Analyst, Claims Research - Long Beach

Description · JOB DESCRIPTION Job Summary · Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory requirements are appropriately applied, identifying root-cause of processing errors through research and analysis, c ...

Description · JOB DESCRIPTION Job Summary · Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory requirements are appropriately applied, identifying root-cause of processing errors through research and analysis, c ...

Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory requirements are appropriately applied. · ...

+ Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory requirements are appropriately applied... · ...

Provides entry level analyst support for claims research activities. · ...

The Manager of Claims Research manages L.A. Care's specialized 'Tiger Team' responsible for investigating complex claims issues across the enterprise.The team reconstructs claims outcomes across multiple adjudication cycles, benefit periods, and contract iterations to determine r ...

The Manager Claims Research And Remediation manages L.A.Cares specialized Tiger Team responsible for investigating reconstructing quantifying and remediating complex high-risk claims issues across enterprise.This includes deep-dive root cause analysis RCA litigation-related claim ...

Description · JOB DESCRIPTION Job Summary · Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims. · Essential Job Duties · • Provides s ...

Description · JOB DESCRIPTION Job Summary · Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the standards and requirements established ...

Description · JOB DESCRIPTION Job Summary · Provides senior level support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the standards and requirement ...

We are renowned for our insurance defense expertise in defending complex litigation high exposure injury claims government entities law enforcement agencies habitability claims and construction litigation. · This is a full-time litigation position for a boutique firm located in L ...

Provides support for provider claims adjudication activities including responding to providers to address claim issues. · At least 2 years of experience in a clerical role in a claims and/or customer service setting. · ...

Description · JOB DESCRIPTION Job Summary · Provides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the standards and requirements ...

JOB DESCRIPTION Job Summary · Provides senior level support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the standards and requirements established ...

The Claims Recovery Assistant supports the identification analysis and recovery of healthcare claim overpayments reviewing claims data validating payment discrepancies preparing recovery documentation and assisting with provider and health plan communications.The assistant ensure ...

Description · JOB DESCRIPTION · Job Summary · Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment ...

+Provides lead level support for claims activities including reviewing and resolving member and provider complaints. · ...

Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. · Audits loaded provider records for quality and financial accuracy, and provides documented feedback. · Assists in complex configuration issues and loading of p ...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partne ...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partne ...