Jobs near Beverly Hills: 14,195
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Relevance Score ranked on: CLAIMS
Supervisor Claims - CLAIMS PROCESSING
Mission Hills
Working under the direction of the Manager, Claims, this position has direct responsible for the supervision of staff and for overseeing the day-to-day operations of the Claims Processing and UM Denial Letter Units. Additional responsibilities include reporting functions to ensure compliance with AB ...
Search Terms: Claims, Processing, Supervisor, Insurance, Healthcare
85.5
14mi
Updated: September 26
Claims Quality Auditor - Remote in CA
Los Angeles
Responsible for all aspects of quality assurance from a sample of random claims, check run reviews and Health Plan audits Provide expertise and support by reviewing, researching, investigating, and auditing problematic claims Analyze and identify trends and provide feedback and reports to reduce erro...
Search Terms: Claims, Auditor, Audit, Quality, Processing
85.3
11mi
Updated: September 25
Claims Quality Auditor - Remote in CA
Los Angeles
Responsible for all aspects of quality assurance from a sample of random claims, check run reviews and Health Plan audits Provide expertise and support by reviewing, researching, investigating, and auditing problematic claims Analyze and identify trends and provide feedback and reports to reduce erro...
Search Terms: Claims, Auditor, Audit, Quality, Processing
85.3
11mi
Updated: September 25
Claims Quality Auditor - Remote in CA
Los Angeles
Responsible for all aspects of quality assurance from a sample of random claims, check run reviews and Health Plan audits. Provide expertise and support by reviewing, researching, investigating, and auditing problematic claims. Analyze and identify trends and provide feedback and reports to reduce er...
Search Terms: Claims, Auditor, Audit, Quality, Processing
85.3
11mi
Updated: September 25
Claims Quality Auditor - Remote in CA
Los Angeles
Responsible for all aspects of quality assurance from a sample of random claims, check run reviews and Health Plan audits. Provide expertise and support by reviewing, researching, investigating, and auditing problematic claims. Analyze and identify trends and provide feedback and reports to reduce er...
Search Terms: Claims, Auditor, Audit, Quality, Processing
85.3
11mi
Updated: September 25
Claims Quality Auditor II
Los Angeles
The Claims Quality Auditor II works closely with the Claims Quality Auditing Manager. The Claims Quality Auditor II maintains up-to-date knowledge of current trends and issues in healthcare, national and statewide standards and regulations, policies and procedures as well as have a solid understandin...
Search Terms: Auditor, Claims, Quality, Audit, Processing
84.2
7.4mi
Updated: September 11
Claims Specialist - Claims Processing
Mission Hills
Responsible for processing medical claims. Resolves complex, difficult or non-routine claims requiring special handling in accordance with established policy guidelines. Reviews and authorizes payment and final disposition of claims requiring adjustment and claims benefit determination for reinsuranc...
Search Terms: Claims, Claims Specialist, Processing, Specialist, Insurance
82.2
14mi
Updated: August 22
Sr. Claims Specialist, Workers Compensation
Woodland Hills
Zurich North America is seeking an experienced Senior Claims Specialist in Workers' Compensation to join our team. While we prefer candidates who can work out of our Woodland Hills, CA office, we are open to considering remote applicants located in California, provided they hold a current California ...
Search Terms: Workers Compensation, Claims Specialist, Claims, Compensation, Worker
81.4
13mi
Updated: September 26
Manager, Claims
Los Angeles
The Manager, Claims directs the efforts of others in the achievement of the strategic, regulatory and operational objectives of the Health Plan. Provides direct supervision to a team of claims examiners, data entry clerks and claims assistants and continuously monitors department for compliance with ...
Search Terms: Manager, Claims, Claims Manager, Processing, Auditor
81.2
7.4mi
Updated: September 20
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