Claims jobs in long beach USA
66 claims jobs found in long beach: showing 1 - 20
Workers Compensation Claims Examiner | Long Beach, Ca
Company: Sedgwick |
Workers Compensation Claims Examiner | Long Beach, CA Are you looking for an opportunity to join a global industry leader... to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing solutions...Location: Long Beach, CA, USA
| Salary: $71000 - 105000 per year | Date posted: 06 Mar 2025
Area Director Of Human Resources ($116,900 - $181,200)
Company: Hyatt |
against unemployment claims, Workers' Compensation claims, etc. Conduct wage and salary surveys. Provides employee counseling...Location: Long Beach, CA, USA
| Salary: $116900 - 181200 per year | Date posted: 05 Mar 2025
Civil Defense Litigation Associate
Company: GPAC |
years of experience Defending premises, products and/or construction defect claims Ability to handle files independently...Location: Long Beach, CA, USA
| Salary: $160000 per year | Date posted: 04 Mar 2025
Utilization Management Nurse, Senior
Company: Blue Shield of California |
Your Role The Facility Compliance Review team reviews post service prepayment facility claims for contract compliance... for a comprehensive line-by-line audit and manual claims processing on exceptions to ensure that appropriate billing practices...Location: Long Beach, CA, USA
| Salary: unspecified | Date posted: 03 Mar 2025
Appeals And Grievances - Rn, Senior
Company: Blue Shield of California |
procedures/claims appeal Initiate referrals for members to Case Management as needs are identified Your Knowledge...Location: Long Beach, CA, USA
| Salary: unspecified | Date posted: 03 Mar 2025
Operations Specialist, Experienced
Company: Blue Shield of California |
Your Role The Pharmacy Claims Quality team provides oversight to ensure Pharmacy claims process accurately. The... Operations Specialist, Experienced will report to the Pharmacy Claims Quality Manager. In this role you will ensure claims...Location: Long Beach, CA, USA
| Salary: unspecified | Date posted: 03 Mar 2025
Pharmacist, Principal
Company: Blue Shield of California |
formulary management Develop and analyze prescription drug and medical claims data reports to identify opportunities to improve...Location: Long Beach, CA, USA
| Salary: unspecified | Date posted: 03 Mar 2025
Clinical Quality Analytics, Senior
Company: Blue Shield of California |
systems (example Claims processing or membership systems) and external systems (EMR/EHR) and converts those data to actionable... and Powerpoint Requires at least 2 years of programming using inpatient claims, outpatient encounters, membership, pharmacy...Location: Long Beach, CA, USA
| Salary: unspecified | Date posted: 03 Mar 2025
Medical Informatics Analyst, Consultant
Company: Blue Shield of California |
-clinical teams focused on Utilization Management, Enrollment, Population Health Management, Claims Network and other areas. The... programming software to efficiently develop process or tools to analyze relevant data from various sources (e.g., claims...Location: Long Beach, CA, USA
| Salary: unspecified | Date posted: 03 Mar 2025
Utilization Management Nurse, Senior
Company: Blue Shield of California |
or for a specific line of business such as Medicare and FEP Conducts clinical review of claims for medical necessity, coding accuracy...Location: Long Beach, CA, USA
| Salary: unspecified | Date posted: 03 Mar 2025
Medical Informatics Analyst, Consultant
Company: Blue Shield of California |
of clinical and non-clinical teams focused on Utilization Management, Enrollment, Population Health Management, Claims Network... from various sources (e.g., claims, membership, provider, financial, operation and other ancillary data sources), interpret...Location: Long Beach, CA, USA
| Salary: unspecified | Date posted: 01 Mar 2025
Physician
Company: CrossFire Group |
will be provided for claims arising exclusively from supervision and collaboration services Qualifications & Skills: South...Location: Long Beach, CA, USA
| Salary: unspecified | Date posted: 01 Mar 2025
Regulatory Complaint Coordinator, Intermediate
Company: Blue Shield of California |
or GED Requires at least 3 years of experience Requires at least 2 years in health insurance operations such as I&M, Claims...Location: Long Beach, CA, USA
| Salary: unspecified | Date posted: 01 Mar 2025
Physician
Company: CrossFire Group |
will be provided for claims arising exclusively from supervision and collaboration services Qualifications & Skills: California...Location: Long Beach, CA, USA
| Salary: unspecified | Date posted: 01 Mar 2025
Operations Specialist, Experienced
Company: Blue Shield of California |
Job Description: Your Role The Pharmacy Claims Quality team provides oversight to ensure Pharmacy claims process... accurately. The Operations Specialist, Experienced will report to the Pharmacy Claims Quality Manager. In this role...Location: Long Beach, CA, USA
| Salary: unspecified | Date posted: 01 Mar 2025
Utilization Management Nurse, Senior
Company: Blue Shield of California |
review of claims for medical necessity, coding accuracy, medical policy compliance and contract compliance Ensure discharge...Location: Long Beach, CA, USA
| Salary: unspecified | Date posted: 01 Mar 2025
Data Analyst, Senior
Company: Blue Shield of California |
organization and oversees Analytics relating to Contact Center, Digital, Marketing, Claims, Appeals, Grievances, Disputes, Customer...Location: Long Beach, CA, USA
| Salary: unspecified | Date posted: 28 Feb 2025
Actuarial Analyst - Commercial Lines - Remote
Company: Work at Home |
. Perform trend analysis to understand changes in the frequency and severity of insurance claims. Lead state and product rate...Location: Long Beach, CA, USA
| Salary: $39 - 48 per hour | Date posted: 27 Feb 2025
Surveillance Investigator
Company: Allied Universal |
Overview Advance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied... fieldwork! Auto and travel allowances! RESPONSIBILITIES: Conduct independent investigations of insurance claims...Location: Long Beach, CA, USA
| Salary: $20 - 24 per hour | Date posted: 27 Feb 2025
Operations Manager Accelerated Trainee - Environmental Solutions - Pacific Area
Company: Republic Services |
management; develop supervisory goals and objectives; and effective resolution of safety issues and claims. Uses Company...