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Claims supervisor Jobs in Los Angeles, CA

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Claims supervisor • los angeles ca

Last updated: 2 days ago

Claims Supervisor

Health Source MSOAlhambra, CA, US
Full-time

Claims Supervisor will be responsible for assisting Claims Manager in overseeing the Claims Department.Responsibilities include, but not limited to: • Maintain up-to-date knowledge of procedures fo... Show more

 • Promoted

Principal Claims Consultant

ArcadisLos Angeles, CA, United States
$130,000.00 yearly
Full-time +1

Arcadis seeks a Principal Claims Consultant with a broad and established construction network to join our team in Southern California.As a Principal Claims Consultant, you will have the opportunity... Show more

Claims BUSINESS ANALYST

RIT SolutionsLos Angeles, CA, United States
Full-time

Hybrid 3 Days a week: Charlotte, NC; Chicago, IL; Colorado Springs, CO; Conshohocken, PA; Dallas, TX; Fargo, ND; Garden City, NY; Houston, TX; Jacksonville, IL; Lenexa, KS; Los Angeles, CA; Lubbock... Show more

Sr. Manager - Claims

Astrana HealthMonterey Park, CA, United States
$125,000.00 yearly
Full-time

We're looking for a Claims Operations leader who enjoys balancing people leadership with operational execution.In this role, you'll oversee daily claims processing, drive quality and turnaround tim... Show more

Claims Examiner III

New Leaf Staffing, Inc.Pasadena, CA, United States
$34.00 hourly
Temporary

Location: Pasadena, CA (Hybrid considered after training once performance expectations are consistently met) Schedule: Monday Friday, 8 am 5 pm Pay Rate: Up to $34.Position Overview: A healthcare... Show more

Vice President, Litigation & Claims

Foxstone RecruitingBeverly Hills, CA, United States
Full-time

Our client, a vertically integrated private real estate investment and property management firm headquartered in Beverly Hills, California, is seeking a senior litigation attorney to lead their lit... Show more

Senior Claims Specialist

Westfield InsuranceLos Angeles, CA, United States
Full-time

Commercial And Financial Lines Claims Manager.Directly handle, manage and/or oversee commercial and financial lines Public and Private D&O, Financial Institutions E&O, EPL, Fiduciary and Crime/Fide... Show more

Senior Claims Specialist

WestfieldLos Angeles, CA, United States
Full-time

Commercial And Financial Lines Claims Manager.Wilshire Boulevard, Los Angeles, CA, 90036, US (Hybrid).Directly handle, manage and/or oversee commercial and financial lines public and private D&O, F... Show more

Claims Recovery Director

CNALos Angeles, CA, United States
$97,000.00 yearly
Full-time

Leadership Opportunity in Recovery Services.You have a clear vision of where your career can go.And we have the leadership to help you get there.At CNA, we strive to create a culture in which peopl... Show more

Sr. Manager - Claims

Astrana Health, Inc.Monterey Park, California, US
$125,000.00 yearly
Remote
Full-time
Quick Apply

We’re looking for a Claims Operations leader who enjoys balancing people leadership with operational execution.In this role, you’ll oversee daily claims processing, drive quality and turnaround tim... Show more

CA Workers Compensation Claims Supervisor - Remote

The Jonus GroupLos Angeles, CA, United States
$125,000.00 yearly
Remote
Full-time

Our client, a well-established and growing Third-Party Administrator (TPA), is seeking an experienced.Workers’ Compensation Claims Supervisor.This is a fully remote opportunity for candidates resid... Show more

Manager, Claims Compliance

Mitchell MartinLos Angeles, CA, United States
Full-time

Join our team in Los Angeles as a full-time Manager responsible for ensuring compliance in claims operations.This role involves regulatory interpretation, compliance monitoring, and the development... Show more

Senior Manager, Claims Adjustments

LOS Angeles Care Health PlanLos Angeles, CA, United States
$117,509.00 yearly
Full-time

Senior Manager, Claims Adjustments.Job Category: Management/Executive Department: Core Admin Ops - Payment Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $117... Show more

Claims Account Manager, Wholesale

AXA XLLos Angeles, CA, United States
$139,300.00 yearly
Full-time

Claims Account Manager Wholesale.As a Claims Account Manager - Wholesale, you will be responsible for claim account management functions for customers in our growing Wholesale (Programs, Excess & ... Show more

Sr WC Claims Adjuster

Hanover Insurance GroupGlendale, CA, United States
Full-time

Senior Workers Compensation Adjuster.For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most.We live our values every day, dem... Show more

Claims Edit Coder

Cedars-SinaiLos Angeles, CA, United States
Full-time

Align yourself with an organization that has a reputation for excellence! Cedars Sinai was awarded the National Research Corporation’s Consumer Choice Award 19 years in a row for providing the high... Show more

Senior Claims Examiner

ATHENS ADMINISTRATORSLos Angeles, CA
$50.29 hourly
Full-time

Bilingual Senior Claims Examiner.Next step in progression could include Lead Senior Claims Examiner or Claims Supervisor.Explore the Athens Administrators difference: We have been dynamic, innovati... Show more

Claims Team Lead - Workers Compensation | CA Claims Exp. Required

SedgwickPasadena, CA, United States
$100,000.00 yearly
Full-time

Claims Team Lead - Workers Compensation | CA Claims Exp.By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world wh... Show more

Junior Claims Processor

Southern California Pipe Trades Administrative CorporationLos Angeles, CA, USA
$28.00 hourly
Full-time
Quick Apply

The Southern California Pipe Trades Administrative Corporation administers comprehensive benefits to members under the terms of the Collective Bargaining Agreements between Southern California Pipe... Show more

Customer Service Claims Representative

National Claims Assistance Inclos angeles, CA, US
$35,000.00 yearly
Full-time +1

Flexible hours Full-Time/Part-Time.Positive impact fighting for fair treatment of others; unlimited income potential; excellent training environment; flexible schedule.WORK FROM HOME - VIRTUALLY HE... Show more

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Claims Supervisor

Claims Supervisor

Health Source MSOAlhambra, CA, US
30+ days ago
Job type
  • Full-time
Job description
Claims Supervisor will be responsible for assisting Claims Manager in overseeing the Claims Department. Responsibilities include, but not limited to: • Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including:  Contractual agreement rates  Health Plan procedures  Medicare and Medi-cal reimbursement  Claims processing guidelines Providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, process, and adjusting claims Authorizes the appropriate payment or refer claims for further review Respond and resolve providers’ and health plans’ inquires in a timely manner Provide support to Configuration to ensure accuracy Coordinate with Compliance department to process claims accordingly to Health Plan requirements. Support Compliance department in Health Plan audits Help identify issues from audit findings and develop action plans to resolve Supervise and monitor Claims staff production and guide them for improvements Provide additional training to Claims staff for efficient processing as needed Ensure check runs are ready according to schedule Attend meetings as required Report to Claims Manager Other duties as needed Qualifications: Bachelor’s degree in related field Minimum of one year in a managerial position Must have at least 5 years of applicable healthcare claims adjudication experience within a managed care industry Must be familiar with ICD-10, HCPCS, CPT coding, APC, ASC, and DRG pricing. Must be familiar with facility (UB-04) and professional (CMS-1500) claim billing practices. Must have good written and communication skills. Must have managerial and risk management skills Must be able to follow guidelines, multi-task, and work comfortably within a team-oriented environment. Computer literacy required, including proficient use of Microsoft Word, Excel, Outlook, and EZ-CAP. Typing skills of at least 40 wpm. Exempt and on-site position. Benefits: Medical Insurance Dental Insurance Vision Insurance Paid Time Off 401K Matching