Claim Examiner jobs in Long Beach, CA

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Senior Claims Examiner
CorVel - Orange, CA
State Certification as an experienced examiner. Report claims to Excess Carriers when applicable. Communicate claim statuses with the customer and injured...
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Sponsored by CorVel - 3 days ago
Clinical Administrative Coordinator - Cypress, CA
UnitedHealth Group 1,743 reviews - Cypress, CA
As either a claims examiner, customer service rep or in front office Required Qualifications:. Experience in Claims background....
Sponsored by UnitedHealth Group - 3 days ago

PDR Claims Examiner II

L.A. Care Health Plan 10 reviews - Los Angeles, CA
The PDR Claims Examiner II is responsible for:. Auditing claims for excessive charges, duplicates, unbundling, and medical upcoding....
1 day ago - save job - email - more...

Claims Examiner III

Heritage Healthcare (SJHH) - Orange, CA 92868
Claims Examiner III. ID 0748-J03 Claims. Alerts Claims Management of all claims issues that would impact any Healthplan compliance....
St. Joseph Health - 7 days ago - save job - email - more...

Claims Quality Auditor

L.A. Care Health Plan 10 reviews - Los Angeles, CA
The Auditor conducts audits of high dollar claims, staff, quality control examiners, auditors, regulatory compliance audits, PDR audits and special...
1 day ago - save job - email - more...

Claims Examiner

Enterprise Solutions Inc. 49 reviews - Los Angeles, CA
Experience in processing all types of medical claims, e.g. HCFA 1500, Outpatient/Inpatient UB92, Universal Claims, Stop Loss, Surgery, and Anesthesia, high...
2 days ago - save job - email - more...

Workers' Compensation Hearing Representative

Argo Group - Irvine, CA
Knowledge internet based claims systems. Analyzes each case assigned for all legal issues and provides recommendations to the claims examiner with regards to...
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2 days ago - save job - email - more...

Claims Examiner III

SynerMed 15 reviews - Monterey Park, CA
Claims with multiple surgical procedures and special handled claims are also adjudicated by the Claims Department Examiner III. High dollar claims;...
Reinvent Your Career - 15 hours ago - save job - email - more...

Claims Examiner III - All Levels - Long Beach, CA

Molina Healthcare 116 reviews - Long Beach, CA
Claims Processing of complex claims (stop loss, etc.). Experience in processing all types of medical claims, e.g. HCFA 1500, Outpatient/Inpatient UB92,...
16 days ago - save job - email - more...

Claims Examiner Workers' Compensation

Sedgwick Claims Management Services 200 reviews - Irvine, CA
Claims Examiner Workers Compensation. Ensures claim files are properly documented and claims coding is correct. Reports claims to the excess carrier;...
11 days ago - save job - email - more...

Workers Compensation Claims Examiner

York Risk Services Group Inc. - Orange, CA
Completes 3-point contact on new claims within 24 hours in order to obtain information necessary to make a compensability decision on the claim....
8 days ago - save job - email - more...

Business Analyst - SQL - Reporting BAIII - 1295

March Vision Care 6 reviews - Los Angeles, CA
Managed Care Claims or Provider Data Management. Have 6-9 years as a medical claims examiner/auditor with 2-3 years experience....
17 hours ago - save job - email - more...
Claims Examiner - Workers Compensation
Mary Kraft Staffing 3 reviews - Orange, CA
Ensures claim files are properly documented and claims coding is correct. Analyzes and manages complex or technically difficult claims by investigating and...
Sponsored by TheLadders.com - 7 days ago
Claims Examiner - Workers' Compensation
Sedgwick CMS 200 reviews - Long Beach, CA
Claims Examiner Workers Compensation. Manages claims through well-developed action plans to an appropriate and timely resolution.Assesses liability and resolves...
Sponsored by Job.com - 21 days ago
Claims Examiner
Kaizen Technologies 2 reviews - Los Angeles, CA
Inpatient UB92, Universal Claims, Stop Loss, Surgery, and Anesthesia, high dollar complicated claims, COB and DRGRCC pricing Skill matrix in years Total IT...
Sponsored by Dice - 2 days ago

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Company with Claim Examiner jobs
1,743 reviews
UnitedHealth Group is on a mission to help people live healthier lives. Join us and begin doing your life's best work.(SM)