Claims Manager - San Bernardino

Description · JOB SUMMARY · The Claims Manager is responsible for overseeing the daily operations, performance, and regulatory compliance of the Claims Department within the Managed Services Organization (MSO). This role provides leadership and supervision to Claims Examiners and ...

The Claims Manager oversees daily operations, performance and regulatory compliance of the Claims Department within the Managed Services Organization (MSO). This role provides leadership to Claims Examiners and ensures accurate, timely and compliant adjudication of professional a ...

The Claims Project Manager is responsible for leading and delivering claims-related initiatives. · ...

The Claims Project Manager is responsible for leading and delivering claims-related initiatives, including system enhancements, operational improvements, · audits, and strategic claims programs. This role partners closely with Claims leadership, · IT Finance Compliance external v ...

The power is in your hands to define what success looks like and where you want to take your career. · Ensure claims are processed timely and accurately · Maintain open communicate with bottlers and sales personnel · ...

+ Job summary The Claims Project Manager is responsible for leading and delivering claims-related initiatives from intake and planning through execution implementation and post-go-live support.+ · + Responsibilities Lead end-to-end delivery of claims projects develop and manage d ...

At Heritage Grocers Group, LLC, how we work is defined by shared values that include absolute integrity, respect, and collaboration. But it's more than that, it's smart and highly driven people united in purpose to serve one another. · Bring your energy and unique perspective and ...

· JOB SUMMARY · The Quality Control Auditor – Claims Management is responsible for performing detailed audits of claims processing activities to ensure accuracy, regulatory compliance, and adherence to contractual, coding, and reimbursement requirements within the Managed Servic ...

The Claims Examiner reviews medical claims for a management services organization (MSO) supporting medical clinics and Independent Practice Association (IPA) groups. · Reviews, analyzes, and adjudicates medical claims. · ...

· JOB SUMMARY · The Compliance Coordinator – Claims Management is responsible for supporting regulatory compliance, audit readiness, and reporting functions within the Claims Department of the Managed Services Organization (MSO). This role coordinates internal and external claim ...

This role is eligible for a sign-on bonus. · The selected candidate must reside in or be willing to relocate at their own expense to the assigned territory. · Under moderate supervision, this position is responsible for handling first-party property claims including investigating ...

Description · JOB SUMMARY · The Quality Control Auditor – Claims Management is responsible for performing detailed audits of claims processing activities to ensure accuracy, regulatory compliance, and adherence to contractual, coding, and reimbursement requirements within the Man ...

LifeStream is a non-profit blood center established in 1951 with the mission of saving lives by connecting donors and patients through the gift of blood. · ...

The Human Resources Generalist provides support and direction in application of Human Resources policies and procedures in a consistent, fair, and legal manner. · Handles employment-related inquiries from applicants, employees, and management. · Investigates employee complaints,M ...

The Claims Examiner reviews and adjudicates medical claims for a management services organization (MSO) supporting medical clinics and IPA groups. This role applies plan rules to ensure timely compliance with federal requirements. · Reviewing and analyzing medical claims. · Adjud ...

Under direction, performs difficult and responsible sub professional accounting work in the maintenance of financial, statistical, and fiscal records; performs related duties as required. · ...

The Government Contracts Managed Care Specialist supports the Government Contracts Managed Care Supervisor in resolving complex reimbursement issues, managing government payer accounts, · and ensuring accurate and timely payment for hospital services.This role requires strong kno ...

+This role is responsible for handling first-party property claims of moderate severity and complexity. The selected candidate must reside in or be willing to relocate at their own expense to Riverside County. · +Handles 1st party property claims of moderate severity and complexi ...

The Interviews Team is looking for an Investigator to join our team on a full-time or part time if feasible.This role involves conducting thorough insurance claims investigations... · ...

This is a full-time, on-site role located in San Bernardino, CA, for a Human Resources Generalist. The Human Resources Generalist provides support and direction in application of Human Resources policies and procedures in a consistent, fair, and legal manner. · ...