Temporary Claims Specialist II - Rancho Cucamonga - Recruiting Source International

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 ...

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 ...

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 lower-level, · non-complex and non-problematic workers'compensation claims within delegated · limited authority to best possible outcome.Receives claims, confirms policy coverage and acknowledgment of the claimDetermines validity and compensabilit ...

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

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 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. The Senior Claims Specialist ensures the best possibl ...

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. Candidate must resi ...

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 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. · ...

The Senior Claims Specialist handles complex Workers' Compensation claims following company standards. · ...

+ 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 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. · ...

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 ...