Under the general supervision of the Manager, Claims Operation Support, the principal responsibilities of the Claims Specialist include Audit Activities Audit a designated percentage of all daily processing production for assigned staff members (including errors from claims pricing, adjudication, adjustments, member bill issues, and mail). Conduct periodic focused claims

Under general supervision and direction, resolves moderately complex residential and commercial property claims by investigating losses, negotiating settlements, and presenting evidence in legal proceedings while maintaining adequate production levels. Responsibilities Examines claims forms, policies and endorsements, client instructions, and other records to determine co

Alliance is the largest exclusive air emissions stack testing services company in the United States. Alliance Emissions Monitoring (AEM) is our Leak Detection and Repair (LDAR) division. Alliance Technical Group is filling a Safety Support Coordinator position for the Bakersfield, CA area. If you are looking to grow your career with a great company in the environmental te

Your Role The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members' care including clinical nurses and treating physicians . The Registered Nurse Case Manager will report to the FEP Department M

Take on a key leadership role within an award winning health system. Help improve patient experiences and operational efficiency with a world class healthcare team. Take your career in an exciting new direction. You can do all this and more at UCLA Health. As an important member of our Medicare Advantage leadership team, you will provide tactical execution and leadership

Director of Workers' Compensation Claims Job Locations US CA Irvine Requisition ID 2024 16202 Category Claims Workers Compensation Position Type Regular Full Time Overview AmTrust Financial Services, a fast growing commercial insurance company, is currently seeking an experienced and driven Workers' Compensation Claims Director in our Irvine, CA office. In this role, the

Manager, Claims Job Locations US CA Irvine Requisition ID 2024 16419 Category Claims Workers Compensation Position Type Regular Full Time Overview AmTrust Financial Services, a fast growing commercial insurance company, has an immediate need for a Workers' Compensation Claims Manager in Irvine, CA. The Workers Compensation Claims Manager is responsible to supervise activi