Claims Resolution Lead: Complex Adjustments & Disputes
$78.5k - $163.6kAcademy 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
- 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
$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- 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
- ...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
- 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
$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...ClaimsFull timeContract work- 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
$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...ClaimsFull time- 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...ClaimsRemote job
$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...ClaimsWork at officeFlexible hours- ...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
- ...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...ClaimsFull timeFor contractorsWork at officeLocal areaImmediate start
$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- 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
- ...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...ClaimsRemote job
$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...ClaimsLocal area$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...ClaimsH1bWork at officeRemote workRelocation packageFlexible hoursAfternoon shift3 days per week- 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
$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...ClaimsHourly payRemote work$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...ClaimsRemote workFlexible hours$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...ClaimsWork at officeRemote workWork from homeFlexible hours- 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
- ...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...ClaimsTemporary workWork at officeLocal areaImmediate startRemote workWork from homeShift work
$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...ClaimsRemote jobTemporary work- ...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
$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...ClaimsWork experience placementWork at office- ...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
- ...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
- ...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...ClaimsFlexible hours
- ...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
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