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Medical Claims Specialist jobs in California

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AG CLAIMS SPECIALIST

Responsible for the coverage, liability, and damage investigation and determination, reserving, negotiation strategy and resolution, and documentation of claims within a specialty area and authority. This may include handling liti...

CompanyZenith
AddressFresno, CA
CategoryHuman Resources
Job typeOther
Date Posted 12 hours ago See detail

Ag Claims Specialist New

Zenith

Fresno, CA

Responsible for the coverage, liability, and damage investigation and determination, reserving, negotiation strategy and resolution, and documentation of claims within a specialty area and authority. This may include handling liti...

12 hours ago seen See more...

Ag Claims Specialist New

Zenith National Insurance

Fresno, CA

Responsible for the coverage, liability, and damage investigation and determination, reserving, negotiation strategy and resolution, and documentation of claims within a specialty area and authority. This may include handling liti...

12 hours ago seen See more...

Medical Claims - Call Center Representative

Scufcw Trust Fund

Cypress, CA

Handle all general telephone and walk-in inquires including but not limited to status, complaints, eligibility, benefits, etc.2. Perform other job related duties/special projects as assigned.Qualifications: High School diploma or...

6 days ago seen See more...

Medical Coding Specialist (Remote in CA)

Balboa Nephrology

San Diego, CA

Balboa Nephrology is the largest kidney care practice in California and participates in a national Medicare program focused on value-based care. Through our joint venture with Evergreen Nephrology we are a growing organization wit...

a week ago seen See more...

Senior Medical Claims Examiner/Auditor

Jobot

Los Angeles, CA

Easy Apply now by clicking the "Apply Now" buttonand sending us your resume.Salary: $60,000 - $70,000 per yearA bit about us:Our client is looking for experienced Medical Claims Examiners and Auditors for immediate, long term need...

2 weeks ago seen See more...

CA-TF5 US&R Medical Specialist

Orange County Fire Authority, Ca

Irvine, CA

Current, OCFA Fire Captains, Fire Apparatus Engineers, or non-probationary Firefighters. Participation in the OCFA "WEFIT" program. Have a basic knowledge of US&R and GPS operations. Demonstrate the ability to follow orders and pe...

3 weeks ago seen See more...

CA-TF5 US&R Medical Specialist

Orange County Fire Authority

Irvine, CA

The position also requires working in disaster zones, in adverse weather conditions, hazardous atmospheres and flight in military or civilian aircraft (fixed and rotary).As a Member of the US&R Task Force you will be asked to repr...

3 weeks ago seen See more...

Property Claims Specialist Field II - CAT/Spikes Team

Mercury General

Rancho Cucamonga, CA

Competitive compensation. Flexibility to work from anywhere in the United States for most positions. Paid time off (vacation time, sick time, 9 paid Company holidays, volunteer hours). Incentive bonus programs (potential for holid...

3 weeks ago seen See more...

Supervising Physician Specialist - Medical Director of Substance Use Disorder Services 2233

City And County Of San Francisco

San Francisco, CA

*Applicants possessing a valid license to practice medicine issued from another state within the United States of America may apply, but if selected, the candidate will NOT be appointed/hired until they obtain a valid license to p...

2 weeks ago seen See more...

Operations Specialist - Medical Records and Payroll

Aveanna Healthcare

West Covina, CA

Health, Dental, Vision Insurance. 401(k) Savings Plan with Employer Matching. Employee Stock Purchase Plan. Company-Paid Life Insurance. Paid Holidays, Paid Vacation Days, Paid Sick Days. Opportunities to advance and grow professi...

2 weeks ago seen See more...

Specialist, Medical Field Development

Pacific Dental Services

Irvine, CA

Models company culture, values, standards and best operation practices based on the We Believe Behavioral Framework.. Assist supported medical offices on optimizing their potential through efficient, effective execution of the Per...

2 weeks ago seen See more...

Remote Medical Claim Review LVN - Work PST Hours

Molina Healthcare

Long Beach, CA

$21.60 - $46.81 an hour

Performs clinical/medical reviews of retrospective Medical Claim Reviews, Medical Claims and previously denied cases, in which an appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims p...

a month ago seen See more...

Employee Benefits Claim Specialist

Tcig Pacific Insurance Service

Westlake Village, CA

$50,000 - $70,000 a year

401(k). 401(k) matching. Dental insurance. Flexible schedule. Health insurance. Paid time off. Vision insurance. Work from home. In-person. Westlake Village, CA 91362: Relocate before starting work (Required)....

a month ago seen See more...

Property Claims Specialist

Holland America Line

Santa Clarita, CA

$43.4K - $54.9K a year

Claims Management: Creates and actions files for guests and teammates for Princess Cruises, Holland America, Cunard N. America, and HAP. Initiates investigation and gathers all available information and documentation needed for se...

a month ago seen See more...

Ag Claims Specialist - Casualty (Auto, GL, FL)

Zenith National Insurance

Fresno, CA

Responsible for the coverage, liability, and damage investigation and determination, reserving, negotiation strategy and resolution, and documentation of claims within a specialty area and authority. This may include handling liti...

2 months ago seen See more...

Claims Specialist

Maersk

Brea, CA

$55,000 - $70,000 a year

Receive claims for loss & damage, gather documents pertinent to claims process Set up inspections and subrogate with carriers Scan/upload pertinent documents (formal claims submissions, invoices, inspection reports, signed release...

2 months ago seen See more...

Senior Medical Claim Adjuster

Scufcw Trust Fund

Anaheim, CA

Interface and effectively manage participants, providers, vendors and other external clients when required in person or via email, telephone or other written.8. Adhere to the companys attendance policy.Qualifications:High Schoo...

2 months ago seen See more...

Associate Claims Specialist-Workers Compensation

Liberty Mutual

Rocklin, CA

Manages an inventory of claims to evaluate compensability/liability. Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources. Plans and conducts investigations of claims to...

2 months ago seen See more...

CA Claims Specialist (Indemnity)

Corvel Corporation

Folsom, CA

$24.32 - $39.23 an hour

Receives claims, confirms policy coverage and acknowledgment of the claim. Determines validity and compensability of the claim. Establishes reserves and authorizes payments within reserving authority limits. Manages non-complex an...

2 months ago seen See more...

Workers' Compensation Claims Specialist

Insurance Search Specialists

Los Angeles, CA

Base Salary: $60,000 - $70,000. Benefits package includes medical coverage, paid time off, and holidays. Work Flexibility: This full-time position offers a flexible work schedule. Report and manage Workers' Compensation claims usi...

2 months ago seen See more...

Claims Specialist

A.p. Møller - Maersk A/S

Brea, CA

Receive claims for loss & damage, gather documents pertinent to claims process. Set up inspections and subrogate with carriers. Scan/upload pertinent documents (formal claims submissions, invoices, inspection reports, signed relea...

2 months ago seen See more...

Claims Specialist

Ardmore Home Design Inc

Hacienda Heights, CA

Manage and resolve merchandise claims regarding QC issues, warranty, freight damages, client elected returns, etc. Record thorough notes (what is happening and why) through all stages of the claim. Complete follow up communication...

2 months ago seen See more...

Claims Specialist

Ardmore Home Design

City Of Industry, CA

Record thorough notes (what is happening and why) through all stages of the claim. Complete follow up communications and documentation with Clients, Account Managers, and Sales Representatives. Include details on escalation effort...

2 months ago seen See more...

Stop Loss Medical Claims Examiner

Alliant Insurance Services

San Diego, CA

$72,000 - $110,000 a year

Establishes proof of loss by reviewing medical documentation presented, requesting additional information from sources such as administrators, brokers, hospitals, physicians, etc.;. Reviews claims using a variety of file/informati...

2 months ago seen See more...

Optometrist - Miramar Eye Specialists Medical Group

Nvision Eye Centers

Camarillo, CA

From $140,000 a year

Leads all clinical aspects of center to ensure the best patient care for all general ophthalmology, cataract, and glaucoma patients. Work with the technicians to improve efficiencies in testing and patient work up, in addition to...

a month ago seen See more...

Regional Sales Specialist (Medical Division) - HIRING IN MULTIPLE TERRITORIES

North Coast Medical, Inc.

Morgan Hill, CA

$70,000 - $90,000 a year

Competitive salaries. Excellent benefits (e.g. Medical / Dental / Vision / Life Insurance, PTO, 401k Match, Employee Assistance Program). And the opportunity to work from home. Atlanta, Georgia. Chicago, Illinois. Long Island, New...

a month ago seen See more...

Medical Billing Specialist

Psychstrategies

Santa Rosa, CA

$22 - $25 an hour

Modern office setting. Multiple offices in Santa Rosa and Petaluma. Perform posting charges. Perform completion of claims to payers. Conduct duties in a professional and timely fashion. Submit billing data to the appropriate insur...

a month ago seen See more...

Medical Office Specialist-Behavioral Health & Recovery Services - Extra Help (Open)

County Of San Mateo, Ca

San Mateo, CA

Demonstrated proficiency in Microsoft Excel. Experience processing health care insurance. Ability to perform a variety of complex Medical Office administrative tasks. Experience working in a high-volume health care environment. De...

a month ago seen See more...

Medical Business Office Specialist

Silicon Valley Surgery Center

Los Gatos, CA

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

a month ago seen See more...

Surgical Operational Efficiency Specialist - Medical Device - Surgery Support - Houston, TX

Karl Storz Endoscopy - America

Los Angeles, CA

$22.00 - $26.00 per hour

Face-to-face customer support, including OR, SPD, and Biomed,. Preventative maintenance and management of endoscopy products so that they are always in good working order and ready for use including documentation of their function...

a month ago seen See more...

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