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claims in Orange County

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  1. Korean Bilingual Customer Service Representative/ 2개 국어를 사용하는 한국인 고객 서비스 담당자 at TeleTech

    Customer Service Representative II – Automotive Manufacturer This opportunity will require you to work in Fountain Valley, CA TeleTech is hiring. Join our

  2. Account Executive - Employee Benefits at BB&T

    Essential Duties and Responsibilities Provide mentoring, coaching and direction setting to team members to ensure service levels are being met Escalation

  3. Appraiser, Material Damage at MAPFRE Insurance

    Complete accurate and timely field appraisals, drive-in appraisals, supplements, and re-inspections on damaged motor vehicles, and if applicable, make claim...

  4. Manager, Health Data Management at L.A. Care Health Plan

    Operationally, the team is responsible for management and analysis of all core healthcare related data including HEDIS, encounter, claims, Rx, membership, and...

  5. Manager, Provider Data Unit & Database at L.A. Care Health Plan

    The manager oversees a multifaceted unit that brings together the functions of information technology, provider maintenance, and provider setup - so that...

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    1. Claims Manager

      Primary Function:Responsible for the oversight of the claims department and directs and monitor department work flow.Principal Duties and Responsibilities (* = essential functions):To generate reports and perform claims analysis to monitor the claims operations.*To generate monthly/quarterly health plan compliance reports.*To oversee and monitor the claims process including the claims denial ...

    1. Liability Claims Adjuster at Farmers Insurance Group

      As a Liability Claims Adjuster, you’ll use your customer service and problem solving skills to determine claims coverage and identify responsible parties;...

    1. Claims Adjuster - Field Commercial Property

      GENERAL ADJUSTER / Commercial Property Claims Adjuster for a position with a very well respected National Insurance Carrier.This is a Permanent field adjuster position with outstanding compensation + full benefits package for the right candidate. Territory: Orange County.Responsibilities:Claims Adjuster will handle large & highly complex personal & COMMERCIAL property claims arising from ...

    1. INSURANCE VERIF SPCLST - PATIENT ACCOUNTING at Hoag Memorial Hospital Presbyterian

      Knowledge and understanding of patients benefits, plan coverage, and claim responsibility. To ensure the insurance verification process is completed on all...

    1. Sr. Claims Examiner (Anaheim,CA) - 26301owrx

      Senior Claims Examiner Needed for Large Hospital in Orange County! Job Summary: Working under the direction of the Claims Director, this position is responsible for consistently and accurately adjudicating all complex contracted professional capitated claims with fee-for-service carve outs, professional and hospital claims for non-contracted provider and contracted hospital claims for both ...

    1. Remarketing Specialist - Insurance Claims (Auto Finance Industry) at Veros Credit

      Manage a queue of auto loan accounts where the customer has filed a physical damage claim with their insurance company....

    1. Claims Adjuster and Risk Management Rep

      Contract to start with the right to convert to FTE.Summary:Responsible for mitigating  liability exposure and risk expense through timely and efficient claims processing. Establishes and maintains a service to promote loss control. Handles all aspects of claims processing including: investigation; reserving; evaluation and negotiation. Prepares technical documents such as arbitration ...

    1. Licensed Property and Casualty Customer Service Representative at Salary is open & dependant on experience R & R Insurance San Juan Capo

      You will be working with customers answering billing, coverage, claims questions and quoting. We are looking for a dedicated, detail and solution oriented team...

    1. Claims Assistant / FNOL

      SUMMARYUnder general supervision, provides effective, efficient, and accurate claims and customer service to insureds and claimants while confirming and inputing complete and accurate loss report information into claims software. RESPONSIBILITIES:Take full, accurate first notice of loss statements from insureds and claimantsTake recorded statements from our insured, claimant and witnesses to ...

    1. Insurance Broker, Account Manager at Frenkel & Company, International Insurance Brokers

      Point person for managing the services of other departments (Engineering, Claims etc.). JOB*....

    1. Medical Claims Negotiator

      A fast growing Healthcare Technology company is seeking a sharp, ambitious individual to work with medical providers to negotiate claims and balances outstanding on member claims. Our services target the $2.8 trillion in US healthcare spending with our pricing transparency tools.PRIMARY PURPOSEAs a Claims Negotiator, you will be responsible for negotiating with facilities and providers on a ...

    1. Medical Biller at Pacific Cardiovascular Associates Medical Group

      Prepares and submits claims to insurance companies. Pacific Cardiovascular Associates Medical Group (PCA) is a large prestigious Orange County cardiology...

    1. Claims Assistant - 14122

      The surety claims assistant is responsible to provide clerical support and assistance to claims examiners including creation and maintenance of claim files, preparation of various letters and memos, and general office administrative duties.   Duties include but are not limited to: Researches and compiles documents to set up claim files by coordinating with underwriting department and branch ...

    1. Office Assistant at DuBois Regional Medical Center

      Assists patients with insurance claims by supplying copies of medical records, completion of forms, etc. The best of modern health care technology, plus the...

    1. Bilingual Japanese/English Insurance Claim Adjustor

      A company is seeking some Bilingual Japanese/English Insurance Claim Adjustors with some work experience. Must speak, read and write Japanese with strong English language skill. Experience in hotel, hospital or travel industry is preferred but not mandatory. Basic PC skills are required including Word and Excel. Must have a Four year degree. This is a full time position, non exempt, with ...

      No PartTime
      No Contract
      No Internship
      No Freelance
      No Telecommute

    1. Implementation Coordinator (Toronto, Ontario office) at Cigna

      Ability to understand Cigna's administrative processes, policy issue and claim procedures. THIS ROLE IS LOCATED IN TORONTO, ONTARIO....

    1. Claims Examiner III

      The Workers’ Compensation Department, located in Fullerton, California, has an opening for a Claims Examiner III. The Claims Examiner III is a senior examiner who manages the most complex workers compensation claims under minimal supervision. Intrinsic with the position is a high level of claims settlement authority. Using established company requirements, procedures, practices and policies, ...

    1. Specimen Processor at IDEXX Laboratories

      Ensures documents are completed according to established SOPs and reflect current manufacturing processes and label claims. The....

    1. Bilingual Japanese/English Claim Examiner associate

      A company is seeking a Bilingual Japanese/English Claim Examiner associate with 2-3 year’s office work experience. Must Speak, read, write Japanese. This position belongs to an insurance department. Must have basic PC skills (Word & Excel). This is a full time position, non-exempt with excellent benefits including 401k. Interview starts Now! Duties: -Handle inbound / outbound telephone ...

      No PartTime
      No Contract
      No Internship
      No Freelance
      No Telecommute

    1. RN, Care Manager ( Torrance, CA) at HealthCare Partners

      Communication may include patient (or agent), attending/referring physician, facility administration and HCP claims as necessary....

      1. Account Manager External TPA at Arthur J. Gallagher & Co

        Can discuss client’s business beyond claims. Often travels for client needs (e.g., claim reviews, stewardship discussions)....

      2. Branch Manager at Assisted Healthcare

        Keeps up with changes in billing of private, Medicare and Medical claims. If you are a passionate, personable and independent professional looking for a career...

      3. Medical Billing Manager - Los Angeles, CA at Planned Parenthood Los Angeles

        In conjunction with management and Patient Services, ensure timely closing of monthly billing, claim submission, and collections....

      4. Contractor and Contractor Students at Adjuster Network CA

        We need Contractors for Claims Adjuster referrals. These are for direct loss (large repairs) to structures or landscape....

      5. Senior Medical Insurance Biller at Athenix Body Sculpting

        Follow-up on unpaid claims within standard billing cycle to avoid untimely filing. Senior Medical Insurance Biller*....