Knowledge of prompt payment guidelines for clean and unclean claims Process claims efficiently and maintains acceptable quality of at least 95% on reviewed claims. SUMMARY: Under the direction of the ...

Knowledge of prompt payment guidelines for clean and unclean claims Process claims efficiently and maintains acceptable quality of at least 95% on reviewed claims. SUMMARY: Under the direction of the ...

The Claims Investigator-Examiner contributes to the success of the organization by maintaining a thorough understanding of the organizations health plans eligibility, benefits, and procedures while ke...

PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensur...

Relevant years of experience: 10+ years of WC claims experience.

To analyze complex or technically difficult California workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongo...

To analyze complex or technically difficult California workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongo...

To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudic...

PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensur...

To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudic...

The Claims Investigator-Examiner contributes to the success of the organization by maintaining a thorough understanding of the organizations health plans eligibility, benefits, and procedures while ke...

PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensur...

To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudic...

To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudic...

PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensur...

To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudic...

PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensur...

To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudic...

Commercial Auto & General Liability Claims Examiner III. Review and interpret coverage, process, and conclude assigned claims including investigation and evaluation of Auto, No Fault PIP, Auto Med Pay...

PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensur...

The Medical Claims Representative will be responsible for speaking with members over the phone and troubleshooting any of the participants bills or claims. The Medical Claims Representative will be ta...

The Medical Claims Representative will be responsible for speaking with members over the phone and troubleshooting any of the participants bills or claims. The Medical Claims Representative will be ta...

To analyze complex or technically difficult California workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongo...

To analyze complex or technically difficult California workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongo...

We are currently hiring a Claims Examiner in our Retirement Funds Department.

Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply.

Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply.

Description:PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitati...

Process claims efficiently and maintains acceptable quality of at least 95% on reviewed claims. Under the direction of the Vice President of Claims, this position is responsible for manual input and a...

Location: Hybrid, mostly remote 10920 Wilshire Blvd, Los Angeles, CA 90024.High school diploma, GED or equivalent required, Two year degree preferred.Minimum of 3 years previous experience working for...

Perform audits of claims activities such as turnaround time for acknowledgement, forwarding of claims to correct payer, and processing timeframes. Monitor claims related functions to ensure health pla...

Location: Hybrid, mostly remote 10920 Wilshire Blvd, Los Angeles, CA 90024.High school diploma, GED or equivalent required, Two year degree preferred.Minimum of 3 years previous experience working for...

Under the direction of the Vice President of Claims, this position is responsible for manual input and adjudication of claims submitted to the health plan. Coordinate with the claims clerks on issues ...

Perform audits of claims activities such as turnaround time for acknowledgement, forwarding of claims to correct payer, and processing timeframes. Provide reports and on-going updates to Claims manage...

The Claims Examiner III performs advanced administrative/operational/customer support duties that require independent initiative and judgment. This position is responsible for analyzing the adjudicati...

To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudic...

To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudic...

Relevant years of experience: 10+ years of WC claims experience.

To analyze complex or technically difficult California workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongo...

Relevant years of experience: 10+ years of WC claims experience.