Claim Representative jobs in Fountain Valley, CA

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Customer Service Representative I

Metagenics 13 reviews - Aliso Viejo, CA
Follow-up on shipping (UPS) claims. The primary responsibility of this position is to provide quality service to our customers by processing their orders and...

OneCare Connect Customer Service Representative

CalOptima 7 reviews - Orange, CA
The OneCare Connect Customer Service Representative will maintain an outreach effort which includes calls to passively enrolled OneCare Connect member to...

Customer Service /Call Center Representative - Full Time

Heritage Healthcare (SJHH) - Brea, CA 92821
Customer Service /Call Center Representative - Full Time. Interacts with multiple departments, e.g., Resource Management, I.S., Provider Relations, Utilization...

Manager Provider Services

Molina Healthcare 154 reviews - Long Beach, CA
Assists with the ongoing provider network development and education of contracted network providers regarding plan procedures and claim payment policies....

Customer Service Representative - Costa Mesa, CA

UnitedHealth Group 2,123 reviews - Costa Mesa, CA
Coordinates internal resolution of claims exceptions and other issues. Determines appropriateness of overriding pharmacy claims edits and error messages....

Outside Property Claim Trainee- San Bernardino/Rancho Cucamo...

The Travelers Companies, Inc. 3 reviews - Diamond Bar, CA
Complete formal training program for consideration of advancement to claim representative Outside Property position....

Member Service Rep II

Wescom Credit Union 32 reviews - Signal Hill, CA  +2 locations
The above job requirements are representative of minimum levels of knowledge, skills and abilities. Answers member inquiries and provides information in...

Customer Service Representative Lead - Irvine, CA

UnitedHealth Group 2,123 reviews - Irvine, CA
1+ years of experience in medical claims. Provide status of authorizations, claims and verify eligibility for all inquiries coming into the call center....

Account Service Representative, Core Accounts

Blue Shield of California 177 reviews - Costa Mesa, CA
Communicating benefits, providing claims cost reports and experience rating exhibits. Also services the account on a day-to-day basis for issues regarding...

Claims Representative III

AAA East Central 16 reviews - Costa Mesa, CA
Claims Representative III. Experience servicing claims of the highest complexity required. The primary functions include investigation, evaluation, and...
Provider Services Representative II
Molina Healthcare 154 reviews - Long Beach, CA
Trains other Provider Services Representatives as appropriate. Good understanding of medical billing, and claims processing systems....
Sponsored by
Director of Health and Safety
United Employment Group - California
Familiarity with best practices in loss prevention, post-injury response, and claims management. Hold "goodwill" meetings between plant and representatives of...
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Sponsored by United Employment Group
Pharmacy Patient Services Rep II Chronic Home Infusion
Walgreens 8,449 reviews - Santa Fe Springs, CA
Gathers and documents information for billing which may include, but is not limited to, claim forms, CMNS, pre-certification forms, Authorization forms/numbers....
Sponsored by Walgreens
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