PERMANENT

FULL_TIME

HOUR

Responsibilities include, but not limited to: Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including: Contractual agreement rates. Job Description : Claims Auditor will be responsible for auditing claims processed by Claims Examiners.

Health Source MSO

Claims Auditor

monster

UNKNOWN

ADAPTED_NOW

Responsibilities: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.

<p><strong>ICONMA</strong>&nbsp;is a global information consulting management firm providing Professional Staffing Services and Project-Based Solutions for organizations in a broad range of industries.</p>
<ul class="ic_list">
<li>Corporate Headquarters in Troy, Michigan; 20+ locations worldwide.</li>
<li>Certified Woman-Owned Business Enterprise (WBE); certified by Women&rsquo;s Business Enterprise National Council, National Women Business Owners Corporation (NWBOC); and California Public Utilities Commission (CPUC).</li>
<li>Founded in 2000</li>
<li>2000+ Employees</li>
</ul>
<p>The company was founded on the principle that success is derived from delivering high quality service and resources in the most responsive, flexible, and innovative way. ICONMA invests in people and resources with a single goal: To provide our customers with the highest quality service in the most responsive manner. Through its network of offices, ICONMA provides the resources to help clients maintain their competitive advantage.</p>

Iconma

Claims Examiner - Workers Compensation

Iconma Staffing

Responsibilities: Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.

Claims Examiner - Workers Compensation (Hourly)

YEAR

Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. I'm partnering with a confidential client, an established metals manufacturer in the Inland Empire, who's looking for a Quality Manager to lead their quality function across two local sites.

<p>Jobot is on a mission to connect good people with good jobs. By combining AI-powered technology with the expertise of Jobot Pros, our experienced recruiters, we help you find career opportunities that align with your goals and values.</p>
<p>Founded in 2018 and employee-owned since 2024, Jobot is committed to fostering a culture of kindness, respect, innovation, and connection.  As an industry leader, we’ve been recognized as a top workplace by Forbes, Fortune, USA Today, and Staffing Industry Analysts (SIA).</p>
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Jobot

QA Engineer Manager

POSTING_API

This role requires a dynamic leader with both strategic insight and hands-on operational expertise to ensure project success, profitability, and client satisfaction across the region. Support business development efforts by identifying new opportunities, building relationships, and contributing to contract negotiations.

Nicholson Construction Company

Operations Manager

Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Founded nearly a century ago and based in Downey, California, with operations spanning multiple locations throughout the region, we are one of the nation's premier beverage distributors and manufacturers.

EH&S Manager

Hiring staff, recommending pay increases, performing performance reviews, training and development of staff, estimating personnel needs, assigning work, meeting completion dates, interpreting and ensuring consistent application of organizational policies. The anticipated salary range for this position: $101,000.00 - $152,000.00 Annual The actual salary will vary based on applicant’s location, education, experience, skills, and abilities.

Medline

EH&S Regional Manager

Key Responsibilities: The ideal candidate will assist with all aspects of public entity defense litigation, including but not limited to: Handling a variety of matters involving public agencies and municipalities, such as: Police Liability and Excessive Force: Defending law enforcement personnel and agencies in claims arising from use of force, wrongful arrest, and other alleged misconduct. My client's office representation includes the defense of high exposure personal injury actions, traumatic brain injuries, exposures to environmental contaminants, habitability claims, state and federal class actions and the investigation and defense of 1st party insurance fraud claims.

Public Entity Defense Associate Attorney

Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Manage complex union payroll and ensure compliance with applicable collective bargaining agreements, including union dues, fringe benefits, pension contributions, health and welfare contributions, and other contractual requirements.

Payroll Supervisor (Union)

Job Description: In the UM department, Case Management Coordinator is to assist with the coordinating of the day-to day activities in the medical group, request for authorization for ancillary services, and certify the group is utilizing the most cost effective provider. Also, identify patients found in out-of-network facilities and send the information timely to the concurrent-review nurse for coordination with the hospital and group.

Case Management Coordinator

Basic duties include answering phone calls, emails, and chats from customers and participating in meetings with Customer Service or other internal teams (to discover new communication tactics and maintain expert knowledge about company products and services). Through more than 180 distribution partners across the globe, a growing number of strategically-positioned sales offices and warehouses, and customer-centric operations, Arlon is recognized as a global leader in graphic films.

Arlon Graphics

Customer Service Representative

JobTarget

TEMPORARY

CONTRACTOR

We specialize in providing high-volume contingent staffing, direct hire staffing and project-based solutions to companies worldwide ranging from startups to Fortune 500 and Managed Service Providers (MSP) across a wide variety of industries. Minimum Required Qualifications: • Ten (10) years minimum of recent professional experience in the preparation of complete cost estimates for type I, II, or III, and V building construction as defined by the State building code including 5 - 7 years of MEP estimating.

<p>Kaygen, an award-winning technology consulting and talent firm, assists organizations to achieve digital transformation. From structuring data to the Cloud and visualization, Kaygen leads the digital transformation of global clients.</p>
<p>Kaygen, from the Japanese word, kaizen, for continuous improvement, signifies how we continuously seek to bring expert tech talent to our client engagements to create a sustainable competitive advantage. However, there is more. Our company is diverse, and minority woman owned and operated by expert data technologists who have conceived and developed the very strategic technology initiatives that we now engage in for our clients with our talent.</p>
<p>Our core belief in diversity, complemented by the principles of kaizen, ensures we bring the best expert data talent to work transparently, collaboratively, and with the flexibility to ensure client success.</p>
<p>Visit http://www.kaygen.com/ for a solutions overview.</p>
<p>.</p>

Kaygen Inc.

Cost Estimator Scheduler IV

FEED

Requsition ID: 455795 Company: Providence Jobs Job Category: Financial Transactions Job Function: Health Plans Services Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4008 SS RIS Address: CA Orange 1100 W Stewart Dr Work Location: St Joseph Hospital-Orange Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.

<h1><img src="http://seo.nlx.org/providence/img/locations/washington.jpg" /></h1>
<h1>Our Mission is more than just words.</h1>
<h4>About Us</h4>
<p>As the third largest not-for-profit health system in the United States, we are committed to providing for the needs of our communities &ndash; especially for those who are poor and vulnerable &ndash; across Alaska, California, Montana, Oregon and Washington.</p>
<p>Our system includes more than 82,000 caregivers (all employees) serving in a diverse range of ministries from birth to end of life, including acute care, physician clinics, long-term and assisted living, palliative and hospice care, home health, supportive housing and education.</p>
<h4>Where we serve</h4>
<p>We operate 34 hospitals, 600 physician clinics, 22 long-term care facilities, 19 hospice and home health programs and 693 supportive housing units in 14 locations. Our health plan serves our caregivers and other large employer groups covering 513,000 members.</p>
<p>On any given day, we care for more than 1,200 people in our long-term care settings, more than 4,000 in our hospitals and more than 15,000 in our clinic settings. Daily, we serve more than 7,000 people in our many home health and palliative care programs and almost 800 in supportive housing. We touch more than five times as many lives in non-acute settings as we do in the traditional hospital setting.</p>
<h4>A tradition of caring for everyone</h4>
<p>When the Sisters arrived in the Pacific Northwest in 1856, they came to answer a call for help from a new pioneer community. What they found were many communities in need of service, and so with dedication to the Mission and collaboration with like-minded partners, their ministry grew to what is now a five-state health system.</p>
<p>Providence Health &amp; Services continues a tradition of caring that the Sisters of Providence began more than 158 years ago. The cornerstone of our Mission is to provide compassionate care that is accessible for all &ndash; especially those who are poor and vulnerable.</p>
<div class="cp-row">
<div class="cp-grid-full">
<h1><img src="http://seo-nlx-org.s3.amazonaws.com/providence/img/benefits_fatherdaughter.jpg" /><img src="http://seo-nlx-org.s3.amazonaws.com/providence/img/benefits_family.jpg" /></h1>
<h1>We believe making a difference is one of our greatest rewards.</h1>
<h4>Caring is what we do.</h4>
<p>Our benefits help us care for our employees and their families by supporting their wellness and providing tools that promote financial security and&nbsp;professional growth.*</p>
</div>
</div>
<div class="cp-row">
<div class="cp-grid-half">
<h4>Benefits:</h4>
<ul class="bullet-list">
<li>Medical, dental and vision insurance coverage that start on your first day</li>
<li>Retirement program that helps you prepare for your future</li>
<li>Life and AD&amp;D insurance</li>
<li>Health Reimbursement and Savings Accounts (HRA, HSA, FSA)</li>
</ul>
</div>
</div>
<div class="cp-row">
<div class="cp-grid-half">
<h4>Well-being:</h4>
<ul class="bullet-list">
<li>Health assessment and personal coaching to help you meet your goals</li>
<li>Incentives for participation in healthy activities</li>
<li>Caregiver Assistance Program (for employees) offering work/life services, resources and expertise when you need it</li>
<li>Weight management, tobacco cessation and diabetes programs</li>
</ul>
</div>
</div>
<div class="cp-row">
<div class="cp-grid-half">
<h4>Work/Life Balance:</h4>
<ul class="bullet-list">
<li>Volunteers in Partnership program to match you with volunteer opportunities that support our communities</li>
<li>Support for life events such as birth, adoption, marriage or other changes to your family</li>
<li>Ergonomics and injury prevention to promote safe work environments</li>
<li>Paid time off</li>
<li>Disability benefits</li>
</ul>
</div>
</div>
<div class="cp-row">
<div class="cp-grid-half">
<h4>Career and Development:</h4>
<ul class="bullet-list">
<li>Tuition reimbursement to support your education as you tackle your career goals</li>
</ul>
<p><img src="http://seo-nlx-org.s3.amazonaws.com/providence/img/01sunlightshining.jpg" /></p>
</div>
</div>
<h1>Awards and Recognition</h1>
<h4>Healthcare Excellence</h4>
<p>We are deeply honored that Providence facilities have been distinguished with national awards and certifications. At Providence Health &amp; Services, our dedication to excellence is evident in the service our people demonstrate every day. Here, you&rsquo;ll find an environment built on the core values of respect, compassion, justice, excellence and stewardship. They are at the heart of everything we do...and others have noticed.</p>
<p><img src="http://seo.nlx.org/jobs.providenceiscalling.jobs/img/static-page/awards/jd.png" alt="JD Power and Associates Distinguished Hospital Award for Service Excellence" />&nbsp;&nbsp;<img src="http://seo.nlx.org/jobs.providenceiscalling.jobs/img/static-page/awards/oregon-business.png" alt="'100 Best Companies to Work For' -Oregon Business magazine" />&nbsp;&nbsp;<img src="http://seo.nlx.org/jobs.providenceiscalling.jobs/img/static-page/awards/alaska-medical.png" alt="Cardiac Surgery Excellence Award" /></p>
<p><img src="http://seo.nlx.org/jobs.providenceiscalling.jobs/img/static-page/awards/working-mother.png" alt="'100 Best Companies for Working Mothers' Award" />&nbsp;&nbsp;<img src="http://seo.nlx.org/jobs.providenceiscalling.jobs/img/static-page/awards/magnet.png" alt="Magnet Hospital for Excellence in Nursing Services - American Nurses Credentialing Center (ANCC)" />&nbsp;&nbsp;<img src="http://seo.nlx.org/jobs.providenceiscalling.jobs/img/static-page/awards/five-star.png" alt="Five-Star Hospital Award" /></p>
<p><img src="http://seo.nlx.org/jobs.providenceiscalling.jobs/img/static-page/awards/solucient.png" alt="'100 Top Hospitals' - Solucient" />&nbsp;&nbsp;<img src="http://seo.nlx.org/jobs.providenceiscalling.jobs/img/static-page/awards/qualis.png" alt="Award of Excellence in Healthcare Quality - Qualis Health" />&nbsp;&nbsp;<img src="http://seo.nlx.org/jobs.providenceiscalling.jobs/img/static-page/awards/thomson.png" alt="Thomson Reuters '100 Top Hospitals' Award" /></p>
<p><img src="http://seo.nlx.org/jobs.providenceiscalling.jobs/img/static-page/awards/ceo.png" alt="'Washington's 100 Best Companies' - CEO magazine" />&nbsp;&nbsp;<img src="http://seo-nlx-org.s3.amazonaws.com/jobs.providenceiscalling.jobs/img/static-page/awards/HealthgradesDistingHospital2017.jpg" alt="'Distinguished Hospital Clinical Excellence 2017" /></p>

Providence Health & Services

Senior Claims Manager EPL - Remote

Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. Candidate must possess strong communication and litigation management skills to collaborate with business partners and defense counsel to direct litigation activities and claim outcomes while considering the overall impact to the company and individual stakeholders.

Providence St. Joseph Health

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.

<p>Sedgwick Claims Management Services, Inc., is a leading global provider of technology-enabled risk and benefits solutions. At Sedgwick, caring countsSM; the company takes care of people and organizations by delivering cost-effective claims, productivity, managed care, risk consulting and other services through the dedication and expertise of nearly 15,000 colleagues in some 275 offices located in the U.S., Canada, the U.K and Ireland. Sedgwick facilitates financial and personal health and helps customers and consumers navigate complexity by designing and implementing customized programs based on proven practices and advanced technology that exceed expectations. Sedgwick’s majority shareholder is KKR; Stone Point Capital LLC, La Caisse de dépôt et placement du Québec (CDPQ) and other management investors are minority shareholders.</p>

Sedgwick Claims Management Services, Inc.

Claims Manager - Liability | GL & Litigation | Jurisdiction: Multi State (Hybrid)

ea_via_bold

bom1: 1792065598-UzpbYUhEqiTzwALps561SP55J48C1b3x. Enable JavaScript to continue.

Selby Jennings Ltd

Property & Casualty Claims Manager

With our national brand recognition, long-standing reputation since 1900, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team. Lead meetings in collaboration with unit management to communicate goals with direct reports and reinforce/monitor behavior that furthers technical and customer service performance expectations.

We are a member based organization that prides ourselves on providing exemplary service to maximize member satisfaction. Our environment is one of collaboration, team work and positivity. OAC provides a healthy work/life balance, striving for an atmosphere that concentrates on wellness, productivity and success. We all take part in holding ourselves accountable, individually as well as collectively to stay progressive leaders in supporting our community. OAC stays committed on our daily accomplishments to continue helping our members stay safe and worry free.

Claims Automotive Team Manager

Claims Team Manager - Auto Early Response

PART_TIME

Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.

CorVel Enterprise Claims, Inc.

Claims Supervisor

Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries.

<p>CorVel is a leader of risk and healthcare management solutions to employers, third party administrators, insurance companies and government agencies. We are publicly traded (NASDAQ:CRVL) and annual revenues exceeded $493 million in FY2015. Our continued customer growth is a testament to our financial stability and our significant investments in new systems and technologies allows us to continue to deliver industry-leading solutions to the marketplace. CorVel has approximately 3,500 associates who serve more than 2,000 customers through a national branch office network covering all 50 states.</p>

Claims Manager Jobs in Irvine, CA

Claims Auditor Health Source MSO

Claims Examiner - Workers Compensation Iconma

Claims Examiner - Workers Compensation (Hourly) Iconma

QA Engineer Manager Jobot

Operations Manager Nicholson Construction Company

EH&S Manager Jobot

EH&S Regional Manager Medline

Public Entity Defense Associate Attorney Jobot

Payroll Supervisor (Union) Jobot

Case Management Coordinator Health Source MSO

Customer Service Representative Arlon Graphics

Cost Estimator Scheduler IV Kaygen Inc.

Senior Claims Manager EPL - Remote Providence Health & Services

Senior Claims Manager EPL - Remote Providence St. Joseph Health

Claims Manager - Liability | GL & Litigation | Jurisdiction: Multi State (Hybrid) Sedgwick Claims Management Services, Inc.

Property & Casualty Claims Manager Selby Jennings Ltd

Claims Automotive Team Manager AAA

Claims Team Manager - Auto Early Response AAA

Claims Supervisor CorVel Enterprise Claims, Inc.

Claims Supervisor CorVel Corp

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