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

Claims Resolution Lead: Complex Adjustments & Disputes

$78.5k - $163.6k

Academy of Managed Care Pharmacy

The Academy of Managed Care Pharmacy seeks a Claims Resolution and Reconciliation Supervisor in Los Angeles, California. This role focuses on overseeing complex claims adjustments and supervising staff to ensure compliance with DMHC and CMS requirements. Applicants should have a strong background in medical claims processing and possess leadership skills, with a minimum of 5 years of experience in managed care environments. The position offers a competitive annual salary ranging from $78,500 to $163,600. #J-18808-Ljbffr Academy of Managed Care Pharmacy

Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Claims Resolution Lead: Complex Adjustments & Disputes in Los Angeles, CA vacancy
  • UCLA Health is seeking a Claims Resolution and Reconciliation Supervisor based in Los Angeles, California. This role involves...  ..., and ensuring compliant and timely processing of complex claims adjustments and disputes. The ideal candidate will have a Bachelor's degree and... 
    Claims

    UCLA Health

    Los Angeles, CA
    5 days ago
  • $78.5k - $163.6k

    UCLA Outpatient Clinics is seeking a Claims Resolution and Reconciliation Supervisor in Los Angeles. This role involves overseeing...  ...ensuring accurate, timely, and compliant processing of claims adjustments and disputes. The Supervisor will manage a team and monitor... 
    Claims

    UCLA Outpatient Clinics

    Los Angeles, CA
    4 days ago
  • Direct Jobs in Los Angeles is seeking a Claims Resolution and Reconciliation Supervisor to manage daily claims resolution operations. This position directs staff, ensuring compliance with regulatory standards and effective claims processing. The ideal candidate will have... 
    Claims

    Direct Jobs

    Los Angeles, CA
    5 days ago
  •  ...is seeking an experienced Workers’ Compensation Claims Adjuster to join their claims team in Los Angeles, California. This role involves managing complex workers’ compensation claims from initial filing through resolution, ensuring fair outcomes while complying with state... 
    Claims

    The Jonus Group

    Los Angeles, CA
    4 days ago
  • American Family Insurance Agency Staff is looking for a Lead Level Claims Adjuster to investigate and manage complex property claims in California. This role requires professionals to demonstrate extensive experience with various claim types and handle up to 75% catastrophe... 
    Claims

    American Family Insurance Agency Staff

    Los Angeles, CA
    5 days ago
  • $154.7k - $225k

     ...Assurance / Risk Management / Dispute Resolution Manager At Jacobs, we're...  ...County. In this departmental lead role, you’ll play a pivotal...  ...ensure timely administration of claims Claims reporting and...  ...further support or reasonable adjustments with regards to the recruitment... 
    Claims
    Full time
    Contract work

    Jacobs Engineering Group Inc.

    Santa Monica, CA
    5 days ago
  • A leading insurance administration firm seeks a General Adjuster in Los Angeles to investigate claims for personal and property losses. Responsibilities include negotiating settlements...  ...detailed reports, and managing complex cases. Candidates should possess a Bachelor... 
    Claims

    Sedgwick

    Los Angeles, CA
    1 day ago
  • $150k - $180k

     ...Insurance Recruiting Specialists is seeking a Senior Commercial General Liability Claims Adjuster in Los Angeles, California. This full-time position requires 7+ years of experience handling complex Commercial Casualty claims. The ideal candidate will manage high-exposure... 
    Claims
    Full time

    TheBestIRS

    Los Angeles, CA
    1 day ago
  • Allstate Insurance Company is looking for a Large Loss Contents Property Adjuster in Los Angeles, California. In this role, you will manage complex claims, collaborate with customers, and use innovative technology to assess damages accurately. The ideal candidate will have... 
    Claims
    Remote job

    Allstate Insurance Company

    Los Angeles, CA
    3 days ago
  • $80k - $100k

     ...Senior Claims Adjuster Los Angeles, CA | Onsite |Claims Knight Insurance Group is a specialty...  ...responsible for handling moderate to complex commercial auto claims, including...  ...claims from initial assignment through resolution Oversee commercial auto liability claims... 
    Claims
    Work at office
    Flexible hours

    Hankey Group External

    Los Angeles, CA
    7 days ago
  •  ...Quality Assurance / Risk Management / Dispute Resolution Manager in Santa Monica, CA. This integral...  ...0 years of construction experience and lead comprehensive risk management efforts....  ...'s degree and proven expertise in claims management and risk resolution. Benefits... 
    Claims

    Jacobs Engineering Group Inc.

    Santa Monica, CA
    5 days ago
  •  ...Services is seeking a Lead Project Cost Estimator...  ...or rejection of cost adjustments. Prepare and review independent...  ...negotiations and claim evaluations. Review...  ...for major and complex Type I, II, III, and V...  ...contractor claims and dispute resolution matters. Professional... 
    Claims
    Full time
    For contractors
    Work at office
    Local area
    Immediate start

    Padcomdcm

    Los Angeles, CA
    1 day ago
  • $78.5k - $163.6k

    Description The Claims Resolution and Reconciliation Supervisor oversees daily claims resolution operations, ensuring timely, accurate, and compliant processing of complex claims adjustments, provider disputes, appeals, and grievances. This role provides direct supervision... 
    Claims

    UCLA Outpatient Clinics

    Los Angeles, CA
    4 days ago
  • The University of California - Los Angeles Health is seeking a Claims Resolution and Reconciliation Supervisor responsible for overseeing daily claims resolution operations. This role involves ensuring compliance with regulatory standards and providing direct supervision... 
    Claims

    University of California

    Los Angeles, CA
    3 days ago
  •  ...Team Leader in Los Angeles, CA, to manage a team of adjusters. The role includes leading claims processing and providing exceptional service to agents. You will oversee performance and conflict resolution on complex claims while developing your team. This position requires... 
    Claims
    Remote job

    Allstate Insurance Company

    Los Angeles, CA
    5 days ago
  • $86k - $101.5k

     ...Garage Bodily Injury Claims Adjuster Argo Group is an underwriter...  ...claims of higher technical complexity with a direct impact on departmental...  ...outcome and timely resolution. Properly setting claim...  ...resolving claims settlement disputes (e.g. arbitration and mediation... 
    Claims
    Local area

    Argo Group

    Los Angeles, CA
    5 days ago
  • $51.37k - $86.68k

     ...The Opportunity As a dedicated Claims Auto Adjuster - Non-Injury you will proactively handle...  ..., responsible to adjust moderately complex auto insurance claims presented by or...  ...business partners to facilitate claims resolution. Supports members, business partners... 
    Claims
    H1b
    Work at office
    Remote work
    Relocation package
    Flexible hours
    Afternoon shift
    3 days per week

    USAA

    Glendale, CA
    5 days ago
  • Intercare Holdings Insurance Services in Glendale is seeking an experienced Workers Compensation Claims Adjuster to join our dynamic team. The ideal candidate will ensure exceptional claim handling and adhere to company standards. You will provide coaching to team members... 
    Claims

    Intercare Holdings Insurance Services

    Glendale, CA
    1 day ago
  • $35 - $40 per hour

     ...surrounding areas. We are seeking a skilled and motivated Independent Claims Adjuster to join our Southern California team, servicing Los Angeles...  ...trucking insurance claims from initial loss to final resolution. This is a remote field-based role requiring on-site... 
    Claims
    Hourly pay
    Remote work

    Schifrin, Gagnon, & Dickey, Inc. (SGD, Inc.)

    Los Angeles, CA
    4 days ago
  • $160k - $185k

     ...Health Pivotal Health is the leading technology platform that...  ...paid fairly in an increasingly complex reimbursement landscape. Today...  ...like IDR (Independent Dispute Resolution) were designed to promote fairness...  ...dispute underpaid claims, reduce administrative burden... 
    Claims
    Remote work
    Flexible hours

    Pivotal Health

    Los Angeles, CA
    2 days ago
  • $17 per hour

     ...over insurance denials, ensuring prompt resolution and securing payments for all stakeholders...  ...conversations to untangle the complexities of denial issues Adhere meticulously...  ...secrets of insurance eligibility, correcting claim denials with superhero finesse, and engaging... 
    Claims
    Work at office
    Remote work
    Work from home
    Flexible hours

    RSI

    Glendale, CA
    1 day ago
  • A leading health insurance provider in Los Angeles is seeking a Senior Manager for Claims Adjustments. This role involves managing operational workflows, ensuring compliance, and leading a team of analysts. The ideal candidate has extensive experience in claims management... 
    Claims

    L.A. Care Health Plan

    Los Angeles, CA
    1 day ago
  •  ...this attorney’s direction where case complexity requires. Serve as mentor to developing...  ...team environment with other attorneys, adjusters, claims professionals and support staff....  ...Hanover’s insureds in workers’ compensation disputes. Negotiation Skills: Strong ability... 
    Claims
    Temporary work
    Work at office
    Local area
    Immediate start
    Remote work
    Work from home
    Shift work

    Hanover Insurance Group, Inc.

    Glendale, CA
    5 days ago
  • $45 - $50 per hour

    Job Description Our client, a leading national insurance carrier,...  ...Workers’ Compensation Claims Adjuster to join their claims team. This...  ...for managing a caseload of complex workers’ compensation claims...  ...from initial filing through resolution, ensuring timely and fair claim... 
    Claims
    Remote job
    Temporary work

    The Jonus Group

    Los Angeles, CA
    4 days ago
  •  ...A leading claims adjusting firm is seeking Independent Insurance Claims Adjusters in California. This opportunity involves assisting clients through the claims process after disasters. Ideal candidates will be licensed adjusters with experience handling multiple claims... 
    Claims

    MileHigh Adjusters Houston

    Compton, CA
    5 days ago
  • $25 - $27 per hour

     ...Lead Medical Biller Skilled Wound Care is looking for a Lead...  ...expertise in the end-to-end claims lifecycle, ensuring maximum revenue...  ...team performance, resolving complex billing issues, and upholding...  ...productivity. Issue Resolution: Proactively identify, report... 
    Claims
    Work experience placement
    Work at office

    Skilled Wound Care

    Los Angeles, CA
    1 day ago
  •  ...A leading claims adjusting firm is seeking Independent Insurance Claims Adjusters due to increased demand in storm recovery. The role offers comprehensive training, flexibility, and competitive compensation. Candidates should be Licensed Claims Adjusters with prior experience... 
    Claims

    MileHigh Adjusters Houston

    Santa Fe Springs, CA
    5 days ago
  •  ...A leading claims adjustment firm in California is seeking Independent Insurance Claims Adjusters. This role offers flexibility and autonomy while you assist clients in recovering from disasters. The company provides comprehensive training for newcomers and experienced... 
    Claims

    MileHigh Adjusters Houston

    Inglewood, CA
    5 days ago
  •  ...A leading insurance claims adjusting firm in California is looking for Independent Insurance Claims Adjusters. This role offers the flexibility to work autonomously while making a profound impact on clients’ lives during their recovery from unforeseen disasters. Candidates... 
    Claims
    Flexible hours

    MileHigh Adjusters Houston

    Alhambra, CA
    5 days ago
  •  ...A leading claims adjusting firm is seeking Licensed Claims Adjusters to join their dynamic team in Monterey Park. The role offers flexibility, competitive compensation, and the opportunity to assist clients in recovering from disasters. Applicants should ideally have... 
    Claims

    MileHigh Adjusters Houston

    Monterey Park, CA
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Claims Resolution Lead: Complex Adjustments & Disputes. Be the first to apply!