CA WC Senior Claims Specialist - Rancho Cucamonga

What you can expectFind joy in serving others with IEHP We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experienceUnder the direction of the Covered California Claims (CCA) Manager, the CCA Claims Special ...

About Us Inland Empire Health Plan (IEHP) is a not-for-profit public health plan supporting over 1.5 million residents in Riverside and San Bernardino Counties through Medicaid, Medicare-Medicaid (IEHP DualChoice), and Covered California plans. · Analyzing, managing, and investig ...

Under the direction of the Covered California Claims (CCA) Manager, the CCA Claims Specialist is responsible for analyzing and managing healthcare claims that require in-depth research. · Adjusting first-pass and post-pay claims. · Collaborating with internal stakeholders. · ...

The CCA Claims Specialist is responsible for analyzing and managing complex healthcare claims. · Analyzing and managing complex and high-dollar healthcare claims. · ...

We are seeking an experienced Claims Specialist to join our team. The ideal candidate will have 4 years of experience in claims processing and customer service, with a strong understanding of medical claim processing and customer service standards. · Four (4) years of experience ...

Four years of experience in a managed care environment in the area of claims processing; appeals & adjustments, and customer service, preferably in an HMO or Managed Care setting. · ...

The Liability Claims Specialist manages non-complex and non-problematic Liability claims under direct supervision of a senior claims professional. This role aims to achieve optimal outcomes for both CorVel and our clients.Manages non-complex and non-problematic medical only claim ...

The Claims Specialist manages workers' compensation claims within delegated limited authority to best possible outcome under the direct supervision of a senior claims professional supporting the goals of claims department and of CorVel. This is a remote position. · ...

The Claims Specialist manages workers' compensation claims within delegated limited authority to best possible outcome.This is a remote position. · ...

The Senior Claims Specialist manages within company standards and best practices complex and problematic, high visibility workers' compensation claims. · ...

The Claims Specialist manages lower-level workers' compensation claims within delegated authority to best possible outcome under the direct supervision of a senior claims professional supporting the goals of claims department and of CorVel. This is a remote position. · Bachelor's ...

The Claims · Specialist manages within company best practices lower-level claims to the best possible outcome under direct supervision of a senior claims professional supporting goals of claims department and CorVel.This is a remote position. · ...

The Medical Only Claims Specialist manages non-complex and non-problematic medical only claims and minor lost-time workers' compensation claims under close supervision supporting the goals of the Claims Department and of CorVel. · This is a remote position.Bachelor's degree or a ...

The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. · This is a remote position.Receives claim, confirms ...

The Senior Liability Claims Specialist manages mid to complex Auto and/or General Liability claims. · Receives claims · Determines validity and compensability of the claim · Investigates claims and handles Auto and/or General Liability claims · ...

+ Manage mid to complex Auto and/or General Liability claims. + Investigate claims and handle Auto and/or General Liability claims. + Establish reserves and authorize payments within reserving authority limits. · + Excellent written and verbal communication skills · + Ability to ...

The Medical Only Claims Specialist manages non-complex and non-problematic medical only claims and minor lost-time workers' compensation claims under close supervision. · Receives claims, confirms policy coverage and acknowledgement of the claimDetermines the validity and compens ...

The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. · ...

The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. · ...

The Senior Liability Claims Specialist manages mid to complex Auto and/or General Liability claims. This role aims to achieve optimal outcomes for both CorVel and our clients. · This is a remote position. · ...