Claims Resolution Associate Specialist
Thomson Reuters Markets Espana SL.
Join the Clean Energy Revolution Become a Claims Resolution Associate Specialist at Southern California Edison (SCE) and build a better tomorrow. In this job, you’ll work in a fast-paced environment handling the recovery of SCE damages caused by third parties and providing investigation support to the Claims Organization. As a Claims Resolution Associate Specialist, your work will help power our planet, reduce carbon emissions and create cleaner air for everyone. Are you ready to take on the challenge to help us build the future? Responsibilities Supports a strategy relative to improving the claims resolution function efficiency which correlates with the overall strategy of the organization. Prepares reports by collecting, analyzing, and summarizing data and information relative to claims. Helps ensure claims and settlement agreements are handled in a consistent manner. Develops and maintains proficiency with claim systems and databases. Helps coordinate investigations into claims and reviews the claimants' materials, documents, reports, etc. Maintains a diary of all claims, post reserves in a timely fashion, and expeditiously responds to claims inquiries. Compiles file documentation and correspondence requiring extensive policy and factual detail. Assists in the development, shaping, adherence to, and execution of claims best practices. A material job duty of all positions within the Company is ensuring the protection of all its physical, financial and cybersecurity assets, and properly accessing and managing private customer data, proprietary information, confidential medical records, and other types of highly sensitive information and data with the highest standards of conduct and integrity. Minimum Qualifications Experience in claims resolution, policies, procedures, regulations and applicable laws. Experience coordinating investigations into claims and reviewing supporting materials, documents and reports. Preferred Qualifications Strong administrative and coordination experience. Experience involving insurance carriers, including claims evaluation, settlement negotiations, and dispute resolution. Experience with investigation and recovery. Ability to utilize and leverage new and evolving technologies into the role. Additional Information This position’s work mode is hybrid. The employee will report to an SCE facility for a set number of days with the option to work remotely on the remaining days. Unless otherwise noted, employees are required to work andreside in the state of California. Further details of this work mode will be discussed at the interview stage. The work mode can be changed based on business needs. Visit our Candidate Resourcepage to get meaningful information related to benefits, perks, resources, testing information, hiring process, and more! Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. Relocation does not apply to this position. About Southern California Edison The people at SCE don't just keep the lights on. Our mission is so much bigger. We’re fueling the kind of innovation that’s changing an entire industry, and quite possibly the planet. Join us and create a future with cleaner energy, while providing our customers with the safety and reliability they demand. At SCE, you’ll have a chance to grow personally and professionally, making a real impact in Southern California and around the world. Southern California Edison is a proud Equal Opportunity Employer, including disability and protected veteran status. We are committed to ensuring that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodations at View email address on click.appcast.io or View phone number on click.appcast.io and select option 2. #J-18808-Ljbffr Thomson Reuters Markets Espana SL.
$17 - $18.15 per hour
...Community Hospital, Marion, VA The Opportunity: The Patient Access Associate Specialist plays a critical role in ensuring a seamless and positive... ...accuracy, point-of-service collections, and first-pass claim rates. Serves as the first point of contact for patients onsite...ClaimsWork at officeLocal areaRemote work$20 - $26 per hour
...sustainable businesses and expand our associates’ potential for career advancement... ...oriented and driven Payment Specialist who specializes in ACH, EFT claims, and wire processing to join our... ...on pending claims, and tracking resolution status withing established SLAs....ClaimsFull timeWeekend work$52.54k - $68k
...Senior Revenue Cycle Specialist Hybrid • El Monte - CA 91731 Overview Salary Range... ...Specialists are responsible for problem resolution and payment collection of complex... ...resolve complex billing issues, unpaid claims, and customer complaints, taking all steps...ClaimsFull timeWork at officeFlexible hours3 days per week- Summary of Job Description The Sr. Associate Relations Analyst position is responsible for leading investigations to resolve associate... ...warnings. Effectively prepares and presents investigation findings resolution options to all levels of management. Documents findings into...SuggestedPermanent employmentFull timeLocal area
$24 - $26 per hour
...Responsibilities Follow up on outstanding insurance claims and patient accounts to ensure full resolution and payment. Review and correct accounts with... ...more? Submit your resume today and one of our healthcare recruiting specialists will be in touch! #J-18808-Ljbffr...ClaimsWeekly payContract workMonday to Friday$175k - $210k
...injury attorney who wants more than a traditional associate position. As our first attorney based in Los... ...handling California personal injury claims, understands the progression of a case from intake through resolution, and is comfortable taking ownership of their...ClaimsWork at officeLocal area- ...Job Description Job Description Associate Attorney – Labor & Employment Defense Location... ...to manage cases from inception through resolution, including mediation, arbitration, trial... ...disputes. Evaluate employment claims, assess liability exposure, and develop...ClaimsFull timeSelf employment
- ...candidate will have demonstrated experience working with Epic Resolute, Charge Router, fee schedules, and related master files, along... ...revenue cycle, pricing, charge description/fee schedule development, claims billing, or a directly related field OR Minimum eight (8) years...Claims
- Southern California Edison (SCE) is seeking a Claims Resolution Associate Specialist in California. This hybrid role supports a fast-paced claims organization, handling recovery from third-party damages and providing investigation support. You will contribute to accuracy...Claims
$100k - $150k
...Schwartzberg, LLP is currently seeking an Associate Attorney with 1-5 years of experience.... ...variety of complex professional liability claims, including but not limited to defending... ...litigation claims before FINRA Dispute Resolution and the AAA, and Directors and Officers...ClaimsFull timeWork at office$200k - $300k
SENIOR ASSOCIATE / OF COUNSEL | JOB DESCRIPTIONTHE ROLEOur client is a litigation law firm... ...litigation matters from early assessment through resolution, including pleadings, discovery, motion... ....Develop case strategy, evaluate claims and defenses, assess risk, and recommend...ClaimsContract work$93k - $159k
...positively impacting our business. As an Associate Attorney at Liberty Mutual, you'll join... ...complex civil litigation matters involving claims for monetary damages or compensation for... ...manage cases from inception through resolution, applying your legal knowledge, research...ClaimsFull timeLocal areaRemote workFlexible hours$180k - $260k
...litigation, real estate disputes, contract claims, partnership and shareholder disputes,... ...developments, strategy, budgets, and resolution optionsNegotiate settlements and pursue... ...when appropriateCollaborate with partners, associates, paralegals, experts, and support professionalsMaintain...ClaimsContract workRemote work$180k - $260k
...commercial disputes, breach of contract claims, partnership and shareholder disputes, business... ...litigation budgets, legal strategy, and resolution optionsNegotiate favorable settlements... ...appropriateCollaborate with partners, associates, paralegals, experts, and support...ClaimsContract workRemote work- Southern California Edison is seeking a Claims Resolution Associate Specialist to support claims recovery and investigation for third‑party damages. The role operates in a hybrid environment, with facility days and remote work, and involves data analysis, documentation...ClaimsRemote work
- ...Prepared Meals And Rotisserie Chicken Associate Sam's Club #6614 4901 Santa Anita Ave El Monte, CA 91731-1415 R-230699 Full time Shifts... ...with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise...ClaimsFull timeImmediate startFlexible hoursShift work
- ...Services, performing duties which include reviewing and submitting claims to third party payors, performing account follow-up activities,... ..., concerns, issues, and following up on accounts to ensure resolution. Serves as liaison between CSRC Services and Clinical Departments...ClaimsWork at office
- ...Job Title Revenue Cycle Specialist II Job Description Align yourself with an organization... ...may include reviewing and resubmitting claims to third party payors, performing... ...protocol and assists other team members with resolution of accounts when needed. Demonstrates...ClaimsRemote workShift work
- ...Revenue Cycle Specialist We are looking for an experienced Revenue Cycle... ...smoothly, from accurate claim submission and insurance follow-up to denial resolution, payment posting, patient billing... ...accountability. Preferred Associate degree in Healthcare...ClaimsWork at office
$30 - $40 per hour
...Provider Relations Specialist - El Monte, CA Employment Type: 1099/Independent Contractor... ...contracting efforts for an Independent Practice Association (IPA) in Los Angeles, CA. This 1099/... ...service issues (contract inquiries, claim issues, authorization requests, eligibility...ClaimsHourly payContract workFor contractors- Southern California Edison seeks a Claims Resolution Associate Specialist to support the claims organization in investigating and resolving third-party damages. Based in California, this hybrid role combines office collaboration with remote work options to balance priorities...ClaimsWork at officeRemote work
$60.78k
...Appeals and Grievances (A&G) Specialist II will receive, investigate... .... This position will provide resolution of complaints in compliance with... ..., and complex provider claim disputes. The position is further... ...assigned. Education Required Associate's Degree In lieu of degree, equivalent...ClaimsLocal areaRemote workShift workWeekend work$19.5 per hour
...training pay.Within the first 90 days working at T-Mobile, Mobile Associates receive on-the-job training and are eligible for hourly... ...providing that applicants and T-Mobile will arbitrate certain claims. A link to download and review the full Arbitration Agreement will...ClaimsHourly payFull timeTemporary workPart timeWork experience placementLocal areaFlexible hours- ...and a strong interest in advocating for clients throughout the claims process. This position offers a friendly, collaborative work... ...workers' compensation matters from initial consultation through resolution. Represent TPAs, carriers, and employers in workers'...ClaimsRemote work
- ...and accessing information from the pharmacy system, processing payments, adjudicating claims with third party payers, and assisting pharmacy staff with processing fills. The Associate may also make deliveries to patients’ homes and medical facilities and handles Provider...Claims
- ...are seeking a dynamic and detail-oriented Associate Employment Attorney to join our legal... ...Title VII), retaliation and whistleblower claims, wage-and-hour violations, wrongful... ...and investigation through litigation and resolution-by conducting legal research, drafting persuasive...ClaimsWork at office
- ...Title: Associate Corporate Counsel - Construction and Commercial Contracts Reports to:... ...liquidated damages, termination, dispute resolution, and other risk-allocation provisions.... ...change-order provisions, payment rights, claims procedures, and closeout obligations....ClaimsContract workInternshipWork at officeLocal area
- ...Direct Counsel is seeking a motivated Associate Attorney with 0-4 years of litigation experience... ...matters from inception through resolution with appropriate supervision. Collaborate... ...regular communication with clients, claims professionals, and opposing counsel regarding...ClaimsFull time
- ...in Los Angeles, CA is seeking a Revenue Cycle Specialist to join the Business Office and manage end-to-end billing, from claim submission to payment posting and account... ...has 3+ years in healthcare revenue cycle, Epic Resolute billing experience, and a detail‑oriented approach...ClaimsWork at office
$110k - $165k
...Toxic Tort Associate Goldberg Segalla is a national civil litigation law firm that represents major national... ...business counseling, risk assessment and dispute resolution including representation in various types of claims, controversies and litigation involving personal...ClaimsContract workWork at officeImmediate startFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Resolution Associate Specialist. Be the first to apply!
- social work associate Rosemead, CA
- recruiting associate Rosemead, CA
- design associate Rosemead, CA
- public health associate Rosemead, CA
- delivery associate Rosemead, CA
- radiology associates Rosemead, CA
- gym associate Rosemead, CA
- social impact associate Rosemead, CA
- drug safety associate Rosemead, CA
- safety associate Rosemead, CA




