Claims Examiner/Auditor - Los Angeles

A leading healthcare organization in West Hills is seeking a Claims Examiner with a strong claims compliance auditing experience (preferred). You'll analyze denials, support benefit analysis and system design considerations, manage special projects, and help improve auto‑adjudica ...

The Claims Examiner is responsible for performing activities related to benefit analysis and system design, · managing special projects, · claim denials, · and auto-adjudication applications, · ...

The Claims Examiner will be responsible for researching and resolving pending claims, · reviewing claim denials requiring manual review, · and ensuring timely processing in compliance with policies, · procedures, and regulatory guidelines.Familiarity with the Medi-Cal program. · ...

HealthCare Support Staffing is a national healthcare recruiting and staffing firm. They place talented healthcare professionals in clinical and non-clinical positions with top providers nationwide. · ...

We are currently seeking a Workers' Compensation Lost Time Senior Claim Examiner for our West Coast/Pacific region. · ...

Chubb is currently seeking a Workers' Compensation Claims Examiner for our West Region. Manage moderate-to-high complexity California claims. · Evaluate and analyze information to make informed decisions. · ...

Chubb is currently seeking a Workers' Compensation Claims Examiner for our West Region. · ...

The Claims Examiner is responsible for performing activities related to benefit analysis and system design, managing special projects, claim denials, and auto-adjudication applications as it pertains to auditing and claims compliance. This includes oversight of all workflow resea ...

We are seeking a Claims Examiner for our West Region. The successful applicant will manage moderate-to-high complexity California claims ensuring all aspects of regulatory compliance and best practices are met. · Display advanced claim handling skills on claim investigation, rese ...

Chubb is seeking a Workers' Compensation Claims Examiner for the West Region. The successful applicant will manage moderate-to-high complexity California claims ensuring regulatory compliance and best practices. · ...

Compensability investigations in regards to Workers Compensation claims and handle new losses verifying accuracy of information. · Compensability investigations in regards to Workers Compensation claims Handle new losses verifies accuracy of information Deals with insureds client ...

++Trainee Workers Compensation Claim Adjuster position available. · ++Compensability investigations for Workers Compensation claims · New loss handling and verification of information · Customer interactions with insureds, clients, and others · ...

The Specialty Health Plans Auditor III, Claims is responsible all aspects of planning, execution, reporting. · Performs annual claims audits for Specialty Health Plans and vendors. · ...

The Specialty Health Plans Auditor III, · Claims is responsible all aspects of planning, · execution, reporting, and corrective action · plans monitoring of claims processing compliance · for specialty health plans and vendors.Performs annual claims audits for Specialty Health Pl ...

Process insurance claims for property losses based on coverage appraisal and verifiable damage Interact with independent adjusters and policy holders review claim forms and other records to determine insurance coverage Make payment recommendations and settlements in accordance wi ...

Athens Administrators has an immediate need for a full-time Senior Claims Examiner to support their workers compensation offices. · ...

Process insurance claims for property losses based on coverage, appraisal, and verifiable damage. · Investigate, evaluate, and resolve claims. · Adjust reserves and provide reserve recommendations. · ...

Chubb is seeking a Senior Claim Examiner for the West Coast/Pacific region. The successful applicant will handle claims from California and report to our Los Angeles office. · ...

Chubb is seeking a Workers' Compensation Senior Claims Examiner managing moderate-to-high complexity California claims ensuring regulatory compliance and best practices. · ,, · ,(4 items),,,(5 items),(6 items) , · . ...

We are transforming the reality of senior care by providing an all-inclusive healthcare option to the most vulnerable senior population. · The Senior Claims Examiner plays a pivotal role in ensuring timely and efficient processing of claims for our contracted specialty provider p ...