Senior Claims Adjudicator - Lead, Mentor & Process Expert
Loma Linda University Health
Loma Linda University Health seeks a Senior Claims Adjudicator to mentor Claims Adjudicators and process HMO Risk claims per contract provisions. Candidates should have a minimum of five years of experience in managed care claims processing and a valid California Driver's License upon hiring. This position requires extensive knowledge of medical billing, HMO claims, and the ability to communicate effectively. The ideal candidate will be able to handle multiple assignments under pressure and maintain a high level of detail. #J-18808-Ljbffr Loma Linda University Health
- ...Coast Health Plan is seeking a dedicated individual to manage complex provider disputes and claims adjustments. This role requires a minimum of 5 years' experience in claims processing and a strong understanding of provider dispute resolution regulations. The successful...SeniorClaims
- ...commercial transactions. This role requires exceptional customer service and proactive communication with clients during the closing process. The ideal candidate will have at least 8 years of related work experience, a high school diploma (Bachelor's preferred), and...SeniorWork experience placement
- ...risk management team. This role includes managing insurance and claims, ensuring compliance with regulations, and fostering a safe... ...staff, conducting performance evaluations, and managing claims processes efficiently. Strong leadership skills and knowledge of laws are...SeniorClaims
- Department UHC: Managed Care Job Summary The Claims Adjudicator Sr is responsible mentoring and training Claims Adjudicators. The Lead will also analyze and process professional and hospital HMO Risk claims in accordance with the managed care contract provisions in an...SeniorClaimsContract workWork at office
$30 - $38 per hour
...compliance with accounting standards. The ideal candidate will have a strong background in accounts payable and enjoy leading teams to improve processes and resolve complex issues. This position offers a competitive pay rate of $30.00 to $38.00 per hour and...SuggestedHourly pay- ...Insurance Group. As one of the leading commercial... ...design, loss control and claim services has made National... ...looking for a Workers Comp Senior Claims Specialist to... ...skills. Demonstrates expert knowledge of insurance... ...ranges during the hiring process. Learn more at seasonal...SeniorClaimsFull timePart timeSeasonal workLive outWork at officeRemote work
$136.89k - $182.45k
CSAA Insurance Group is seeking a Process Manager for their Commercial Casualty Claims department. This remote role involves implementing the enterprise vision and managing department operations, budgets and staff performance. The ideal candidate will have over 10 years...ClaimsRemote job$130.26k - $200k
Penumbra, Inc. is seeking an OA&A Process Excellence Principal in California to provide senior-level technical and strategic leadership in Operations analytics. This role involves guiding enterprise data strategies and ensuring optimal execution of operations analytics...Senior$45.39k - $88.51k
Molina Healthcare in California is seeking a Claims Supervisor to lead the claims activities team. Responsibilities include supervising claims processing, managing team performance, and analyzing claims reports to improve efficiency. Ideal candidates will have over 5 years...SeniorClaims- Sedgwick Claims Management Services Ltd is seeking a Claims Team Lead for Workers Compensation in West Hills, CA. This hybrid role requires overseeing teams handling complex claims, providing technical guidance, and ensuring quality standards. The ideal candidate will...SeniorClaims
- A public entity in California is looking for a Senior Risk Control Specialist to manage their risk control program. This full-time position... ...vendor services, identifying trends, and collaborating with claim management for loss control design. Candidates must reside in California...SeniorClaimsRemote jobFull time
- A leading insurance provider is seeking a Lead General Adjuster - Field located in Southern California. This role involves evaluating large property claims, ensuring proper documentation, and communicating effectively with clients. The ideal candidate should have over 1...SeniorClaims
- - Senior Accounting Expert - F500 - Mercor# Senior Accounting Expert - F500## Job DescriptionAbout The... ...creative and technical talent with leading AI research labs. Headquartered in San... ...weekly via Stripe ConnectApplication Process (Takes 20-30 mins to complete)* Upload...SeniorHourly payWeekly payFor contractorsSummer work
- A state government agency is seeking a Senior Accounting Officer (Supervisor) to oversee Claims Processing and Benefit Payment Control. This role entails leadership, managing staff, and ensuring the integrity of the Unemployment Insurance Trust Fund. Candidates must have...SeniorClaims
- ...Job Description Title: Senior Property Adjuster... ...Adjusting Reports To: Claims Manager Status: Regular... ...the claimant and from experts such as architects, engineers... ..., procedures, and processes in preparing information... ...to understand claims adjudication process with sound...SeniorClaimsFull timeWork at officeNight shiftWeekend workAfternoon shift
$115k - $145k
AECOM is seeking a Federal Project BIM Coordinator based in California. This position demands a Revit Technical Expert responsible for managing BIM processes, providing training, and enhancing project delivery. The ideal candidate should have a Bachelor’s degree and a minimum...$43.47 - $54.34 per hour
Stanford Medicine Children's Health is looking for a Payroll Lead to ensure accurate payroll operations and provide leadership within payroll processing. This role involves mentoring staff and managing audits while serving as a point of escalation for payroll issues. The...Hourly pay$33 - $39 per hour
...examination, investigation and settlement or declination of insurance claims through effective research, negotiation and interaction with... ...resources are utilized in a cost effective manner in the process. Those within a 50-mile radius of an AmTrust office will be expected...ClaimsFlexible hours$142k - $213k
A health care organization is seeking a Senior Manager, Operations - Applications & Analytics to lead claims-related services. This role involves overseeing processing, auditing, and improvement initiatives while ensuring compliance and satisfaction. Candidates should have...SeniorClaims- The California Department of Social Services is seeking a Senior Administrative Law Judge to conduct hearings and issue decisions in... ...Join us in ensuring fair and effective resolution of cases while leading training initiatives! #J-18808-Ljbffr California Department of...SeniorPermanent employmentFull time
- Dormont Manufacturing Co in California is seeking a Process Technician who will support semiconductor manufacturing by preparing wafers and operating thin-film reactors. The ideal candidate will have a Technical Diploma and 4-7 years of relevant experience. Responsibilities...Senior
$85k - $95k
A global quality assurance firm seeks a Senior Process Engineer in California to enhance organizational efficiency by implementing continuous improvement initiatives. Key responsibilities include project planning, auditing processes, and collaborating with cross-functional...Senior$30 per hour
Noble Exteriors in California is seeking a Senior Bookkeeper / Administration to manage bookkeeping tasks and provide administrative support. The ideal candidate should have at least 5 years of experience in bookkeeping, advanced proficiency in QuickBooks, and a strong...SeniorHourly payFull time$85k - $100k
A leading claims management company is seeking a Temporary Workers Compensation Claims Adjuster III to manage complex claims remotely. The... ...partnerships to maximize returns, and oversee all claims processes. This position prioritizes collaborative support and provides...SeniorClaimsRemote jobTemporary work- Dormont Manufacturing Co is looking for a Process Engineer to design and optimize manufacturing processes for semiconductor technology. The role demands 7-10 years of experience and a degree in a related field. You will engage in complex data analysis, technical documentation...Senior
- A leading quality assurance firm seeks a Senior Process Engineer to enhance organizational efficiency through continuous improvement initiatives. Responsibilities include program planning, process control, and compliance with international quality standards. Candidates...Senior
- Repligen Corp is seeking a Senior Manager, Process & Manufacturing Engineering to provide strategic and technical leadership at the Rancho Dominguez facility. This role involves leading a multidisciplinary engineering team responsible for manufacturing support, process...Senior
- A leading space technology firm is seeking a Senior Software Engineer to develop and enhance processing pipelines for radar algorithms. This key role involves creating robust software solutions and maintaining production-level services crucial for satellite operations....Senior
- ...on building intelligent financial workflows and automating claim processing. Candidates should have extensive software development experience... ...solutions and contribute to technical improvements, all while mentoring fellow engineers. #J-18808-Ljbffr COMMURE IncorporatedSeniorClaims
- One80 Intermediaries Inc. seeks a Senior Claim Data Analyst to lead analytics initiatives across various insurance claims. This role includes responsibilities such as overseeing junior analysts, analyzing claim data for trends, and developing performance monitoring dashboards...SeniorClaimsRemote job
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