Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Provider Claims Specialist I: Resolve High-Dollar Claims

IEHP

Join IEHP as a Claims Specialist I - Provider Claims, responsible for evaluating and processing institutional and professional medical claims under the direction of the Provider Claims Resolution & Recovery Supervisor. Your role includes resolving provider disputes, issuing resolution letters, and processing adjustment requests efficiently to comply with regulations. We value your dedication to improving our Member's experience and offer numerous perks, including competitive salary, medical #J-18808-Ljbffr IEHP

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Provider Claims Specialist I: Resolve High-Dollar Claims in Rancho Cucamonga, CA vacancy
  • $25.9 - $33.02 per hour

     ...! Under the direction of the Provider Claims Resolution & Recovery Supervisor, the Claims Specialist I - Provider Claims is responsible...  ...for evaluating professional, high dollar and outpatient/inpatient...  ...Responsible for evaluating and resolving provider disputes & appeals,... 
    Suggested
    Hourly pay
    Contract work
    Temporary work
    Work at office
    Flexible hours

    IEHP

    Rancho Cucamonga, CA
    2 days ago
  • $27.43 - $35.66 per hour

     ...from a “job” opportunity to an authentic experience! The Claims Specialist II - Provider Claims is responsible for fulfilling the technical support...  ...experience and prior experience in a lead role preferred High school degree or GED required Key Qualifications Understanding... 
    Suggested
    Hourly pay
    Temporary work
    Work at office

    IEHP

    Rancho Cucamonga, CA
    1 day ago
  • IEHP is seeking a Claims Specialist II - Provider Claims to support appeals, provider disputes, and call center tasks in a fast-paced managed care setting. You will perform complex claim adjustments, root cause analysis, and cross-train staff while ensuring accuracy and... 
    Suggested

    IEHP

    Rancho Cucamonga, CA
    1 day ago
  • CorVel is a national provider of risk management solutions for workers' compensation, auto...  ...management. The Senior Liability Claims Specialist will manage mid to complex Auto and General...  ...claimants, and collaborate with teams to resolve #J-18808-Ljbffr CorVel Corporation
    Suggested
    Remote job

    CorVel Corporation

    Rancho Cucamonga, CA
    2 days ago
  • The Senior Liability Claims Specialist managesmid to complexAuto and/or General Liability claims...  ...handling General Liability claims, including high exposure and/or litigated claims Two (2...  ...Place to Work® Company, is a national provider of industry-leading risk management... 
    Suggested
    Minimum wage
    Full time
    Work at office
    Local area
    Remote work
    Flexible hours

    CorVel

    Rancho Cucamonga, CA
    2 days ago
  • $61.86k - $108.2k

     ...when the unexpected happens to their homes and providing the best customer experience, then our Mercury Insurance Property Claims team could be the place for you! Upon...  ...location. Responsibilities Investigate and resolve Homeowners claims of minor to moderate complexity... 
    Seasonal work
    Local area
    Flexible hours

    Mercury Insurance Services, LLC

    Rancho Cucamonga, CA
    10 hours ago
  •  ...Job Description Bodily Injury Claims Adjuster Remote | Multiple...  ...Bonus We are seeking a highly skilled and detail-oriented...  ...evaluating, negotiating, and resolving bodily injury claims while ensuring...  ..., attorneys, medical providers, and other involved parties to... 
    Full time
    Work at office
    Remote work
    Relocation package
    Monday to Friday

    Aspire General Insurance Company

    Rancho Cucamonga, CA
    3 days ago
  •  ...opportunities, our goal is to provide a unique experience for...  ...'s departments to help resolve provider, member and...  ..., capitation, claims and quality reports Liaise...  ...Primary Care Physicians, Specialists, BHS's and Vision...  ...California Driver's license and high school diploma 3+... 
    Contract work
    For contractors
    Work at office
    Local area
    Immediate start

    Kore1

    Rancho Cucamonga, CA
    2 days ago
  •  ...Logistics is seeking a Workers' Compensation Claims Specialist to join our growing Claims Department....  ...within the Claims Department to provide a more consistent employee experience,...  ...partnering with multiple departments to resolve employee issues and operational challenges... 
    Temporary work

    The Home Depot

    Pomona, CA
    5 days ago
  • CorVel, a national risk-management solutions provider, seeks a Senior Workers’ Compensation Claims Specialist to manage complex claims, coordinate with case managers and attorneys, and oversee subrogation and settlements. You will ensure the best outcomes while meeting... 
    Remote job

    Ultipro

    Rancho Cucamonga, CA
    2 days ago
  •  ...Description Senior Bodily Injury Claims Adjuster Remote | Multiple...  ...evaluating, negotiating, and resolving attorney-represented bodily...  ...to effectively manage a high-volume caseload while ensuring...  ...claimants, attorneys, medical providers, and other stakeholders Request... 
    Work at office
    Remote work
    Monday to Friday

    Aspire General Insurance Company

    Rancho Cucamonga, CA
    16 days ago
  •  ...recruiting firm is looking for a Contract Medical Provider Services Representative to join a large healthcare...  ...orientation for providers, acting as a liaison to resolve concerns, and interpreting eligibility and claims information. Candidates should have over 3 years of... 
    Contract work
    Work at office

    Kore1

    Rancho Cucamonga, CA
    2 days ago
  • $25.48 - $41.09 per hour

     ...Job Description Job Description The Liability Claims Specialist manages non-complex and non-problematic Liability claims under direct...  ...CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the... 
    Hourly pay
    Minimum wage
    Full time
    Work at office
    Local area
    Remote work
    Flexible hours

    CorVel Enterprise Claims, Inc.

    Rancho Cucamonga, CA
    14 days ago
  • $25.48 - $41.09 per hour

     ...Job Description Job Description The Workers’ Compensation Claims Specialist floater manages within company best practices lower-level,...  ...CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the... 
    Hourly pay
    Minimum wage
    Full time
    Work at office
    Local area
    Remote work
    Flexible hours

    CorVel Enterprise Claims, Inc.

    Rancho Cucamonga, CA
    2 days ago
  •  ...vehicles for first and third party claims; complete detailed summary of...  ...to customer inquiries; provide complete, courteous and timely...  ...Will assist MD leadership in resolving the complex and difficult...  ...# The office is that of a highly technical company supporting... 
    Work experience placement
    Work at office

    Aspire General Insurance Company

    Rancho Cucamonga, CA
    a month ago
  • $57.1k - $116.1k

    ADP is hiring a Claims Lead Examiner. RESPONSIBILITIES Assist Claims...  .../PEO structure. Review and resolve complaints raised by exterior...  ...processes to correct. Review and provide concurrence to T.P.A. for reserves...  ...yourself to deal with a high volume of inbound calls and emails... 
    Remote job
    Temporary work
    Work at office
    Local area

    ADP

    San Dimas, CA
    2 days ago
  • $16.74 - $26.92 per hour

     ...Job Description The Workers’ Compensation Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims...  ...CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers... 
    Hourly pay
    Minimum wage
    Full time
    Work at office
    Local area
    Remote work
    Flexible hours

    CorVel Enterprise Claims, Inc.

    Rancho Cucamonga, CA
    a month ago
  • $29.35 - $47.28 per hour

     ...Job Description Job Description The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards...  ...certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the... 
    Hourly pay
    Minimum wage
    Full time
    Local area
    Remote work
    Flexible hours

    CorVel Enterprise Claims, Inc.

    Rancho Cucamonga, CA
    12 days ago
  •  ...Claims Examiner Seeking a Claims Examiner to analyze complex or technically difficult...  ...to determine benefits due; to work with high exposure claims involving litigation and...  ...circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy... 
    Full time
    Work at office

    Synectics

    Ontario, CA
    1 day ago
  • $25 - $30 per hour

     ...We're looking for a detail-oriented Claims Investigator to support the fair, accurate,...  ...evidence, interview involved parties, and provide clear, well-documented findings that support...  ...calm and professional in sensitive or high-stress situations ~ Experience reviewing... 

    Rebel Convenience Stores

    Upland, CA
    2 days ago
  •  ...Our client is seeking an experienced Claims Examiner to independently manage a full‑cycle...  ...sound judgment, and the ability to handle highly complex indemnity claims within...  ...with clients, claimants, attorneys, medical providers, and internal stakeholders. Consistent, reliable... 
    Work at office

    TEEMA Group

    Chino, CA
    2 days ago
  • CorVel is seeking a Liability Claims Specialist to manage non-complex medical and minor liability claims under supervision, ensuring optimal outcomes for CorVel and our clients. This is a remote role with responsibilities from intake to reserving and client communication... 
    Remote job

    CorVel Corporation

    Rancho Cucamonga, CA
    10 hours ago
  •  ...Job Title: Claims Examiner - Workers Compensation Location (On-site, Remote, or Hybrid?): Rancho Cucamonga, CA (Remote) Contract...  ...workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to... 
    Contract work
    Remote work

    Techlink Systems Inc.

    Rancho Cucamonga, CA
    1 day ago
  •  ...evaluates and manages liability, property, auto, general liability claims, and employment claims in compliance with state regulations....  ...legal hearings, settlement conferences, and mediations to provide testimony and monitor proceedings. Maintains claims files and... 

    Pavement Recycling Systems

    Jurupa Valley, CA
    23 hours ago
  • Sedgwick is seeking a Claims Adjuster for Workers Compensation in Ontario, CA. This role analyzes mid- to high-level workers comp claims, determines benefits, and guides adjudication within company standards and best practices. Responsibilities include managing claims... 

    Sedgwick

    Ontario, CA
    10 hours ago
  • $80k - $98k

     ...Services & Insurance Workers Compensation Claims Examiner | Ontario, California Are you...  ...combination of education and experience required. High School Diploma or GED required. Bachelor'...  ...on day one. As required by law, Sedgwick provides a reasonable range of compensation for... 
    Work at office
    Remote work
    Flexible hours

    Sedgwick Claims Management Services Ltd

    Ontario, CA
    10 hours ago
  • CorVel is seeking a Workers’ Compensation Claims Specialist to manage low-complexity WC claims under supervision, supporting a claims team. The role is remote and requires strong written and verbal communication, plus Excel proficiency. The candidate should have a Bachelor... 
    Remote job

    CorVel Corporation

    Rancho Cucamonga, CA
    2 days ago
  • $21 - $24 per hour

     ...regarding outstanding hospital claims Perform collections and...  ...other internal departments to resolve claim discrepancies Accurately...  ...organizational skills ~ High School Diploma or GED required...  .... Pyramid Consulting, Inc. provides equal employment opportunities... 
    Contract work
    Work at office
    Local area
    Immediate start

    Pyramid Consulting

    Pomona, CA
    3 days ago
  • A leading claims adjusting firm in California is looking for Licensed Claims Adjusters to join their team. This role offers a dynamic...  ...candidates will have experience handling multiple claims. This position provides flexibility, autonomy, and opportunities for advancement in a... 

    MileHigh Adjusters Houston

    Rancho Cucamonga, CA
    23 hours ago
  • $24.33 - $27.74 per hour

     ...than 360 outpatient locations in 15 states providing more than 3.0million patient visits...  ...information remains current, and addressing claim inquiries, benefit questions, and member...  ...Qualifications Required qualifications: High School Graduate or a degree in healthcare... 
    Full time
    Contract work
    Work at office
    Local area
    Shift work

    Prime Healthcare

    Ontario, CA
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Provider Claims Specialist I: Resolve High-Dollar Claims. Be the first to apply!