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Coding Jobs in Rancho Cucamonga, CA

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Coding • rancho cucamonga ca

Last updated: 3 days ago

Claims Adjuster - Workers Compensation

mindlanceOntario, CA, United States
Full-time

Claims Adjuster - Workers Compensation.PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involvi... Show more

Healthcare Compliance Specialist

alura workforce solutionsRancho Cucamonga, CA, United States
Temporary

Special Investigations Unit Specialist.Position Type: Temporary Schedule: Hybrid; M-F, 8:00 am - 5:00 pm; Mon & Fri - WFH, Tue-Thur - Onsite Assignment Length: Approximately 6-Months, possibly long... Show more

RAC Manager

prime healthcareOntario, CA, United States
$71,760.00–$94,619.20 yearly
Full-time +1

Corporate Team Member Opportunity.Prime Healthcare is an award-winning health system headquartered in Ontario, California.Prime Healthcare operates 54 hospitals and has more than 360 outpatient loc... Show more

3rd Shift Line Operator

ventura foodsOntario, CA, US
Full-time

To safely transfer quality product at a high rate of speed from the facility mixing and distribution system to customers preferred packaging.Operate filling and packaging equipment and generally ov... Show more

SPECIALIST II, CLINICAL CODING

pomona valley hospital medical centerPOMONA, California, United States, 91767
$39.89–$56.13 hourly
Full-time

SPECIALIST II, CLINICAL CODING.WE ARE SEEKING CANDIDATES WITH 2 YEARS OF INPATIENT AND OUTPATIENT CASES IN AN ACUTE CARE SETTING.THIS IS A FULLY REMOTE POSITION FOR CALIFORNIA RESIDENTS ONLY.Respon... Show more

Senior Software Engineer

cut dryCalifornia, California, US
Full-time

Cut+Dry is a fast-growing FoodTech startup searching for flexible go-getters who welcome the challenge of meeting the needs of a rapidly expanding business.Our company is revolutionizing the $300B ... Show more

Coordinator - Integrated Transitional Care

impresiv healthRancho Cucamonga, CA, United States
Full-time

Coordinator - Integrated Transitional Care.Location: Hybrid work schedule.Monday and Friday remote; Tuesday through Thursday onsite in Rancho Cucamonga, CA.Description: The Coordinator - Integrated... Show more

Real Estate Services Administrator

aa2 itOntario, CA, United States
$30.00 hourly
Full-time

Real Estate Services Administrator.Pay Rate: $30/HR on W2 Hours: M-F 8am - 5pm - In-Person Location: 3991 Grand Ave, Ste B, Chino, CA, 91710 Assignment Duration: 4 months Potential to convert to FT... Show more

Marketing Automation Specialist

job tracksRancho Cucamonga, CA, United States
Full-time

Marketing Automation Specialist.The Marketing Automation Specialist role executes the organization's automated marketing program to enhance the overall image of our Credit Union, achieve organizati... Show more

Medical Billing and Coding - Entry Level Training Program

dreamboundFontana, California, United States
Full-time

Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more

Remote Resident Medical Specialist (MD/DO)

turingClaremont, California
Remote
Full-time
Quick Apply

Based in San Francisco, California, Turing is the world’s leading research accelerator for frontier AI labs and a trusted partner for global enterprises deploying advanced AI systems.Turing s... Show more

Temporary Special Investigations Unit Specialist

lancesoftRancho Cucamonga, CA, US
$27.34 hourly
Full-time
Quick Apply

Title: Temporary Special Investigations Unit Specialist.Duration: Up to 6 Month Assignment.Work location: Rancho Cucamonga, CA 91730.This position is on a hybrid work schedule.Mon & Fri - remot... Show more

Claims Examiner - Workers Compensation

synecticsOntario, CA, United States
Full-time

Seeking a Claims Examiner to analyze complex or technically difficult workers' compensation claims to determine benefits due.Analyze complex or technically difficult workers' compensation claims to... Show more

Restaurant Manager

king s fish house rancho cucamongaRancho Cucamonga, CA, US
$70,304.00–$80,000.00 yearly
Full-time

King's Fish House started as a unique Southern California quintessential American fish house, and quickly became a Southland fixture, from Calabasas, Orange County, Inland Empire, San Diego, San Jo... Show more

Claims Examiner - Workers Compensation

e teamOntario, CA, United States
Full-time

Claims Examiner - Workers Compensation.Location: Ontario, CA REMOTE Duration: 3 Months.To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work wi... Show more

Senior Audit Associate (Private)

lhhRancho Cucamonga, CA, United States
$90,000.00–$110,000.00 yearly
Permanent

Senior Audit Associate Private Company.Location: Rancho Cucamonga, CA.Schedule: Hybrid 3 days onsite.Open to seeing property accountants or audit associates.We are seeking a Senior Audit Associat... Show more

Medical Clinic Site Manager

chaparral medical groupRancho Cucamonga, CA, United States
$66,650.00–$75,358.00 yearly
Full-time

Experience and/or Education: High school diploma or general education degree (GED) required, some college preferred.Minimum of five (5) years medical group office experience including insurance bil... Show more

Financial Analyst III - Financial Reporting

inland empire health planRancho Cucamonga, CA, United States
$91,249.60 yearly
Full-time

Financial Analyst III - Financial Reporting.Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an a... Show more

Hotel - Director of Sales - Ontario Selected Hilton Hotel

greensOntario, CA, United States
Full-time

We are currently looking for a highly motivated, determined, well-spoken, and experienced hotel Director of Sales with a minimum of 3 years of hotel industry experience who understands the meaning ... Show more

Temporary Special Investigations Unit Specialist

lance softRancho Cucamonga, CA, United States
$27.34 hourly
Full-time

Temporary Special Investigations Unit Specialist.Duration: Up to 6 Month Assignment Pay Rate: $27.W2 Work location: Rancho Cucamonga, CA 91730 This position is on a hybrid work schedule.Mon & Fri -... Show more

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Claims Adjuster - Workers Compensation

Claims Adjuster - Workers Compensation

mindlanceOntario, CA, United States
30+ days ago
Job type
  • Full-time
Job description

Claims Adjuster - Workers Compensation

PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

  • Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
  • Negotiates settlement of claims within designated authority.
  • Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
  • Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority level.
  • Prepares necessary state filings within statutory limits.
  • Manages the litigation process; ensures timely and cost effective claims resolution.
  • Coordinates vendor referrals for additional investigation and/or litigation management.
  • Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
  • Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
  • Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
  • Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
  • Ensures claim files are properly documented and claims coding is correct.
  • Refers cases as appropriate to supervisor and management.

ADDITIONAL FUNCTIONS AND RESPONSIBILITIES:

  • Performs other duties as assigned.
  • Supports the organization's quality program(s).
  • Travels as required.

QUALIFICATION:

Education & Licensing: Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.

Experience: Five (5) years of claims management experience or equivalent combination of education and experience required.

Skills: Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business. Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Good interpersonal skills Excellent negotiation skills Ability to work in a team environment Ability to meet or exceed Service Expectations

WORK ENVIRONMENT:

When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking