisor to manage a team of Personal Auto Claims Adjusters. The role involves overseeing claims handling processes to ensure timely resolution and high customer satisfaction. Ideal candidates should...SeniorClaimsFull time
- A leading insurance provider in California seeks a Senior Claims Specialist to manage various insurance claims. The ideal candidate will possess 6-10 years of relevant experience, excellent communication skills, and a Juris Doctor degree. Responsibilities include handling...SeniorClaims
- ...Senior Workers Compensation Claims Specialist Are you looking for an opportunity to join a fast-growing company that consistently outpaces the... ...Leadership ability and demonstrated time management skills to delegate work appropriately and organize resources effectively....SeniorClaimsWork experience placementRemote work
- ...Knight Management Insurance Services is seeking a Claims Supervisor in Los Angeles, California. The role involves managing a team of Personal Auto Claims Adjusters and ensuring timely and accurate resolution of claims while maintaining customer satisfaction. The ideal...SeniorClaims
$110k - $230k
A leading insurance firm is looking for a Financial Lines Claims Counsel in Los Angeles. The successful candidate will manage complex claims including Directors & Officers and Financial Institutions Liability from inception to resolution. The role requires strong communication...SeniorClaims- ...Senior Claims Manager Join Starr, a global leader in commercial insurance with over a century of expertise. We empower our employees to innovate, make impactful decisions, and build lasting client relationships worldwide. At Starr, you'll work in an entrepreneurial...SeniorClaimsWorldwide
$50k
...American Family Insurance Enterprise Claims seeks a Lead Adjuster for complex property claims in California. The role includes investigating claims, determining liability, and interacting with customers, requiring field work. Candidates must have extensive experience,...SeniorClaimsRelocation package- ...The Corporate Sr. Benefits Specialist will interface with senior management and HR team members by leading projects and providing consultation on industry best practices. Audits enrollment elections, resolves claims, enrollment, eligibility, and related issues for active...SeniorClaimsImmediate start
$110k - $215k
...Senior Property Underwriter/Underwriting Specialist page is loaded## Senior Property Underwriter... ...complex property risks within delegated underwriting authority.* Reviews applications... ...appropriate business units – Risk Engineering, Claims and Marketing Representatives) in order...SeniorClaimsInterim roleWork at officeLocal area$123k - $180k
...Senior Specialist Underwriter – West Region (Hybrid) Conducted by The James... ...appropriate coverage decisions within delegated authority Monitor and manage... ...Promote carrier services including claims, risk control, and premium audit capabilities Deliver presentations...SeniorClaimsFlexible hours- ...Certified Industrial Hygienist (CIH). The ideal candidate will possess extensive experience in forensics, insurance loss, environmental claims management, and be adept at recognizing hazards. This position includes responsibilities for conducting investigations, providing...SeniorClaims
$95.4k - $208.3k
...Reporting to the Associate Director of Delegated Oversight & Systems, the Senior Business Systems Analyst serves as... ...that support delegated oversight, audit readiness, performance... ...with healthcare data sources such as claims, encounters, membership, provider,...SeniorClaims- ...Academy of Managed Care Pharmacy is looking for a Claims Auditor to ensure the accuracy of claims processing in accordance with established regulations. The role involves conducting detailed audits, documenting findings, and analyzing claims to provide insights for management...SeniorClaims
- Cedars-Sinai in Los Angeles is seeking a Claims Auditor responsible for ensuring the accuracy of claims processing based on department policies. You will conduct audits, document findings, and provide analysis to management for errors and inconsistencies. The ideal candidate...SeniorClaims
- Westfield Specialty in Los Angeles is seeking an experienced insurance claims manager to handle public and private D&O, E&O, and EPL claims. The ideal candidate will have 6-10 years of relevant experience, a Juris Doctor degree, and must possess strong communication skills...SeniorClaimsLocal area
$77k - $202k
...purpose‑led and values‑driven leader at every level. To help us achieve... ..., now and in the future. As a Senior Associate, You'll Work As Part... ...address development areas. Delegate to others to provide stretch... ...on underwriting profitability, claims analysis, and reserve adequacy...SeniorClaimsFull timeContract workH1b- ...FAIR Plan Association in Los Angeles is seeking a Commercial Property Examiner II to review and process complex commercial insurance claims. This role includes managing a caseload, examining claims for validity, and collaborating with legal counsel on litigation cases....SeniorClaims
- ...Cedars-Sinai Medical Center in Los Angeles is seeking a Claims Auditor responsible for ensuring the accuracy of claims processing according... ...and regulatory requirements. The auditor will conduct detailed audits, document findings, and make recommendations to management for...SeniorClaims
- ...settlement. The ideal candidate will have strong negotiation skills and around 5 years of experience in handling complex personal injury claims. You will lead pre-litigation strategy, mentor staff, and communicate effectively with clients. This role offers the chance to work...SeniorClaimsWork at office
$117k - $184.4k
...AXA XL is seeking a Claims Professional to manage high-value liability claims across the United States. The role requires advanced claim handling skills and effective communication. You will coordinate with various stakeholders to ensure optimal outcomes. Salary range...SeniorClaims
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