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Medical claims processor Jobs in Los Angeles, CA

Last updated: 10 hours ago
  • Promoted
Claims Manager

Claims Manager

SERVPRO Global DRTLos Angeles, CA, US
$25.00–$35.00 hourly
Full-time
SERVPRO Global DRT based in Encino, California, is a leader in remediation and restoration; providing best in class service to handle emergency and reconstruction needs 24 / 7.Our goal is to help min...Show moreLast updated: 30+ days ago
  • Promoted
Claims Adjuster

Claims Adjuster

Hankey Group ExternalLos Angeles, CA, US
$55,000.00–$65,000.00 yearly
Full-time
Los Angeles | Hybrid (In-Office Preferred, Remote Optional) | Claims.Onward Insurance is a growing and dynamic auto insurance company dedicated to providing exceptional service and comprehensive co...Show moreLast updated: 11 days ago
  • Promoted
Claims Auditor

Claims Auditor

AltaMed Health Services CorporationMontebello, CA, US
$26.13–$32.55 hourly
Full-time
If you are as passionate about helping those in need as you are about growing your career, consider AltaMed.At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrat...Show moreLast updated: 16 days ago
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Word Processor

Word Processor

Matura FarringtonLos Angeles, CA, United States
$80,000.00–$90,000.00 yearly
Full-time
We are seeking a Word Processor (night shift) to join a growing national firm in their downtown Los Angeles office.The successful candidate will be responsible for efficiently transcribing, formatt...Show moreLast updated: 8 days ago
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Senior Claims Ajuster

Senior Claims Ajuster

EmployersNorth Hills, CA, United States
$60,000.00–$85,000.00 yearly
Full-time
Senior Claims Adjuster I - California.With minimal oversight, the Senior Claims Adjuster I is responsible for the timely and accurate management of workers' compensation claims.This includes handli...Show moreLast updated: 6 days ago
  • Promoted
Finance / Accounting - Claims Processor

Finance / Accounting - Claims Processor

CSMC VentanaTarzana, CA, United States
Full-time
Finance / Accounting - Claims Processor.This position will primarily handle submitting authorizations - must have previous experience with authorizations on resume. Experience with medical insurance, ...Show moreLast updated: 7 days ago
  • Promoted
Lead Medical Payment Processor

Lead Medical Payment Processor

Scout ExchangeLos Angeles, CA, United States
Full-time
Title - Lead Medical Payment Processor.Location - Los Angeles, CA, US (This role is 100% on-site reporting to HQ).Start : Oct 30, 2023 | Duration : 26 Weeks. The Lead Medical Payment Processing is res...Show moreLast updated: 8 days ago
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Claims Examiner

Claims Examiner

LanceSoft, Inc.Los Angeles, CA, United States
Full-time
Title : Claims Review Specialist (Local Only).Location : Hybrid, mostly remote 10920 Wilshire Blvd, Los Angeles, CA 90024. At least one of these 3 certifications : CPC CPCH CCS.High school diploma, GED...Show moreLast updated: 2 days ago
  • Promoted
Claims Examiner

Claims Examiner

Axelon Services CorporationLos Angeles, CA, US
Full-time
Location : Hybrid, mostly remote but sometimes 10920 Wilshire Blvd, Los Angeles, CA, 90024.At least one of these 3 certifications : CPC CPCH CCS. High school diploma, GED or equivalent required, Two y...Show moreLast updated: 9 days ago
  • Promoted
SENIOR CLAIMS AJUSTER

SENIOR CLAIMS AJUSTER

EMPLOYERSCA, United States
$60,000.00–$85,000.00 yearly
Full-time
Senior Claims Adjuster I - California.With minimal oversight, the Senior Claims Adjuster I is responsible for the timely and accurate management of workers' compensation claims.This includes handli...Show moreLast updated: 1 day ago
  • Promoted
Claims Adjuster

Claims Adjuster

George Hills CompanyLos Angeles, CA, US
$66,560.00–$80,000.00 yearly
Full-time
For 70 years George Hills has offered our clients unparalleled service and innovative excellence in claims administration and offered our employees a positive and collaborative culture that builds ...Show moreLast updated: 15 days ago
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  • New!
OPERATIONS CLAIMS ASSOCIATE

OPERATIONS CLAIMS ASSOCIATE

Pacific Life Insurance CompanyCA, United States
$24.44–$29.88 hourly
Full-time
Providing for loved ones, planning rewarding retirements, saving enough for whatever lies ahead - our policyholders count on us to be there when it matters most. It's a big ask, but it's one that we...Show moreLast updated: 10 hours ago
  • Promoted
CASUALTY CLAIMS ADJUSTER

CASUALTY CLAIMS ADJUSTER

SaiaLA, United States
Full-time
Saia is a different kind of logistics and transportation company.You'll see it in our commitment to our people, customers, and community. You'll feel it in the support you get on day one - from lead...Show moreLast updated: 1 day ago
Disability Claims Processor (On Call, Variable Hours)

Disability Claims Processor (On Call, Variable Hours)

Kaiser PermanenteDowney, California
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
  • New!
Environmental Claims Adjuster

Environmental Claims Adjuster

Argonaut Management Services, IncLos Angeles, CA, United States
$84,500.00–$99,600.00 yearly
Full-time
Argo Group is a leader in specialty insurance with a vibrant culture built on respect, equality, wellness and opportunity. We're an innovative organization that's small enough to be agile and big en...Show moreLast updated: 10 hours ago
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Medical Claims Investigator

Medical Claims Investigator

VirtualVocationsVan Nuys, California, United States
Full-time
A company is looking for a Medical Claims Investigator.Key ResponsibilitiesReview medical paid claims against provider contracts to ensure accurate processingUtilize data mining techniques to analy...Show moreLast updated: 4 days ago
  • Promoted
Claims Coordinator

Claims Coordinator

Athens ServicesSun Valley, CA, US
Full-time
Candidate will assist with all auto related accidents and damages claims, making contact with involved parties within established timelines through telephone and written communication.Review invest...Show moreLast updated: 19 days ago
  • Promoted
Claims Manager

Claims Manager

University of California - Los Angeles HealthLos Angeles, CA, United States
$92,600.00–$202,200.00 yearly
Full-time
We are seeking a detailed-oriented and experienced Claims Manager to join our Claims leadership team.In this key role, you will oversee a dedicated team of claims examiners, auditors, and support s...Show moreLast updated: 1 day ago
Claims Specialist - Claims Processing

Claims Specialist - Claims Processing

ProvidenceMission Hills, CA, United States
Full-time
Responsible for processing medical claims.Resolves complex, difficult or non-routine claims requiring special handling in accordance with established policy guidelines. Reviews and authorizes paymen...Show moreLast updated: 30+ days ago
Claims Manager

Claims Manager

SERVPRO Global DRTLos Angeles, CA, US
30+ days ago
Salary
$25.00–$35.00 hourly
Job type
  • Full-time
Job description

Job Description

Job Description

About the Company

SERVPRO Global DRT based in Encino, California, is a leader in remediation and restoration; providing best in class service to handle emergency and reconstruction needs 24 / 7. Our goal is to help minimize the interruption to your life and quickly make it "like it never even happened.

What is the Role?

We are looking for a Claims Manager to join our Claims Management Team.

You will be responsible for project managing and communicating the status of a job to all relevant parties from the moment of the initial loss all the way through to the finish line (ie when the job is ready to be billed and / or when you make a smooth hand off to the reconstruction team).

Responsibilities include :

  • Email communication

Sending introduction email and introducing yourself to the client as soon as you receive a new loss

  • Sending daily update emails to the client, carrier, consultant and interested parties detailing work performed today and what can be expected tomorrow
  • Email communications with 3rd parties, insurance, consultants as needed.
  • Data entry, collection. & analysis

    • Sending Work Orders to our field team for the work to be performed next day and updating relevant internal software's (eg work center).

  • Reviewing all photos and Docusketchs as they come in from the field so you are aware of all job details
  • Confirm that T&M / Scope sheets have been uploaded to to Egnyte
  • Phone communication

    • Speak with PM (who is onsite at the job) every morning to chat through job scope and ensure nothing lost via email

  • Mid-day check in calls with PMs on active jobs
  • End of day call with PM before they leave the job site
  • Host / memorialize phone calls via email with adjusters / clients / our team
  • Weekly phone / video meetings to discuss prep and / or progress of job if required by client
  • Coordination & scheduling

    • For any jobs out of state, need to coordinate hotels / rooms for our team and GLs to stay in.

  • Sending calendar invites to relevant parties
  • Ensuring all necessary forms are signed at various points during the duration of a job (eg DocuSign : COS, Limitations Forms, Release for Content Disposal.
  • Partnering with relevant team members if permits are needed
  • Internal communication

    • As the overall project lead you will help to answer questions from estimators, T & M team, billing / accounting. Reconstruction and management, other SERVPROs that may be involved in a job, etc

  • Coordinating with any 3rd parties. These include but not limited to

    • Confirm job with clients, tenants

  • Coordinating third-party vendors – includes asbestos and lead testing, electricians, sunbelt, plumbers, structural engineers etc.
  • Making sure flooring sample is sent to ITEL if flooring is removed.
  • Coordinating with Lucy Environmental Group as needed for hazard or abatement work
  • Coordinating with other SERVPROs as needed
  • Obtaining & analyzing proposals to present to management for review / approval as needed
  • Preparing billing packages & estimate requests for relevant internal team members

    • TBB (billing package for estimators to estimate for final billing)

  • Estimate requests (for EMS and Repairs)
  • ROM Request to T&M Team.
  • Submit T&M notification form when a job becomes a T&M job.
  • Client trouble shooting & support

    • Any issues or questions that arise you are the POC to figure out how to resolve and solve

  • We are the best service providers in this business and we are here to do what it takes to make the client happy. All of this funnels through you!
  • Your role is primarily on site in our Encino office 5 days a week but from time to time, you will attend job walkthroughs onsite

    • What is required?

  • Self-starter & proactive.
  • Excellent written & verbal communication skills
  • Customer service oriented with a proactive, "can do", positive attitude
  • Comfortable working with ambiguity.
  • Honest & transparent : never hide the bad news, when something goes wrong or mistakes happen you escalate it and help to solve it calmly and transparently
  • Not afraid to jump in where needed - no task is too big or too small for you, and you are willing to help your team before you are asked.
  • Prior experience in EMS, construction, insurance, is a plus but not required
  • Must be able to work in person at our Encino office 5 days per week and able to travel to job sites as needed
  • You are authorized to work lawfully in the United States.

    • Salary : $25-$35 / hour, pending experience.

    Benefits :

  • 401(k) 3% Match
  • Health, Dental, Vision insurance