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reinsurance in Orange County

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  1. Claims Examiner

    mmediate openings for contract Claims examiners to process contract and non-contract provider claims. Responsibilities include generating correspondence to request missing information necessary to complete claim payment and appropriate letters for denied claims, determines level of reimbursement based on established criteria, provider contract or plan provisions, and denies all claims ineligible for payment and enters coding information. In addition the position is required to documents provider ...