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Jobs and careers for claims review specialist in California (79 jobs)

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  • Software Guidance & Assistance
  • Los Angeles
... , Inc., (SGA), is searching for a Claims Review Specialist for a Contract assignment with one ... . Required Skills: Experience with Epic Claims At least one of these ...
4 days ago
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 ...
3 days ago
  • TEKsystems c/o Allegis Group
  • Fresno
... the Superviosr of Claims. Claims Examiner I is responsible for reviewing and processing medical ... , dental, vision and electronic claims in ... benchmarks to include research and review of applicable documentation. The ...
24 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 ...
12 days ago
  • Cogent Infotech Corp
  • San Bernardino
... Claims Adjuster Location: San Bernardino, CA Contract Role- 6-12 Months Responsibilities : Reviews ... property and liability claims; determines the extent of ... or denial of claims; adjusts and settles claims within assigned ...
19 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 ...
12 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 ...
5 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 ...
6 days ago
  • Veterans Health Administration
  • San Luis Obispo
$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 ...
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 ...
11 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 ...
11 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
  • Brillio, LLC
  • Monterey Park
Description: Role: System Integration Specialist Location: US location (Monterey Park, ... Specialist - System Integration with below key skills / responsibilities: Validate and review ... guidance to PMs. Conduct meaningful reviews and provide feedback to both ...
17 days 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 ...
10 days ago
  • Cynet Systems
  • Ontario
... are looking for Senior Web Specialist for our client in Toronto ... , ON Job Title: Senior Web Specialist Job Location: Toronto, ON Job ... web initiatives into existing templates.Review and advise on current effectiveness ...
10 days ago
  • TEKsystems c/o Allegis Group
  • Moorpark
Description: Description The Home Loan Specialist is an entry level role ... Channels. As the Home Loan Specialist, you will act as a key ... , hazard, flood cert, credit, etc.) Review and validate loan documents Handle ...
24 days ago
  • Defense Logistics Agency
  • Santa Ana
$88,621 a year
... qualify for a Forward Logistics Specialist, your resume and supporting documentation ... effective coordination with managers, functional specialists and customer personnel, document ... determination of eligibility. Please review the following link for additional ...
10 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 ...
27 days ago
  • Commander, Navy Installations
  • Coronado
$84,462 a year
... serve as a SUPERVISORY AIR TRANSPORTATION SPECIALIST in the Flight Services Division ... demonstrate the following: 1) Maintains records, review logs, status boards and observes ...
4 days ago