Senior Claims Examiner & Adjudication Specialist
$14.9 - $29.06 per hourMolina Healthcare of Illinois
Molina Healthcare in California seeks a Senior Claims Examiner to provide support for claims examination, focusing on evaluating claims for coding errors and fraud. You will manage a caseload and ensure compliance with state and federal regulations while maintaining meticulous records. The ideal candidate has 2+ years in claims or customer service, strong organizational and communication skills, and proficiency in Microsoft Office. A competitive pay range of $14.90 - $29.06 per hour is offered. #J-18808-Ljbffr
$80k - $100k
A leading insurance intermediary is seeking a Senior Claims Examiner to manage and analyze reinsurance claims, ensuring accurate reporting and compliance with treaty agreements. This remote role requires a Bachelor's degree and at least 5 years of multi-lines claims handling...SeniorRemote work$80k - $100k
Senior Claims Examiner page is loaded## Senior Claims Examinerremote type: Remotelocations: Remote - UStime type: Full timeposted on: Posted 2 Days Agojob requisition id: JR104693Oversees the management and analysis of reinsurance claims, including complex and high value...SeniorHourly payLocal areaRemote work$42 - $55 per hour
A staffing agency is seeking an experienced Senior Workers’ Compensation Claims Examiner to manage complex claims in California. You will handle high-exposure cases independently and negotiate settlements effectively. The ideal candidate has 5+ years of experience in California...SeniorRemote jobHourly pay$30.38 - $36.46 per hour
A healthcare insurance provider in California is seeking a Claims Examiner II to review and resolve Medi-Cal claims. This role demands at least one year of relevant experience in claims examining or Medi-Cal billing within an automated environment. Candidates should possess...SeniorHourly pay- A leading claims management firm is seeking a full-time Bilingual Senior Claims Examiner to handle workers' compensation claims in Southern California. This role allows for a hybrid work schedule, with specific in-office requirements. Applicants must be fluent in Spanish...SeniorRemote jobFull timeWork at office
- Athens Administrators in California is seeking a full-time Bilingual Senior Claims Examiner to support workers' compensation offices. Responsibilities include managing claims from inception through settlement, ensuring timely processing, and directing medical treatment...SeniorRemote jobFull timeWork at office1 day per week
- About the job Senior/Principal Permitting Specialist Location: All Offices or Remote Summary Interfaces with all levels of various staff to direct regulatory permit and other required processes as related to federal and state wetlands and/or endangered species permitting...SeniorWork at officeLocal areaRemote work
$65.8k - $130.8k
...reach people experiencing homelessness. Read more about us at venicefamilyclinic.org Make a difference in the community as a Senior Program Specialist with our HIV Services Program. This key role provides senior-level operational oversight, program leadership, and subject...SeniorContract work- Athens Administrators is seeking a full-time Senior Claims Examiner located in Southern California. Responsibilities include adjusting and managing workers' compensation claims, ensuring timely processing, and negotiating settlements. Candidates should have at least 3...SeniorRemote jobFull timeWork at office
$6,043 - $7,351 per month
A state education agency is seeking a Behavioral Health Specialist V for the Hana-Lahainaluna-Lanai-Molokai Complex Area. This role involves overseeing behavioral health services, monitoring staff performance, and ensuring compliance with laws and standards. Candidates...Senior- Athens Administrators has an immediate need for a full-time Bilingual Senior Claims Examiner to support our workers compensation offices and can be located anywhere in Southern California, however, employees who live less than 26 miles from the Orange, CA offices are required...SeniorFull timeWork at officeLocal areaImmediate startRemote workMonday to FridayFlexible hours1 day per week
- The County of Riverside is seeking a Behavioral Health Specialist IV to support client treatment services in Riverside. Responsibilities include collaborating with professionals, assisting clients in accessing resources, and developing substance abuse education programs...Senior
- ...Syneos Health/ inVentiv Health Commercial LLC seeks a Senior Project Specialist, primarily overseeing real-world evidence projects. This remote role is ideal for candidates experienced in RWE programs with strong coordination and communication skills. Responsibilities...SeniorRemote work
- ...Senior ABM Specialist - Remote Work (USA): At BairesDev, we've been leading the way in technology projects for over 15 years. We deliver cutting-edge solutions to giants like Google and the most innovative startups in Silicon Valley. Our diverse 4,000+ team, composed of...SeniorRemote workWork from homeWorldwideRelocation packageFlexible hours
$90k - $115k
Our client is seeking to add a Senior Workers' Compensation Claims Examiner to their California operations. This role will consist of handling moderate to complex Workers’ Compensation Lost Time claims throughout the state of California from inception to close. Qualified...SeniorWork from home- A technology solutions provider is seeking a Senior Technical Specialist in California to focus on ETL development, specifically with Informatica PowerCenter and SAP data integration. The role involves leading support teams, monitoring ETL job performance, and mentoring...Senior
$130k - $160k
United Therapeutics Corporation is seeking an Advanced Lung Disease (ALD) Specialist with a focus on the territory covering Palo Alto, CA. The role demands a driven pharmaceutical sales professional who can navigate specialty markets and build relationships with pulmonologists...SeniorRemote job$50 - $60 per hour
...seeking to add a Sr. Workers Compensation Claims Adjuster to their California team. This... ...schedule and ability to work remotely Seniority level Seniority level Mid-Senior level Employment... ...job alerts for “Workers' Compensation Specialist” roles. Administrative Assistant, Human...SeniorRemote jobPermanent employmentContract workTemporary workFlexible hours- The City of Long Beach's Economic Development Department is seeking a Community Program Specialist III (Business Engagement Specialist) to enhance local employer relationships and support workforce innovation initiatives. This role is pivotal in conducting business needs...SeniorLocal area
$55.8k
...Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best... ...& Forster, please visit our website: Job Description Examines claims data and conducts investigations into routine and moderately...SeniorWork at officeRemote work$54.79 - $72.3 per hour
UCLA Health in California is seeking a Senior MRI Technologist to perform basic and complex MR imaging procedures as well as post-processing responsibilities. You will be responsible for demonstrating advanced imaging techniques across various applications and supporting...SeniorHourly payFull time$70 - $80 per hour
Bayside Solutions is seeking a Reimbursement Specialist to serve as a vital connection between life-changing therapies and patients. This role involves investigating complex insurance coverage, managing Prior Authorizations, and serving as a point of contact for updates...SeniorHourly payContract work- Sunrun Inc. is seeking a Customer Success Manager in California to oversee customer escalations and enhance satisfaction. The ideal candidate will have over 5 years of experience, preferably in customer success or project management, and possess strong knowledge of escalation...Senior
- Position Summary: Oversees employees and directs operations of the hearing center. Participates in licensed hearing aid dispenser duties. Provides a high level of member service. For additional information about pay ranges, click here. We offer a comprehensive package of...SeniorTemporary work
$47.83k - $79.72k
Stewart Title is seeking an Escrow Officer in California, MO, who will provide escrow services for various real estate transactions. Responsibilities include managing escrow accounts, facilitating closings while ensuring adherence to company policies, and providing high...Senior$68.48k - $115.49k
PURPOSE OF THE JOB The Senior Claims Examiner handles moderate to complex claims with a focus on providing the highest level of service for policyholders and ICW Group to independently bring claims to an equitable conclusion within Company standards and best practice guidelines...SeniorFull timeWork at officeLocal area$70 - $80 per hour
W2 Contract Pay Rate: $70 - $80 per hour Job Summary As a Reimbursement Specialist (RS), you are the critical link between our life-changing therapies and the patients who need them. You will lead the investigation of complex insurance coverage across both Major Medical...SeniorHourly payContract work- A local county office is seeking a qualified Legal Office Specialist to provide complex and confidential clerical services in legal settings. Responsibilities include preparing legal correspondence, maintaining legal records, and assisting in complex legal tasks. Ideal...SeniorWork at officeLocal area
- A correctional health organization is seeking a Senior Psychologist for a crucial role at High Desert State Prison in California. The position requires a valid California Psychology license and a Doctorate in Psychology. The Senior Psychologist will provide expert consultation...SeniorFull time
- A leading engineering firm is seeking a Senior Managing Accident Reconstructionist to lead investigations into vehicular accidents. This role requires extensive experience in forensic accident reconstruction, team leadership, and expertise in crash analysis. The ideal...SeniorRemote job
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