claims examiner los angeles

... hires must pass a post offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We ...

... hires must pass a post offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We ...

... hires must pass a post offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We ...

... checking the mail, scanning, and filing of payroll documents into the electronic filing system. Provides support for employment verifications and unemployment claims. Assist associates with questions or concerns regarding payroll policies and procedures. Assist Payroll Manager with RSA processing, M&A activity, and year end ... 2019-2022 Civic 50 Colorado Honoree Recognizing 50 Most Community-Minded Companies 2022-2023 Kansas City Business Journals Best Places to Work 2021-2023 Los Angeles Business Journals Best Places to Work 2021-2023 The Salt Lake City Tribune Top Work Places 2021-2022 Puget Sound Business Journals Washingtons Best Workplaces ...

... PA; Dallas, TX; Fargo, ND; Florham Park, NJ; Garden City, NY; Houston, TX; Jacksonville, IL; Lenexa, KS; Los Angeles, CA; Lubbock, TX; Mt Juliet, TN; New York, NY; Purchase, NY; Topeka, KS 8-10 years of relavent experience ... enterprise data warehouse. Guidewire + P&C Domain experience Mandatory. Possess 2 years of Policy & Claims Insurance subject-matter expertise. Candidate has advanced level SQL knowledge. Possess optimal knowledge ... RDBMS platforms (e.g., SQL Server, DB2), with experience in generating DDL. Possess knowledge of Guidewire Policy Center, Guidewire Claims Center, SAP FS-RI & SAP FS-CD applications with their data is considered a plus.

... compensation claims to determine benefits ... work with high exposure claims involving litigation ... ongoing adjudication of claims within service ... identify subrogation of claims and negotiate ... compensation claims by investigating and ... on the claim; manages claims through well-developed ... settlement of claims within designated ... appropriate reserves to claims; manages reserve ... and cost effective claims resolution. Coordinates ... reduce overall cost of claims for our clients. ... offsets. Reports claims to the excess carrier; ... properly documented and claims coding is correct. ... (5) years of claims management experience ... 2+years of relevant WC claims experience Nesco ...

... and resolve claims for all Medi-Cal ... and processes claims and claims worksheets. ... Routes and tracks claims requiring review by ... Examiner II is distinguished from Claims ... and resolves pended claims for Medi-Cal types: ... coverage, and batch claims within established ... standards. Completes claims from the Batch Error ... Pass Report. Routes claims to appropriate PHC ... up and completes claims once response to ... and procedures, PHC Claims Operating ... pended claims. Generates claims ... to the Medi-Cal Claims Supervisor. Reviews ... time frame. Supports Claims Departments needs ... trends of pending claims that are increasing ... billing and/or claims examining experience ... skills. Knowledge of claims processing and/or ...

... research, and resolve claims for all Medi-Cal claim ... letters. Routes and tracks claims requiring review by other ... and resolves pended claims for Medi-Cal types: ... other coverage, and batch claims within established ... standards. Completes claims from the Batch Error Report ... Batch Pass Report. Routes claims to appropriate PHC ... Follows up and completes claims once response to request ... and procedures, PHC Claims Operating Instruction ... resolving pended claims. Generates claims correspondence as ... and reports to the Medi-Cal Claims Supervisor. Reviews all ... time frame. Supports Claims Departments needs for ... prior experience examining claims in an automated ...

... room to grow and learn. We specialize in Oral Surgery, Cosmetic and General Dentistry*] Who We're Looking For Someone who is versatile, friendly and has a professional demeanor. Excellent verbal, written communication abilities and at least 5 years experience. Someone who is motivated, reliable and competent. Responsibilities Preparing daily routing slips for dentist and hygienist. Scheduling various appointments. Collections of all fees for service, Treatment plans, payment arrangements, Pre-authorizations and verifying insurance benefits, tracking claims, Billing PPO insurance and general admin duties. Case presentations, answer phones. #CB

Overview: The Los Angeles office of Lewis Brisbois, a full-service AmLaw 100 firm, is actively seeking a class action litigation attorney to join its Financial Services ... California and have at least four (4) to ten (10) years of experience defending claims related to financial products and services in state and federal litigation. Class ... experience in complex business litigation is strongly preferred, including claims related to breach of fiduciary duty, real estate, partnership disputes, and ... investment products and strategies. Our experience includes breach of fiduciary claims and other corporate governance issues. We also have extensive experience in ...

Overview: The Los Angeles office of Lewis Brisbois, a full-service AmLaw 100 firm, is actively seeking an attorney to join its General Liability Practice. The ideal candidate will have strong research and writing skills and at least two (2) to seven (7) years of experience in all phases of insurance defense litigation including case ... defendants in significant exposure cases in numerous general liability areas. The group has provided a defense for a myriad of property and personal injury claims, for both businesses and individuals who may be insured or self-insured. While the attorneys within the firm are equipped to handle a wide variety of matters, we ...

... a full-service AmLaw 100 firm, is actively seeking an attorney to join its Consumer Warranty Practice. The ideal candidate will be admitted to practice in California and have at least one (1) to seven (7) years of experience defending consumer litigation claims. Experience with relevant federal laws, such as the Song-Beverly ... has defended manufacturers of automobiles, heavy-duty trucks, recreational vehicles, boats, motorcycles, and other products against warranty and other related claims brought by consumer and commercial customers. Qualified candidates will be comfortable drafting and responding to discovery and initial pleadings, drafting, and ...

Overview: The Los Angeles office of Lewis Brisbois, a full-service AmLaw 100 firm, is actively seeking attorneys to join its Workers Compensation Practice. The ideal ... at least one (1) to seven (7) years of experience defending Workers Compensation claims, including experience appearing before various Workers Compensation Appeals Board ... of third-party administrators, insurance carriers, and employers against the claims of employees. We offer our clients vast experience in all areas of workers ... dystrophy, psych and stress claims, asbestos claims, along with the more common orthopedic, psych, and internal injury claims. Lewis Brisbois offers competitive ...

Overview: The Los Angeles office of Lewis Brisbois, a full-service AmLaw 100 firm, is actively seeking an attorney to join its Labor & Employment Practice. The ideal candidate will be admitted to practice in California and have at least two (2) to seven (7) years of experience in employment law matters. Prior employment litigation experience is required (preferably on the management side), including experience handling single plaintiff employment claims as well as PAGA, Wage & Hour, and FEHA matters. Employment counseling or in-house employment law experience is preferred. This is an excellent opportunity for attorneys who are proactive and ...

... The Senior Claims Examiner handles all aspects of claims notices and files related to workers compensation and accompanying coverages, including but not limited to claims and coverage analysis, liability and ... change. Key functions include but are not limited to: Adjusting all aspects of claims and loss notices, including but not limited to claims and coverage analysis, liability and damages analysis, reserve setting, ... analysis and reporting and coverage litigation. Attend mediations, settlement conferences, trials and other claims-related travel as needed or required. Support the marketing, risk management, finance and actuarial ...

... compensation claims to determine benefits ... work with high exposure claims involving litigation and ... ongoing adjudication of claims within service ... identify subrogation of claims and negotiate ... compensation claims by investigating and ... on the claim; manages claims through well-developed ... Negotiates settlement of claims within designated ... appropriate reserves to claims; manages reserve adequacy ... timely and cost effective claims resolution. Coordinates ... to reduce overall cost of claims for our clients. Manages ... Medicare offsets. Reports claims to the excess carrier; ... properly documented and claims coding is correct. Refers ... Five (5) years of claims management experience or ...

... Job Description: Candidate must have the minimum of 10+ years of experience working as an Sr/lead developer. Must have relevant experience of min 5 years in Collibra Data quality experience with Data Governance and Catalog tool. Hands-on with Advanced SQL and Snowflake experience Experience of working in healthcare domain (Claims, Clininal & Encounter) would be a huge plus. Advance SQL and snowflake with Collibra mandatory Mandatory Collibra Data quality tool, SQL, Data Governance / Catalog tool Good to have but not mandatory Snowflake and Healthcare experience. Certifications (Good to have) None. Responsibilities: Responsible for day-to-day ...

... compensation claims to determine benefits ... work with high exposure claims involving litigation ... ongoing adjudication of claims within service ... identify subrogation of claims and negotiate ... compensation claims by investigating and ... on the claim; manages claims through well-developed ... settlement of claims within designated ... appropriate reserves to claims; manages reserve ... and cost effective claims resolution. Coordinates ... reduce overall cost of claims for our clients. ... offsets. Reports claims to the excess carrier; ... properly documented and claims coding is correct. ... (5) years of claims management experience ... 2+years of relevant WC claims experience EEO: ...