Your Role The Case Management team performs and case management (CM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members care including clinical nurses and treating MDs. . The Case Management Nurse, Senior will report to the Manager, Care Management. In this role you will determine, develop and im

Executive General Adjuster Requisition ID 2024 25323 Job Locations US CA Los Angeles Position Type Regular Full Time Category Claims Business Unit GUS_GTS US Excellence In Everything We Touch Position Summary Resolves complex commercial property losses generally in excess of $500,000 by investigating damages, negotiating adjustment of losses with corporate management, bro

AVP, Claims Job Locations US CA Irvine Requisition ID 2024 16202 Category Claims Workers Compensation Position Type Regular Full Time Overview AmTrust Financial Services, a fast growing commercial insurance company, is currently seeking an experienced and driven Avp, Claims in our Irvine, CA office. In this role, the AVP, Claims will be responsible for leading and managin

Apply if looking for Flexibility and Financial Freedom

Senior Claim Examiner Workers Compensation (CA) Requisition ID 2024 25313 Job Locations US CA Brea Position Type Regular Full Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established authority on mod

Senior Claim Examiner Workers Compensation (CA) Requisition ID 2024 25333 Job Locations US CA Brea Position Type Regular Full Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established authority on mod

Take on an important role within an award winning health organization. Help ensure the efficient operation of a complex health system. Take your career to the next level. You can do all this and more at UCLA Health. You will receive urgent, routine, pre service, and retro authorization requests, as well as process prior authorization requests with accuracy and timeliness.

Sr Claim Examiner WC Requisition ID 2024 24366 Job Locations US CA Brea Position Type Regular Full Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary GREAT WORK FROM HOME CAREER OPPORTUNITY! Seeking candidates with experience managing CA WC claims! SIP is a requirement! Bonus Opportunities! Multiple Employee Discounts! Investi

Aya Healthcare has an immediate opening for the following position Claims Examiner in Whittier, CA. This is a 13 week contract position that requires at least one year of Claims Examiner experience. Make $1040.67/week $1266.01/week. Want a job close to home? We've got you! We'll work with you to build the career of your dreams. Aya delivers Front of the line access to exc

Serve as single point of contact to the physician network and is an accountable owner, responsive to physician needs. Knowledgeable about incentive programs, contract reimbursement, Optum's internal processes and priorities, and other Optum initiatives, as applicable Monitors performance of assigned PCPs, identifies low performing PCPs and works with IPA leadership to dev

Your Role The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members' care including clinical nurses and treating physicians . The Behavioral Health Registered Nurse Case Manager will report to th

Authorization Coordinator ENT Clinic Full Time 8 Hour Days (Non Exempt) (Non Union) Keck Medicine of USC Hospital Los Angeles, California The Authorization Coordinator coordinates communication with admitting, case management, patient financial services, and payers to ensure all inpatient services provided by the hospital are authorized by appropriate payer. He/She will f

Conduct on site inspections and assessments of property damages for both residential and commercial claims Collaborate with policyholders, insurance agents, and other involved parties to gather information and resolve claims efficiently May occasionally require interacting with parties who express strong emotions or concerns about ongoing inspections or claim resolutions

Senior Claim Examiner Workers Compensation (CA) Requisition ID 2024 25264 Job Locations US CA Brea Position Type Regular Full Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary GREAT WORK FROM HOME CAREER OPPORTUNITY! Seeking candidates with experience managing CA WC claims! SIP is a requirement! Bonus Opportunities! Multiple

Senior Claim Examiner Workers Compensation (CA) Requisition ID 2024 25271 Job Locations US CA Brea Position Type Regular Part Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary GREAT WORK FROM HOME CAREER OPPORTUNITY! Seeking candidates with experience managing CA WC claims! SIP is a requirement! Bonus Opportunities! Multiple