Senior Claims Auditor, Managed Care
Cedars-Sinai Medical Center
Cedars-Sinai Medical Center in Los Angeles is seeking a Claims Auditor responsible for ensuring the accuracy of claims processing according to policies and regulatory requirements. The auditor will conduct detailed audits, document findings, and make recommendations to management for process improvements. The ideal candidate has a High School Diploma with a preference for a Bachelor's degree in healthcare and substantial experience in claims processing and auditing. #J-18808-Ljbffr
- ...Cedars-Sinai in Los Angeles is seeking a Claims Auditor responsible for ensuring the accuracy... ...document findings, and provide analysis to management for errors and inconsistencies. The... ...and inclusive environment dedicated to high-quality patient care. #J-18808-Ljbffr...SeniorClaims
- ...Senior Auditor Employment Type: Full Time, Mid-level CGS is seeking a Senior Auditor who... ...district legal staff by conducting medical claims data analysis, forensic investigations,... ..., litigation consulting, and/or health care fraud analysis required. The resume must...SeniorClaimsFull timeRemote workFlexible hours
- ...committed to helping primary care and specialist physicians provide... ...doing in this role? The Claims Auditor is responsible for ensuring... ...prepares recommendations to Management for errors and inconsistences... ...resolution preferred ~5 years of Senior/Lead or Claim Audit...ClaimsWork experience placementRemote work
- ...Job Title Senior Financial Analyst Job Description Grow your... ...the gold standard of patient care we strive for. What will... ...systems for business operations and management. Responsibilities include, but... ...health records (EHR), claims data, and health information systems...SeniorClaimsContract workShift work
- ...We’re a team of fast‑paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses...SeniorClaimsFull timeLive outWork at officeLocal areaRemote workFlexible hours
$117.51k
...Senior Manager, Claims Adjustments Job Category: Management/Executive Department: Claims Integrity Location: Los Angeles, CA, US,... ....00 (Mid.) - $188,015.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state...SeniorClaimsFull timeContract work$325k
...tests, 3T protected API calls, and helped manage $2.8B in cloud spend - enabling customers... ...or national origin. At Harness, we care about your privacy and are committed to protecting... ..., unsolicited emails, or messages claiming to be from our recruiters or hiring managers...SeniorClaimsLocal areaImmediate startFlexible hoursShift work- ...Vice President, Auto Insurance & Risk Management Solutions About the Company Prestigious provider of risk & claims management services Industry Insurance Type... ...management information management managed care risk control appraisal services and...Claims
- A leading insurance provider in California seeks a Senior Claims Specialist to manage various insurance claims. The ideal candidate will possess 6-10 years of relevant experience, excellent communication skills, and a Juris Doctor degree. Responsibilities include handling...SeniorClaims
- TradeJobsWorkForce is seeking a Risk Manager in Los Angeles, California, to lead the management and communication of company-wide risks... ...procurement, developing compliance policies, and handling claims and litigation. The ideal candidate will have experience in risk...SeniorClaims
$90k - $115k
## Senior Field Premium AuditorApplylocations: California, USAtime... ....S., helping them effectively manage their workers' compensation costs... ...for a Senior Field Premium Auditor to support our Southern California... ...specific exposures.* Reviews claim activity on policies to ensure...SeniorClaimsFull timePart timeSeasonal workWork at officeLocal areaRemote work$90k - $115k
A leading insurance firm is seeking a Senior Workers' Compensation Claims Specialist to manage complex claims in Los Angeles. Candidates should have 5-7+ years of experience in claims adjustment, particularly in California, and possess strong negotiation skills. This remote...SeniorClaimsRemote work- ...A leading insurance services firm is searching for a Claims Adjuster to manage complex workers compensation claims, provide exceptional customer service, and ensure effective resolution of claims. Candidates should have at least 5 years of claims experience and be licensed...SeniorClaimsRemote work
- ...A leading telehealth organization is seeking a Claims Follow-Up Lead for a fully remote position. The ideal candidate will resolve denials, manage accounts receivable, and support workflow execution within a mission-driven team. Candidates should have 3-5+ years in behavioral...SeniorClaimsRemote workFlexible hours
- ...Auditor Employment Type: Full-Time, Mid-Level Department: Financial CGS is seeking... ...records, financial records, healthcare claims, tax records, correspondence, policies, other... ...those relations for years to come. We care about our employees. Therefore, we offer...ClaimsFull timeWork experience placementInterim roleWork at officeLocal areaRemote workFlexible hours
$42 - $45 per hour
A top accounting and consulting firm in Los Angeles seeks a Senior Auditor to manage audit engagements and supervise staff. Candidates should possess a Bachelor's in accounting and at least two years of public accounting experience, especially in the not-for-profit sector...SeniorHourly pay$26.65 - $48.74 per hour
...RN Case Manager Los Angeles, CA Region Now Hiring: RN Case Manager Los Angeles, CA Region... ...Group Health, Liability, Disability, and Care Management. This is your chance to... ...Maintains contact and communicates with claims adjusters to apprise them of case activity...SeniorClaimsHourly payFull timeWork at officeLocal areaImmediate startRemote work$25 - $27 per hour
Job Description Skilled Wound Care is looking for a Lead Medical Biller to join our rapidly... ...advanced expertise in the end-to-end claims lifecycle, ensuring maximum revenue... ...best practices.Quality Assurance: Assist management by conducting routine audits to ensure compliance...ClaimsWork experience placementWork at office- AXA Group is seeking a Claims Manager for Construction Defects in various US locations including Los Angeles, CA. This role involves leading a team handling high exposure claims and ensuring exceptional customer service. The ideal candidate will have a Bachelor’s degree...SeniorClaims
$175k - $250k
MGA Entertainment is seeking a Senior Litigation Counsel to manage litigation related to its broad portfolio of toys and entertainment products. This role involves analyzing claims, advising clients, and litigating cases across various disputes. The ideal candidate will...SeniorClaims- Mattel, Inc. is seeking a motivated Senior Counsel, Employment Law to support business clients... ...focusing on employment-related advice, claims defense, and litigation. This position... ...legal advice on various employee matters and manage pre-litigation claims in El Segundo,...SeniorClaims
$78.5k - $163.6k
UCLA Health is seeking a detail-oriented Claims Quality Supervisor to oversee audit and quality assurance initiatives within the claims... ...role demands a minimum of 5 years' claims experience in a managed care environment and at least 2 years in a supervisory position. Key...SeniorClaims- ...Key Responsibilities: Direct and oversee a legal team managing large caseloads of wage and hour arbitration matters Provide... ...law, with substantial work on wage and hour class actions, PAGA claims, and arbitration matters Proven ability to lead legal teams...SeniorClaims
$175k - $250k
MGA Entertainment, Inc. in Los Angeles is seeking a Senior Litigation Counsel to manage in-house litigation and oversee outside litigation for a broad... ...organizational skills. The position involves analyzing claims, drafting filings, and advising management on legal...SeniorClaims- QBE Americas, Inc. is seeking a Senior Specialist in Specialty Claims (Aviation) to manage operational and technical aspects of Aviation Claims. This role provides leadership in handling complicated claims, ensures compliance with aviation insurance policies, and drives...SeniorClaims
$26 - $34 per hour
...seeking a Financial Clearance Specialist IV to ensure insurance eligibility and manage authorizations effectively. The role involves maintaining compliance with payer contracts and streamlining claim management. The ideal candidate should have a minimum of 3 years'...SeniorClaimsHourly pay- A healthcare organization is seeking a Claims Examiner in Los Angeles, California. The role involves adjudicating medical claims in compliance with company policies, ensuring accuracy, and maintaining productivity standards. Candidates should have three years of experience...SeniorClaims
- The Hanover Insurance Group in California is seeking a Regional General Adjuster for specialized claims to manage high-complexity commercial property claims across the Northwest Territory. The ideal candidate has over 8 years of experience in handling large loss claims...SeniorClaimsRemote jobFull time
$93.76k - $161.74k
Elevance Health is seeking a Business Change Manager Senior - Payment Integrity to lead projects that align with business and enterprise goals... ...experience, a BA/BS degree, and expertise in healthcare claims. The salary range is $93,760 to $161,736, offering flexibility...SeniorClaimsWork at office1 day per week$100k - $120k
Sedgwick Claims Management Services Ltd is seeking a Sr. Claims Specialist, focusing on complex medical malpractice claims in California. The role demands strong analytical and negotiation skills, with a responsibility to analyze claims, conduct investigations, and recommend...SeniorClaimsRemote work
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