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  1. Korean Bilingual Customer Service Representative/ 2개 국어를 사용하는 한국인 고객 서비스 담당자 at TeleTech

    Customer Service Representative II – Automotive Manufacturer This opportunity will require you to work in Fountain Valley, CA TeleTech is hiring. Join our

  2. Appraiser, Material Damage at MAPFRE Insurance

    Complete accurate and timely field appraisals, drive-in appraisals, supplements, and re-inspections on damaged motor vehicles, and if applicable, make claim...

  3. Personal Lines Account Manager at Insurance Partners, Inc.

    Insurance Partners Inc. is a growing full service insurance brokerage with locations in Orange, Los Angeles and San Bernardino County. We have been in

  4. Senior Account Manager - Employee Benefits at BB&T

    Position Summary The responsibility of a ProView Senior Account Manager, is to build and maintain excellent relationships with client benefit practitioners,

  5. Account Executive - Employee Benefits at BB&T

    Essential Duties and Responsibilities Provide mentoring, coaching and direction setting to team members to ensure service levels are being met Escalation

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    1. CLAIMS INTERNAL AUDITOR

      CLIENT COMPANY OVERVIEWOur Client is a not-for-profit, rapidly growing Medi-Cal and Medicare health plan serving over 1,138,447 residents of the Riverside and San Bernardino counties. Our client maintains a Positive Team Culture as demonstrated by being voted by Los Angeles News Group readers as “Favorite Overall Company To Work For”, “Favorite Training Program”, and “Favorite Workplace ...

    1. Network Development Contractor - (37223-25) at Ewings Associates

      Intermediate level of knowledge of claims processing systems and guidelines. APPD, APC, DRG, Contract Language, Legal Issues, Operations, Medicaid, Emptoris,...

    1. CLAIMS APPEALS SPECIALIST

      CLIENT COMPANY OVERVIEWOur Client is a not-for-profit, rapidly growing Medi-Cal and Medicare health plan serving over 1,138,447 residents of the Riverside and San Bernardino counties. Our client maintains a Positive Team Culture as demonstrated by being voted by Los Angeles News Group readers as “Favorite Overall Company To Work For”, “Favorite Training Program”, and “Favorite Workplace ...

    1. Tricare Network Contract Manager at Ewings Associates

      Intermediate level of knowledge of claims processing systems and guidelines. APPD, APC, DRG, Contract Language, Legal Issues, Operations, Medicaid, Emptoris,...

    1. Claims Quality Assurance Training Manager

      CLIENT COMPANY OVERVIEWOur Client is a not-for-profit, rapidly growing Medi-Cal and Medicare health plan serving over 1,138,447 residents of the Riverside and San Bernardino counties. Our client maintains a Positive Team Culture as demonstrated by being voted by Los Angeles News Group readers as "Favorite Overall Company to Work For”, "Favorite Training Program”, and "Favorite Workplace ...

    1. Network Development Contract Manager (TRICARE 2017-27) at Ewings Associates

      Intermediate level of knowledge of claims processing systems and guidelines. APPD, APC, DRG, Contract Language, Legal Issues, Operations, Medicaid, Emptoris,...

    1. MEDICAL CLAIMS PROCESSOR; ADJUDICATOR

      CLIENT COMPANY OVERVIEWOur Client is a not-for-profit, rapidly growing Medi-Cal and Medicare health plan serving over 1,138,447 residents of the Riverside and San Bernardino counties. Our client maintains a Positive Team Culture as demonstrated by being voted by Los Angeles News Group readers as “Favorite Overall Company To Work For”, “Favorite Training Program”, and “Favorite Workplace ...

    1. Tricare Network Development Manager at Ewings Associates

      Intermediate level of knowledge of claims processing systems and guidelines. APPD, APC, DRG, Contract Language, Legal Issues, Operations, Medicaid, Emptoris,...

    1. Claims Processor Level II (Rancho Cucamonga,CA) - 26286owrx

      Medical Claims Processor II needed in Rancho Cucamonga, CAPosition: Under the direction of the Claims Production Manager and Claims Supervisor, the Claims Processor Level II is responsible for receiving claims and processing the claims in an expedient manner.Major Responsibilities:Responsible for non-delegated provider claims verification and adjudication.Adjudicate all professional and ...

    1. Specialist, Coding / St Mary's Health System / FT Days 80 hours Bi-Weekly at INEVA St. Mary’s Health System

      The Specialist, Coding applies the appropriate diagnostic and procedural code to patient health records for purposes of document retrieval, analysis and claim...

    1. Claims Adjuster - Field Commercial Property

      GENERAL ADJUSTER / Commercial Property Claims Adjuster for a position with a very well respected National Insurance Carrier.This is a Permanent field adjuster position with outstanding compensation + full benefits package for the right candidate. Territory: Inland Empire.Responsibilities:Claims Adjuster will handle large & highly complex personal & COMMERCIAL property claims arising from ...

    1. Liability Claims Adjuster at Farmers Insurance Group

      As a Liability Claims Adjuster, you’ll use your customer service and problem solving skills to determine claims coverage and identify responsible parties;...

    1. Claims Appeal Specialist (Rancho Cucamonga,CA) - 26285owrx

      Experienced Claim Appeals Specialist needed in Rancho Cucamonga, CAJob Description:Under the direction of the Claim Support Services Supervisor, the Claim Appeals Specialist (CAS) is responsible for researching and documenting all Provider Disputes and/or Member Appeal in a thorough, professional and expedient manner.Coordinates effort between departments, interfaces with internal and ...

    1. Regulatory Affairs Manager at HOYA Surgical Optics

      This position shall also review and approve product labeling, claims identification/ verification, promotional items for regulatory compliance....

    1. Claims Appeal Specialist (Rancho Cucamonga,CA) - 26285

      POSITION Under the direction of the Claim Support Services Supervisor, the Claim Appeals Specialist (CAS) is responsible for researching and documenting all Provider Disputes and/or Member Appeal in a thorough, professional and expedient manner.  Coordinates effort between departments, interfaces with internal and external resources.  Ability to provide clear written decision of dispute. ...

    1. Traffic Agent II at Chugach Alaska Corporation

      Chugach Alaska Corporation was one of the twelve original Native Regional Corporations formed under the Alaska Natives Claims Settlement Act of 1971....

    1. Insurance Field Claims Investigator

      ********We are hiring both experienced statement and surveillance investigators********* Minimum 3+ years field experience preferred Operating vehicle Have a valid DL License and vehicle insurance Lap Top Computer Strong Computer and internet skills Flexibility to work varied hours and days Background check required   IUNLIMITED OFFERS Latest technological equipment including ...

    1. Provider Services Agent at Broadpath

      Responsible for verifying member coverages, benefit types, eligibility dates, and claim payment/statuses for providers....

    1. Worker's Comp Claims Assistant

      This Worker's Comp Claims Assistant Position Features: **Contact Veronica for more information** Immediate need for worker's comp claims assistant seeking **Contact Veronica Pardo for more information** Typical experience that we are looking for is: Three years of experience in processing claims, or in a workers' compensation related environment performing administrative/office work. ...

    1. Member Services Agent at Broadpath

      Benefit and eligibility information, claims and billing, primary care physician assignments, etc. Provide an accurate and thorough explanation of health plan...

    1. Non-Standard Auto Claims Adjuster - Bilingual

      Coverage Identify, analyze, and confirm coverage.Customer Service/Contact: Contact appropriate parties and providers to determine liability, compensability, negligence and subrogation potential.Contact appropriate parties to obtain any needed information and explain benefits as appropriate. Continue contact throughout the life of the file as appropriate.Answer phones, check voice mail ...

    2. Managed Care Customer Service and Claims Manager

      Hot off the presses, listen here... A high level position available ASAP in sunny Redlands, CA! Are you in search of an opportunity of a lifetime? Do you specialize in Healthcare Administration with experience in Claims & Customer Service level experience? If so, and you meet the minimum requirements below then our client might be your next great opportunity! Hours: Full time; Direct Hire ...

    3. Claims Manager

      Successful growth equals new professional opportunities PLUS a great benefits package! Are you experienced in Managed Care Claims and Healthcare Management? Have you gained over 5+ years experience in a Healthcare setting? Our client in beautiful Palm Springs is looking for someone like you ASAP! Pay Rate: $72,800 + great benefits packageHours: Direct Hire, working business hours Job ...

      1. Senior Medical Insurance Biller at Athenix Body Sculpting

        Follow-up on unpaid claims within standard billing cycle to avoid untimely filing. Senior Medical Insurance Biller*....

      2. Revenue Cycle Representative at FPA Women's Health

        The Revenue Cycle Representative is responsible for collecting payments for outstanding claims. The Revenue Cycle Representative is responsible for billing and...

      3. RN, Care Manager (West Covina, CA) at HealthCare Partners

        Communication may include patient (or agent), attending/referring physician, facility administration and HCP claims as necessary....

      4. Network Contract Managers (37224-26) at Ewings Associates

        Intermediate level of knowledge of claims processing systems and guidelines. APPD, APC, DRG, Contract Language, Legal Issues, Operations, Medicaid, Emptoris,...

      5. Network Development Managers (37225-27) at Ewings Associates

        Intermediate level of knowledge of claims processing systems and guidelines. APPD, APC, DRG, Contract Language, Legal Issues, Operations, Medicaid, Emptoris,...