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PACE Claims Examiner/Data Specialist
1 week ago
Loma Linda University Medical Center Loma Linda, United StatesJob Summary: The PACE Claims Examiner/Data Specialist is responsible for processing professional and hospital capitated full risk claims in accordance with the individual provider contract and Medicare and Medi-Cal billing guidelines and processes claims. Initiates check run and ...
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PACE Claims Examiner/Data Specialist
3 weeks ago
Loma Linda University Medical Center Loma Linda, United StatesJob Description · Job Summary: The PACE Claims Examiner/Data Specialist is responsible for processing professional and hospital capitated full risk claims in accordance with the individual provider contract and Medicare and Medi-Cal billing guidelines and processes claims. Initi ...
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Pace Claims Examiner/data Specialist
3 weeks ago
Loma Linda University Loma Linda, United States**Job Summary**: The PACE Claims Examiner/Data Specialist is responsible for processing professional and hospital capitated full risk claims in accordance with the individual provider contract and Medicare and Medi-Cal billing guidelines and processes claims. Initiates check run ...
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Claims Specialist
3 weeks ago
Heritage Grocers Group, LLC Ontario, United StatesAt 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 ...
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Automotive Claims Specialist
1 day ago
Cox Automotive Riverside, United StatesIt takes a special kind of talent and attention to detail to find solutions that are fair to everyone. That's how you can make an impact here at Cox. · We're hiring an **Automotive Claims Specialist II **to join our vehicle operations team at Cox Automotive. In this role, you'll ...
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Property Claims Specialist Field II
1 week ago
Mercury General Rancho Cucamonga, United StatesJoin an amazing team that is consistently recognized for our achievements and culture, including our most recent Forbes award of being one of America's Best Midsize Employers for 2024 · This position will be supporting our San Bernardino/High Desert Territory · Position Summary ...
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Automotive Claims Specialist I
2 weeks ago
Cox Automotive Riverside, United StatesAt Manheim (a Cox Automotive company), we strive to make sure every customer is completely satisfied when they do business with us. On the off-chance we fall short, we do our best to make things right, pronto. · That's where you come in. · We're looking for an **Automotive Claims ...
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Property Claims Specialist Field II
3 weeks ago
Mercury General Rancho Cucamonga, United StatesJoin an amazing team that is consistently recognized for our achievements and culture, including our most recent Forbes award of being one of America's Best Midsize Employers for 2024 · This position will be supporting our San Bernardino/High Desert Territory · Position Summary ...
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Customer Service Specialist I
3 days ago
ABIDSS, Inc. Loma Linda, United StatesOverview: · Do you have exceptional customer skills and consider yourself highly organized? If so, our Customer Service Specialist based out of our Loma Linda, CA office may be the role for you · The Customer Service Specialist's primary objective role is to establish and build ...
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Patient Access Specialist
3 weeks ago
Ensemble Health Partners Colton, United States Part timeThank you for considering a career at Ensemble Health Partners · Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle s ...
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Social Worker
1 week ago
VETERANS HEALTH ADMINISTRATION Loma Linda, United StatesSummary · The Social Worker (Program Coordinator Homeless Outreach) in the Healthcare for Homeless Veterans (HCHV) Program as the Homeless Outreach Team Lead. This position enables VA homeless programs to fully collaborate with the community, including the Continuum of Care (CoC ...
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Employee Relation Specialist
6 days ago
Ashley Furniture Industries Inc Colton, United StatesBuild Your Career with Ashley · Grow your career on a team that strives to enhance the employee experience at all levels. By joining our Human Resources team, you'll be a part of a caring community that provides great benefits and resources to our employees, all while thriving i ...
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Fiscal Specialist
3 weeks ago
San Bernardino County San Bernardino, United StatesFiscal Specialist · Salary · $40, $55,993.60 Annually · Location · Throughout San Bernardino County, CA · Job Type · Full-time · Job Number · Department · Multiple County Departments · Opening Date · 01/13/2024 · Closing Date · Continuous · * Description · * Benefits · * Question ...
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Physician Center Medical Director
3 weeks ago
Concentra San Bernardino, United StatesOverview · At Concentra, our Medical Directors spend the majority of their time clinically treating patients; the remaining time is focused on recruiting, business metrics, patient/client happiness and center management. This role offers an opportunity for physicians to blend the ...
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Mine Safety and Health Specialist
3 weeks ago
Mine Safety and Health Administration San Bernardino, United StatesSummary · Location will be Vacaville, CA; Elko, NV; Henderson, NV; Kent, WA; San Bernardino, CA; Boise, ID; or Albany, OR and is negotiable at selection. · This position serves as a Electrical Specialist and authority on related issues and problems encountered in the mining ind ...
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Four Corners Senior Program Director
3 weeks ago
Conservation Legacy Loma Linda, United StatesTitle: Four Corners Senior Program Director - Southwest Conservation Corps (SCC) · Reports to: SCC Corps Director · Starting Salary: $79,500 - $81,885, depending on experience. · Location: Durango, CO. (Partial remote eligible, may work remotely up to 2 days per week) · Status: F ...
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Four Corners Senior Program Director
3 weeks ago
Conservation Legacy Loma Linda, United StatesTitle: Four Corners Senior Program Director - Southwest Conservation Corps (SCC) · Reports to: SCC Corps Director · Starting Salary: $79,500 - $81,885, depending on experience. · Location: Durango, CO. (Partial remote eligible, may work remotely up to 2 days per week) · Statu ...
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Customer Service Specialist I
2 weeks ago
ABIDSS, Inc. Loma Linda, United StatesOverview: · Do you have exceptional **customer skills** and consider yourself **highly organized**? If so, our Customer Service Specialist based out of our **Loma Linda, CA** office may be the role for you · The **Customer Service Specialist's** primary objective role is to estab ...
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Leave & Accommodation Specialist
1 day ago
San Manuel Band of Mission Indians Highland, United StatesUnder the direction of the Leave & Disability Manager, the Leave & Accommodation Specialist provides support to all team members who are requesting a leave of absence or disability accommodation. This role serves as the liaison between team members and enterprise leaders when tea ...
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Leave & Accommodation Specialist
3 days ago
San Manuel Band of Mission Indians Highland, United StatesUnder the direction of the Leave & Disability Manager, the Leave & Accommodation Specialist provides support to all team members who are requesting a leave of absence or disability accommodation. This role serves as the liaison between team members and enterprise leaders when tea ...
fraud claims specialist - Loma Linda, United States - Randstad
Description
category office and administrative support occupationsreferenceAB_4518559job detailsAre you an experienced backend/financial services professional looking to secure a role within fraud? If so, this is a great opportunity to join our clients Signature Non-Fraud team Randstad is looking to hire several Fraud Claims Specialists and we are seeking candidates with great attention to detail, advanced processing skills and the ability to quickly and efficiently navigate multiple systems at once.
If that sounds like you, please todaysalary:
$ $20 per hourshift:
Firstwork hours: 8:30 AM - 5:30 PMeducation: No Degree RequiredResponsibilitiesThis is back office type work and would not be working on the phones directly with customers.
Talent will be working through a queueTalent will be using various systems and screens to gather information, review and analyze information, and document findings they come across in making their decision.
Talent should be self starters - once they finish a claim, they will continue working claims out of their queue for the entirety of the dayTransaction/customer account reviewAbility to make sound decisions based on evidenceTalent will be working in the fraud & claims department, specifically working with signature non-fraud on customer's debit cards.
SkillsClaimsClaims ProcessingBanking OperationsInsuranceData EntryQualificationsYears of experience: 1 yearRandstad is a world leader in matching great people with great companies.Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company.
Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.Equal Opportunity Employer:
Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants.
If you require a reasonable accommodation to make your application or interview experience a great one, please contact offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc.
In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).Applications accepted on ongoing basis until in touchwe are here to help you with your questions.
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