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Claims processor Jobs in Downey, CA

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Claims processor • downey ca

Last updated: 1 day ago
Claims Processor

Claims Processor

Crystal StairsLos Angeles, CA, USA
Full-time
Quick Apply
Improving the Lives of Families through.Child Care Services, Research, and Advocacy.Crystal Stairs is committed to building and sustaining a diverse workforce and culture.As part of this commitment...Show moreLast updated: 22 days ago
  • Promoted
Claims Adjuster

Claims Adjuster

Hankey Group ExternalLos Angeles, CA, US
Full-time
Los Angeles | Hybrid (In-Office Preferred, Remote Optional) | Claims.Knight Insurance Group is a well-established insurance company dedicated to delivering outstanding service to its clients.As a p...Show moreLast updated: 4 days ago
  • Promoted
Claims Specialist

Claims Specialist

Cooperative of American Physicians, Inc.Orange County, CA, US
Full-time
CAP seeks a Senior Claims Specialist, for its Orange County office, to perform technical and administrative duties to manage assigned claim files. assumes increased workload of highly complex claim...Show moreLast updated: 24 days ago
  • Promoted
REGIONAL CLAIMS DIRECTOR

REGIONAL CLAIMS DIRECTOR

alliant_commercial_realty_servicesLos Angeles, CA, United States
Full-time
About Alliant Insurance Services.With a history dating back to 1925, Alliant Insurance Services is one of the nations leading distributors of diversified insurance products and services.Operating t...Show moreLast updated: 10 days ago
  • Promoted
Claims Specialist

Claims Specialist

Superior GrocersSanta Fe Springs, CA, US
Full-time
The Claims Specialist manages our company's best practices to provide vital support to lower claim cost by immediate action of resolution and best possible outcome. Under the direct supervision of a...Show moreLast updated: 22 days ago
  • Promoted
Dental Insurance Claims Processor

Dental Insurance Claims Processor

Imperial Health Plan of California, Inc.Los Angeles, CA, US
Full-time
Imperial health is seeking a dental claims processor.Reviewing and validating dental insurance claims for accuracy and completeness. Entering claim information into the computer system for processin...Show moreLast updated: 7 days ago
Medical Claims Processor

Medical Claims Processor

Robert HalfLong Beach, US
Permanent +1
The Medical Claims Processor is primarily responsible for accurately and thoroughly processing claims and referrals in a timely manner in accordance with specific plan benefits provisions and guide...Show moreLast updated: 30+ days ago
Disability Claims Processor (On Call, Variable Hours)

Disability Claims Processor (On Call, Variable Hours)

Kaiser PermanenteDowney, California
Full-time
The Patient Business Services Disability Claims Processor is responsible for abstracting medical information and diagnosis, using ICD-9 codes as required. Coordinates disability claims with employer...Show moreLast updated: 30+ days ago
  • Promoted
Claims Advocate Lead - Financial and Cyber Claims

Claims Advocate Lead - Financial and Cyber Claims

Alliant Insurance ServicesLos Angeles, CA, United States
Full-time
Claims Advocate Lead - Financial and Cyber Claims.Chicago, IL, USA • Irvine, CA, USA • Los Angeles, CA, USA • New York, NY, USA. Alliant Insurance Services is one of the nation's largest and fastest...Show moreLast updated: 30+ days ago
Sr. Claims Coordinator

Sr. Claims Coordinator

MFISanta Fe Springs, California, United States of America
Full-time +1
Claims Coordinator to join our team! In this position you will be responsible for filing and managing all claims regarding workers compensation, auto liability, general liability, property damage, ...Show moreLast updated: 4 days ago
  • Promoted
Claims - Field Claims Representative

Claims - Field Claims Representative

The Cincinnati Insurance CompaniesLos Angeles, CA, United States
Full-time
Make a difference with a career in insurance.At The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations. To put this into action, we're looking for ...Show moreLast updated: 30+ days ago
  • Promoted
Automotive Claims Processor

Automotive Claims Processor

VirtualVocationsNorwalk, California, United States
Full-time
A company is looking for an Automotive Pre-Authorization Claims Processor (Remote).Key Responsibilities Maintain and update equipment registrations Provide Pre-Authorization for certain automoti...Show moreLast updated: 1 day ago
  • Promoted
Claims Quality Auditor

Claims Quality Auditor

University of California - Los Angeles HealthLos Angeles, CA, United States
Full-time
Take on an important role within a world-class health organization.Provide specialized expertise that enables the efficient operation of a complex health system. Take your career to the next level.Y...Show moreLast updated: 30+ days ago
  • Promoted
TPA Claims Examiner

TPA Claims Examiner

Schifrin, Gagnon, & Dickey, Inc.Los Angeles, CA, US
Full-time
Are you a detail-oriented and enthusiastic claims professional?.Join our team at SGD as a TPA Claims Examiner, working remotely. You will play a crucial role in evaluating insurance claims and facil...Show moreLast updated: 12 days ago
  • Promoted
Claims Examiner

Claims Examiner

Monster jobsWhittier, CA, US
Full-time
The claims examiner reports directly to the claims manager.They are primarily responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500 claims that are ...Show moreLast updated: 16 days ago
  • Promoted
CLAIMS MANAGER

CLAIMS MANAGER

BeazleyLos Angeles, CA, United States
Full-time
Cyber & Privacy Claims Manager.Claims Focus Group Leader, as per Beazley’s organisation chart.Claims staff, underwriters, insureds, brokers and service providers. To help achieve the Beazley vision ...Show moreLast updated: 8 days ago
  • Promoted
Sr. Claims Coordinator

Sr. Claims Coordinator

U.S. Venture, Inc.Santa Fe Springs, CA, US
Permanent
Claims Coordinator to join our team! In this position you will be responsible for filing and managing all claims regarding workers compensation, auto liability, general liability, property damage, ...Show moreLast updated: 3 days ago
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Claims Processor

Claims Processor

Crystal StairsLos Angeles, CA, USA
22 days ago
Job type
  • Full-time
  • Quick Apply
Job description

Crystal Stairs, Inc.

Improving the Lives of Families through

Child Care Services, Research, and Advocacy

Crystal Stairs is committed to building and sustaining a diverse workforce and culture. As part of this commitment, Crystal Stairs does not and shall not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin, disability, marital status, sexual orientation, or military status, in any of activities or operations.

Provider Services - Claims Processor

100% Onsite - Los Angles CA 90056

What We're Looking For :

We are seeking a qualified candidate for the Claims Processor position. The Claims Processor will provide excellent client service by accurately processing provider claims in a timely manner while adhering to the contractual requirements of the California Department of Education and LA County Department of Public Social Services as well as Crystal Stairs, Inc. policies and procedures. The selected qualified candidate will have the following responsibilities :

  • Process attendance records and provider payment requests in accordance with department quality standards based upon the funder's payment rules and regulations in addition to the agency's policies.
  • Effectively communicate with providers, parents, and CSI staff, as needed.
  • Assist parents, providers, and staff in completing attendance records and / or provider payment requests by responding to incoming inquiries regarding payment or claims submission.
  • Communicate with case managers to resolve payment authorization issues on pending claims.
  • Contribute to a team atmosphere by participating in monthly staff meetings, training, and assisting department co-workers as needed.
  • Other duties as assigned.

EXPERIENCE, KNOWLEDGE, SKILLS AND ABILITIES YOU SHOULD POSSESS :

  • High School Diploma or GED Equivalent required. An AA / AS Degree in Accounting, Business, or Human Services preferred / or a minimum of two years of verifiable college coursework with a focus on accounting or business; verifiable work experience may be substituted for college level education
  • Minimum of two years experience processing claims, billing or adjustment payments required. Experience in an entry level accounting role preferred.
  • Experience with child care providers and parents receiving subsidized child or social support services preferred.
  • Must have Knowledge of the Department of Public Social Service Stage 1 Child Care Services Contract or CDE Alternative Payment Program or experience working with social support services preferred.
  • Must have strong customer service, organization, written and verbal communication skills.
  • Requires excellent data entry and processing skills within a fast paced environment.
  • Requires considerable accuracy, attention to details and ability to adhere to strict processing deadlines.
  • Must be flexible and possess a strong ability to multi-task while working in a collaborative, team environment.
  • Must have the ability to perform basic mathematical computations to verify and confirm payment calculations.
  • Must have ability to work with diverse groups.
  • Must have technical proficiencies working with Microsoft Excel and Microsoft Word
  • Ability to understand and master complex program requirements and processes as they relate to provider payment
  • Able to work flexible hours as needed to complete required tasks in a timely manner. Overtime may be required to assure timely and compliant processing of provider payments; and
  • Able to work under pressure and with time-sensitive deadlines.
  • Total Package of Benefits

  • Medical / Dental / Vision - 95% paid by employer
  • 401k Matching Options
  • Flex Spending
  • Pre-paid Legal Services
  • Sick and Vacation Time
  • Paid Holidays and Winter Break
  • Opportunity for Growth and Development
  • Robust Learning Management System offering the following continuing education units : PDC, HRCI, CEU, CPE, PDU, SHRM
  • Crystal Stairs, Inc. is committed to building and sustaining a fully vaccinated, diverse workforce and culture. As part of this commitment, Crystal Stairs, Inc. provides equal opportunity in all of our employment practices, including selection, hiring, promotion, transfer, and compensation, to all qualified applicants and employees without regard to race, color, medical condition as defined by state law, ancestry, religion, sex, national origin, age, marital status, sexual orientation, gender, ethnic group identification, mental or physical disability, pregnancy, childbirth and related medical conditions, or any other legally protected status.

    Qualified applicants with arrest or conviction records will be considered for Employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

    For more information about Crystal Stairs, please visit our website at :

    Job Posted by ApplicantPro