Jobs near Van Nuys: 12,208
RS
Relevance Score ranked on: CLAIMS
Claims Analyst - Complex Claims
Van Nuys
Provide effective claims management. Develop and maintain computer-based task system of events and diary of routine status updates for claims including dates critical to ensuring claims are properly set up, a timely coverage position is issued, a claims adjuster is assigned, defense counsel is assig...
Search Terms: Claims Analyst, Claims, Claims Manager, Analyst, Total Rewards
89.6
0mi
Updated: August 19
Insurance & Legal Claims Coordinator
North Hills
The Insurance & Legal Claims Coordinator is not a filing function at the organization. It is the connective tissue between an incident and its resolution - the role that makes sure nothing falls through the cracks when something goes wrong. When intake is fast and documentation is airtight, legal cou...
Search Terms: Insurance, Legal, Claims, Coordinator, Business Affairs
86.6
4.9mi
Updated: August 26
Utilization Management Claims Review Nurse RN II
Los Angeles
The Utilization Management (UM) Claims Review Nurse RN II is responsible for conducting clinical review of medical claims to ensure services were medically necessary, appropriately documented, accurately billed, and compliant with established clinical policies and regulatory standards. This position ...
Search Terms: RN, Claims, Management, Nurse, Registered Nurse
85.9
13mi
Updated: August 29
Legal Claims Coordinator
North Hills
This is not a filing function at the organization. It is the connective tissue between a claim and its resolution - the role that makes sure nothing falls through the cracks when something goes wrong. When intake is fast and documentation is airtight, legal counsel and leadership can respond with con...
Search Terms: Legal, Claims, Coordinator, Business Affairs, Insurance
85
4.9mi
Updated: August 14
Lead Claims Specialist - Claims Processing
Mission Hills
Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Monitor check run process for accuracy. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans, client groups, and administrative cont...
Search Terms: Claims, Claims Specialist, Processing, Specialist, Lead
84.7
7.1mi
Updated: August 15
Financial Compliance Auditor III Claims
Los Angeles
The Financial Compliance Auditor III Claims is responsible for audits of claims processed by Delegated Participating Physician Groups (PP - Gs), hospitals and health plans contracted with L. A. Care and various tasks within the Financial Compliance Unit. This position works closely with management on...
Search Terms: Auditor, Claims, Compliance, Financial, Business Operations
84
13mi
Updated: August 22
Education and Training Specialist - CLAIMS PROCESSING
Mission Hills
Working under the general supervision of the Claims Director, provide an effective education program to advance the quality and production level of the Claims Department by developing and delivery claims training programs that continuously improves the Claims Department performance to meet the NSS st...
Search Terms: Training Specialist, Claims, Processing, Education, Training
83.8
7.1mi
Updated: August 05
Senior Claims Assistant
Los Angeles
We are looking for a highly capable Senior Claims Assistant to join our team and work from either our Los Angeles, Omaha, or Richmond office. We work together in the office five days a week in order to strengthen our culture, build team connections, and drive profitability. The position reports to a ...
Search Terms: Claims, Assistant, Customer Experience, Senior, Processing
82.8
18mi
Updated: August 18
Director, Claims Triage
Los Angeles
We are looking for a highly capable Claims Triage Director to join our Claims team and work from either our Richmond, VA or Omaha, NE offices. Alternatively, we can also fill this role in our offices in Albany, NY, Chicago, IL, Los Angeles, CA, Houston, TX, or New York, NY. The Director, Claims Triag...
Search Terms: Director, Claims, Triage, Continuous Improvement, Operations
82.8
18mi
Updated: August 18
Director, Claims Triage
Los Angeles
Manage a team of 3 Senior Triage Specialists along with a Triage Team Lead who manages a team of 4 Triage specialists who are responsible for claim intake, assignment, and preliminary information gathering and decision making. This team has accountability for internal and external customers throughou...
Search Terms: Claims, Triage, Director, Operations, Customer Service
82.8
18mi
Updated: August 18
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