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Jobs and careers full-time for claims review specialist in California (64 jobs)

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Description: Claims Resolution Specialist (Customer Service) CalOptima CalOptima Health ... seeking a highly motivated an experienced Claims Resolution Specialist (Customer Service) to join ... our team. The Claims Resolution Specialist will be the first line ...
13 days ago
  • TEKsystems c/o Allegis Group
  • Bakersfield
Description: QNXT claims processing is a MUST. Familiarity with ... or MSO. Description 1.1 Review and process healthcare claims in accordance with company ... regulatory guidelines. 1.2 Validate information on claim forms, including patient details, provider ...
23 days ago
  • U.S. Coast Guard
  • Oakland
$131,743 a year
... for approval of awards, leases, claims, price adjustments, termination, price determination ... appraisal, subcontractor surveillance, disposition of claims, and similar matters. Establishing guidelines ...
3 days ago
... motivated an experienced Grievance Resolution Specialist to join our team. ... The Grievance Resolution Specialist will be responsible for coordinating ... and benefits, contract administration, claims processing, utilization management decisions and ...
22 days ago
  • Customs and Border Protection
  • San Diego
$84,462 a year
... duties such as: Assisting in reviewing newly issued regulations or directives ... to submit proof of your claim. GS-12: There is no ... information on the preemployment process, review the following link: Applicant Resources ...
6 days ago
  • Veterans Health Administration
  • Fresno
$45,186 a year
... ) appointment. BASIC REQUIREMENTS FOR PEER SPECIALISTS a. Statutory Requirements. Section 405 of ... work checked in progress and reviewing completed work for accuracy, adequacy ... with minimal supervisory oversight and review, however close supervision will have ...
22 days ago
  • Veterans Health Administration
  • Los Angeles
$52,414 a year
... ) appointment. BASIC REQUIREMENTS FOR PEER SPECIALISTS a. Statutory Requirements. Section 405 of ... work checked in progress and reviewing completed work for accuracy, adequacy ... with minimal supervisory oversight and review, however close supervision will have ...
22 days ago
  • U.S. Army Cyber Command
  • Paso Robles
$92,433 a year
... Placement". If you are a veteran claiming veterans' preference, as defined by ... rates of budgeted funds by review of documents and accounting records ...
a month ago
  • Veterans Health Administration
  • San Francisco
$56,205 a year
... ) appointment. BASIC REQUIREMENTS FOR PEER SPECIALISTS a. Statutory Requirements. Section 405 of ... work checked in progress and reviewing completed work for accuracy, adequacy ... with minimal supervisory oversight and review, however close supervision will have ...
a month ago
  • TEKsystems c/o Allegis Group
  • Moorpark
... : Loan Closing Specialist Position Overview: The Loan Closing Specialist is responsible for ... documents are ready for closing.Review loan files: Verify accuracy and ...
3 hours ago
  • Cynet Systems
  • Ontario
... are looking for Intermediate Web Specialist for our client in Toronto ... , ON Job Title: Intermediate Web Specialist Job Location: Toronto, ON Job ... web initiatives into existing templates.Review and advise on current effectiveness ...
20 days ago
  • Federal Emergency Management Agency
  • Pasadena
$19 an hour
... this Local Hire (Human Resources Specialist) position, you must possess experience ... time and attendance software to review, verify, and certify employees' time ... first five pages will be reviewed to determine your eligibility and ...
a month ago
  • Psinapse Technology
  • Livermore
... a dedicated and detail-oriented Fraud Specialist to join our team on ... $25.55 - $34.74. RESPONSIBILITIES: Review n
17 hours ago
  • U.S. Pacific Fleet
  • San Diego
$101,234 a year
... will serve as a INDUSTRIAL SECURITY SPECIALIST in the FLAG COMMUNICATIONS DIRECTORATE ... policy, procedures, and techniques to review, analyze, and resolve complex security ...
8 days ago
  • Veterans Health Administration
  • Long Beach
$47,019 a year
... for one (1) Medical Records Administration Specialist to work in HIMS Services ... analytical techniques for purposes of review, quality control, studies and analysis ...
16 days ago
$175,549 a year
... Repayment Services program office after review of the EDRP application. Former ... criteria). Grade Determinations : Pharmacist (Clinical Specialist), GS-13 (a) Experience. In addition ...
a month ago
  • Justice, Bureau of Prisons/Federal Prison System
  • Victorville
$66,012 a year
... team led by a higher graded specialist and is exposed to the ... management representatives. Experience studying and reviewing past inspection records to further ...
3 days ago
  • U.S. Coast Guard
  • Petaluma
$76,397 a year
... is for a GS-1102-9, Contract Specialist located in the Department of ... of procurement. Developing procurement plans reviewing previous history, market conditions, ... with contract provisions. Conducting contract reviews to evaluate contractor performance. ...
7 days ago
  • U.S. Coast Guard
  • Petaluma
$76,397 a year
... is for a GS - 1102 - 9, Contract Specialist located in the Department of ... of procurement. Developing procurement plans reviewing previous history, market conditions, ... with contract provisions. Conducting contract reviews to evaluate contractor performance. ...
7 days ago
... are looking for Senior Security Specialist - Penetration Testing for our ... ON Job Title: Senior Security Specialist - Penetration Testing Job Location: Toronto ... web application vulnerability assessments, code reviews and network vulnerability assessments of ...
30 days ago