Examiner Salary at Ministry Of Defense Llc BETA

Job Description Job Description Education and / or Experience: High School Diploma and 3 years adjudication experience in a managed care setting. Knowledge of CPT-4, HCPCS, Hospital Revenue, and ICD-9 coding. Knowledge of HMO, DHS, DMHC, and CMS claims processing guidelines. Strong knowledge of Microsoft Windows environment such as Word and Excel. Self-starter, willing to take on multiple tasks. Must meet minimal claims adjudication production standards. Strong knowledge of Coordination of Benefits (COB) applications. Must be able to interpret health plan benefits. Must be able to review, interpret and apply contract rates. Ability to communicate effectively orally and written typing 35 words per minute. Strong organizational skills with emphasis on prioritizing and attention to details Position Summary: To evaluate and determine the appropriate path and to assist in the expedited processing of all claims, special projects and escalated reconsiderations originating from various interna

Job Title: Senior Claims Examiner – Workers’ Compensation (CA) Location: Remote (Candidates must reside near Brea, Folsom, or Fresno, CA; exceptional candidates from other U.S. regions may be considered) Duration: 3-Month Contract (High Potential for Extension) Work Hours: Full-time, Pacific Standard Time (PST) Job Overview: We are seeking an experienced Senior Claims Examiner – Workers’ Compensation (WC) to manage and adjudicate California Workers’ Compensation claims. The role is remote, but candidates must be willing and able to report to a nearby office (Brea, Folsom, or Fresno, CA) if needed. Additional Information: The position is remote; however, proximity to Brea, Folsom, or Fresno is preferred for occasional office visits if required. Candidates must be available to work during Pacific Standard Time (PST) business hours. Strong organizational, analytical, and interpersonal communication skills are essential for success in this role. Qualifications: Bachelor’s degree or equival

WHO WE ARE: AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation! Does the idea of doing something that really makes a difference in peoples lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees? If so, AIDS Healthcare Foundation is the place for you! Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of ability to pay. Through our healthcare centers, pharmacies, health plan, research and other activities, AHF provides access to the latest HIV treatments for all who need them. AHFs core values are: Patient-Centered Value Employees Respect for Diversity Nimble Fight for Whats Right STILL INTERESTED? Please continue! YOUR CONTRIBUTION TO OUR SUCCESS!: The Claims Department is a dynamic department that provides

CANDIDATES APPLYING OUTSIDE OF CALIFORNIA WILL NOT BE REVIEWED Medical Claims Examiner - Remote - Fresno, CA *100% Remote for Central Valley candidates* Candidates are required to attend occasional trainings/meetings in Fresno, CA The Company: A well-respected insurance company in California with over 25 years in the business is looking to add a Medical Claims Examiner! This company is dedicated to helping clients, providing excellent customer service, and truly investing in their employees. What’s in it for you? $18.00 - $20.00/hour depending on experience Remote position + few weeks of training in the office What we need from you: Experience - 1-2+ years reviewing and processing medical, dental, and vision claims Education - High school diploma required, college degree preferred Software - You are proficient with data entry, Microsoft Office, Outlook, carrier websites, and other software systems as needed for the position Comprehensive knowledge - You have data entry coding and medic

CANDIDATES APPLYING OUTSIDE OF CALIFORNIA WILL NOT BE REVIEWED Medical Claims Examiner - Remote - Fresno, CA *100% Remote for Central Valley candidates* Candidates are required to attend occasional trainings/meetings in Fresno, CA The Company: A well-respected insurance company in California with over 25 years in the business is looking to add a Medical Claims Examiner! This company is dedicated to helping clients, providing excellent customer service, and truly investing in their employees. What’s in it for you? $18.00 - $20.00/hour depending on experience Remote position + few weeks of training in the office What we need from you: Experience - 1-2+ years reviewing and processing medical, dental, and vision claims Education - High school diploma required, college degree preferred Software - You are proficient with data entry, Microsoft Office, Outlook, carrier websites, and other software systems as needed for the position Comprehensive knowledge - You have data entry coding and medic

CANDIDATES APPLYING OUTSIDE OF CALIFORNIA WILL NOT BE REVIEWED Medical Claims Examiner - Remote - Fresno, CA *100% Remote for Central Valley candidates* Candidates are required to attend occasional trainings/meetings in Fresno, CA The Company: A well-respected insurance company in California with over 25 years in the business is looking to add a Medical Claims Examiner! This company is dedicated to helping clients, providing excellent customer service, and truly investing in their employees. What’s in it for you? $18.00 - $20.00/hour depending on experience Remote position + few weeks of training in the office What we need from you: Experience - 1-2+ years reviewing and processing medical, dental, and vision claims Education - High school diploma required, college degree preferred Software - You are proficient with data entry, Microsoft Office, Outlook, carrier websites, and other software systems as needed for the position Comprehensive knowledge - You have data entry coding and medic

Job Description: 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. Requirements: California WC claims knowledge SIP certificate Min. 3 Years of experience Remote in CA NIT001

Progressive Leasing is a leading provider of in-store and e-commerce lease-to-own solutions. As an almost 20+ year old FinTech company that has gone from start-up to industry leader, we know how to innovate, simplify, and value all people. We are a company founded on our grit and we are constantly looking to the future. As an ever-evolving group of entrepreneurs and technologists, we strive to do the right thing period in all aspects of our work. We are a subsidiary of PROG Holdings (NYSE: PRG), an exciting FinTech holding company, with three business segments including Progressive, Vive Financial, and Four, a Buy Now Pay Later (BNPL) platform. We are currently hiring a Compliance Field Examiner to help grow our company and ensure our mission is achieved! Employee Value Proposition (EVP): PROG is dedicated to providing people with opportunity; opportunity for inclusive collaboration, opportunity for innovation, and opportunity for development. WE ARE: A team of compliance rockstars tha