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Claims Specialist

Claims Specialist

AllRight Jobs IncLos Angeles, California, USA
[job_card.full_time]
Job Summary (Claims Specialist - Orange County).Manage medical malpractice claims with increasing complexity and financial exposure. Direct and oversee defense counsel activities in accordance with ...[show_more][last_updated.last_updated_1_day]
  • [promoted]
Claims Professional

Claims Professional

California StaffingLos Angeles, CA, US
[job_card.permanent]
We are looking for a dedicated Claims Specialist to join our team in Los Angeles, California.This contract-to-permanent position offers an exciting opportunity to contribute to effective claims man...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Claims Process Specialist

Claims Process Specialist

California FAIR Plan AssociationLos Angeles, CA, US
[job_card.full_time]
The Claims Process Specialist is responsible for overseeing and managing the end-to-end claims process for homeowners and commercial property claims. The role involves designing, implementing, monit...[show_more][last_updated.last_updated_30]
Claims Processor

Claims Processor

Crystal StairsLos Angeles, CA, USA
[job_card.full_time]
[filters_job_card.quick_apply]
Improving the Lives of Families through.Child Care Services, Research, and Advocacy.Crystal Stairs is committed to building and sustaining a diverse workforce and culture.As part of this commitment...[show_more][last_updated.last_updated_30]
  • [promoted]
Claims Manager

Claims Manager

AIDS Healthcare FoundationLos Angeles, CA, US
[job_card.full_time]
The Claims Department Manager is responsible for overseeing the day-to-day operations of the health plan's claims processing unit. This role ensures timely and accurate adjudication of claims, manag...[show_more][last_updated.last_updated_30]
Claims Service Manager

Claims Service Manager

Liberty General InsuranceLos Angeles, CA, United States
[job_card.full_time]
Be among the first 25 applicants.Get AI-powered advice on this job and more exclusive features.Management of commercials claims, Data management & analysis, Claims Disposal & Ageing control and MIS...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Claims Approver

Claims Approver

Arthur J Gallagher & CoTorrance, CA, US
[job_card.full_time]
At Gallagher, we help clients face risk with confidence because we believe that when businesses are protected, they're free to grow, lead, and innovate. You'll be backed by our digital ecosystem : a ...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Claims Manager

Claims Manager

VirtualVocationsInglewood, California, United States
[job_card.full_time]
A company is looking for a Claims Manager responsible for overseeing claims adjusters and ensuring efficient claims processing. Key Responsibilities Manage claims adjusters to ensure timely handli...[show_more][last_updated.last_updated_30]
  • [promoted]
Senior Claims Technical Director Excess Claims

Senior Claims Technical Director Excess Claims

Great American Insurance GroupLos Angeles, CA, US
[job_card.full_time] +1
Working for a leader in the insurance industry means opportunity for you.Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" ...[show_more][last_updated.last_updated_30]
Claims Investigator - Experienced

Claims Investigator - Experienced

Command InvestigationsLos Angeles, CA, United States
[job_card.full_time]
Seeking experienced investigators with commercial or personal lines experience, with multi-lines preferred to include AOE / COE, Auto, and Homeowners. SIU experience is highly desired, but not require...[show_more][last_updated.last_updated_variable_days]
Claims Approver

Claims Approver

GallagherTorrance, CA, United States
[job_card.full_time]
At Gallagher, we help clients face risk with confidence because we believe that when businesses are protected, they're free to grow, lead, and innovate. You'll be backed by our digital ecosystem : a ...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Claims Professional

Claims Professional

Los Angeles StaffingLos Angeles, CA, US
[job_card.permanent]
We are looking for a dedicated Claims Specialist to join our team in Los Angeles, California.This contract-to-permanent position offers an exciting opportunity to contribute to effective claims man...[show_more][last_updated.last_updated_30]
Claims Supervisor

Claims Supervisor

Hankey GroupLos Angeles, CA, US
[job_card.full_time]
Los Angeles | Remote |Auto Insurance Claims.The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire and will be dependent on a wide range of ...[show_more][last_updated.last_updated_30]
  • [promoted]
Claims Specialist (CAP Claims)

Claims Specialist (CAP Claims)

Authentic Group of CompaniesLos Angeles, CA, US
[job_card.full_time]
Essential Duties and Responsibilities : .Manage medical malpractice claims, including the assignment, direction, and control of defense counsel, under supervision and in compliance with the Claims Te...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Claims Quality Auditor

Claims Quality Auditor

University of California - Los Angeles HealthLos Angeles, CA, United States
[job_card.full_time]
Take on an important role within a world-class health organization.Provide specialized expertise that enables the efficient operation of a complex health system. Take your career to the next level.Y...[show_more][last_updated.last_updated_30]
  • [promoted]
Claims / Analyst

Claims / Analyst

AppleOneLos Angeles, CA, US
[job_card.full_time]
Claims Processor Familiarity with general merchandise manufacturing process, technical composition of product parts and the plumbing industry. Commercial insurance knowledge, and / or understanding in...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Claims Examiner

Claims Examiner

JobotLos Angeles, CA, US
[job_card.temporary]
Claims Examiner in Los Angeles, CA.This Jobot Consulting Job is hosted by : Robert Reyes.Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume.Advancing new kno...[show_more][last_updated.last_updated_30]
  • [promoted]
Claims Examiner I

Claims Examiner I

Astiva Health, IncLos Angeles, CA, US
[job_card.full_time]
Orange, CA is a premier healthcare provider specializing in Medicare and HMO services.With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize acc...[show_more][last_updated.last_updated_variable_days]
Claims Processor

Claims Processor

Kinetic Personnel Group, Inc.Los Angeles, CA, US
[job_card.full_time]
[filters_job_card.quick_apply]
We are seeking a Claims Processor to join a well-established sales and marketing firm that represents an international partner and serves as the liaison between overseas operations and customers ac...[show_more][last_updated.last_updated_variable_days]
Claims Specialist

Claims Specialist

AllRight Jobs IncLos Angeles, California, USA
[job_card.1_day_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Job Summary (Claims Specialist - Orange County)

  • Manage medical malpractice claims with increasing complexity and financial exposure
  • Direct and oversee defense counsel activities in accordance with company guidelines
  • Investigate and evaluate claims including reviewing medical records and interviewing relevant parties
  • Prepare and present case evaluation reports for internal committees and management
  • Oversee and participate in litigation activities such as discovery mediation settlement conferences and negotiation
  • Monitor trials and arbitrations providing support and updates to members and defense attorneys
  • Maintain accurate and timely documentation of case developments in claims systems
  • Ensure all relevant information and documents are coded and indexed appropriately
  • Assist management with special projects and coverage investigations
  • Respond to hotline calls and prepare related documentation as needed
  • Attend staff and department meetings as required
  • Support and help train junior Claims Specialists (I and II)
  • Perform additional duties as assigned by management
  • Requires a bachelors degree relevant legal / medical background and minimum five years experience in medical malpractice claims management
  • Must have a valid California drivers license
  • Strong verbal / written communication analytical and time management skills required
  • Ability to handle multiple priorities and deadlines; PC literacy preferred

Key Skills

Corporate Paralegal,Baan,IT Sales and Marketing,Civil Quality Control,Activex,Jboss

Employment Type : Full Time

Experience : years

Vacancy : 1