Jobs near Monterey Park: 17,608
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Relevance Score ranked on: CLAIMS
Lead - Claims Examiner
Monterey Park
We are currently seeking a highly motivated Lead - Claims Examiner. This role will report to the Sr. Manager - Claims and enable us to continue to scale in the healthcare industry. This is a hybrid role where the expectation is to work both in office and at home on a weekly basis. Monitor and review ...
Search Terms: Claims, Examiner, Training Specialist, Lead, Healthcare
88.7
0mi
Updated: August 11
Senior Claims Auditor
Monterey Park
Department: Ops - Claims Ops About the Role: We are currently seeking a highly motivated Senior Claims Auditor. This role will report to the Director - Claims and enable us to continue to scale in the healthcare industry. Analyze and audit Health plan claims selections for all health plan/ DMHC/ CMS ...
Search Terms: Auditor, Claims, Audit, Processing, Senior
88.4
0mi
Updated: August 06
Claims Team Lead - Workers Compensation | CA Claims Exp. Required
Pasadena
To supervise the operation of a team of workers compensation claims examiners and technical staff for workers compensation claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports...
Search Terms: Workers Compensation, Claims, Team Lead, Worker, Compensation
88.4
6.8mi
Updated: August 29
Sr. Manager - Claims
Monterey Park
About the Role: We’re looking for a Claims Operations leader who enjoys balancing people leadership with operational execution. In this role, you’ll oversee daily claims processing, drive quality and turnaround time performance, and support the onboarding of new IPAs and implementations. You’ll partn...
Search Terms: Claims, Manager, Operations, Processing, Escalations
88.3
0mi
Updated: August 04
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
88.2
6.6mi
Updated: August 29
TEMP-Workers’ Compensation Claims Adjuster
Los Angeles
We are looking for a highly capable Workers' Compensation Claims Adjuster to help us on a temporary assignment with an estimated end date of 9 October 2026, and work from anywhere in the United States. If this role is filled so the individual can work five days a week in any of the following offices,...
Search Terms: Claims, Worker, Compensation, Adjuster, Skills
87.9
7.6mi
Updated: August 29
TEMP-Workers’ Compensation Claims Adjuster
Los Angeles
Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical complexity, with a direct impact on departmental results. Resolving issues that are generalized and typically not complex, but require understanding of a broader ...
Search Terms: Claims, Worker, Compensation, Adjuster, Skills
87.9
7.6mi
Updated: August 29
Program Manager - Workers Compensation Claims | CA Claims Exp. Preferred (Hybrid - California)
Pasadena
To manage the technical and operational functions within assigned office(s) including compliance with company standards and industry best practices; to ensure consistent delivery of quality services; to be responsible for staffing and training needs; and to be responsible for budget preparation and p...
Search Terms: Claims, Workers Compensation, Program Manager, Manager, Worker
86.3
6.8mi
Updated: August 25
Claims Quality Assurance Auditor
Whittier
The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care...
Search Terms: Quality Assurance, Claims, Auditor, Assurance, Audit
86.3
7.6mi
Updated: August 28
Sr Guest Claims Admin
Anaheim
Receive and process confidential incident reports, determine liability and effectively manage incidents that become claims. Investigate and evaluate claims by obtaining statements, photographs and records. Regularly identify and communicate trends to Risk Management partners and influence a reduction...
Search Terms: Guest, Claims, Operations, General Liability
86.1
18mi
Updated: August 29
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