Examiner Salary at Trader Joe's BETA

A Medical Health Insurance Plan based in Los Angeles is in the immediate need of a Medical Claims Representative. The Medical Claims Representative will be responsible for speaking with members over the phone and troubleshooting any of the participants bills or claims. The Medical Claims Representative will be tasked with answering inquiries regarding EOBs as well as any other issues pertaining to medical claims. Once the candidate is up and running, promotions will become available. The right person for this job will have a background in either medical claims, insurance verifications/authorizations or medical billing. Research and respond to scheduled reports and claim inquiries sent by Blue Card and Blue Cross representatives in a timely manner. Investigate and adjudicate complex claim requests and claims requiring special handling, such as adjustments and complaints in accordance with Plan guidelines, policy contract language and departmental processes and standards. Write letters t

A Medical Health Insurance Plan based in Los Angeles is in the immediate need of a Medical Claims Representative. The Medical Claims Representative will be responsible for speaking with members over the phone and troubleshooting any of the participants bills or claims. The Medical Claims Representative will be tasked with answering inquiries regarding EOBs as well as any other issues pertaining to medical claims. Once the candidate is up and running, promotions will become available. The right person for this job will have a background in either medical claims, insurance verifications/authorizations or medical billing. *This role is a 6 month contract to hire full-time and 5 days onsite 8:30am-5:00pm.* Job Duties: - Research and respond to scheduled reports and claim inquiries sent by Blue Card and Blue Cross representatives in a timely manner. - Investigate and adjudicate complex claim requests and claims requiring special handling, such as adjustments and complaints in accordance wit

Title : Senior Claims Examiner Reports to: Claims Manager General Summary Handles a variety of claims including complex claims of high dollar value. These claims may involve coverage and liability issues. Handling will consist of direct investigation, evaluation, negotiation and resolution of claim. Understands claims objectives and ensures file quality meets Carl Warren claim performance standards. Identifies all exposures, establish accurate and timely reserves. Key Responsibilities • Execute on client/Carl Warren strategies in order to achieve claims quality, customer service and operational objectives. • Effectively works claims to ensure file quality meets Carl Warren claim performance standards. • Presents claims in a roundtable setting or at a claim review. • Directs handling of litigated files, to include attendance at mediations, depositions and trials • Identifies/utilizes vendors and effectively manages the vendors to achieve satisfactory results on both the expense and inde

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

Salary: $29.88 - $36.32 Hourly Location : Santa Ana, CA Job Type: Part-time Job Number: 2023-00538 Department: Police Department Division: Forensic Services Opening Date: 01/01/2024 Bargaining Unit: NA Description The City of Santa Ana is looking for individuals who are results-oriented, possess great attitude, demonstrate creativity and innovation, work efficiently, show a record of success and have a passion for public service. Having highly talented employees provides the best service to our community. With general supervision, provides expert collection, preservation, scientific analysis, and documentation of fingerprint evidence in criminal matters; conducts examinations of physical evidence for latent fingerprints in the laboratory; provides training to others in technical skills; and performs other duties as required within the scope of the classification. This position is open until further notice and may close at any time without advance notice. You are encouraged to apply imm

To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements. ES Workers Compensation, Claims, Examiner, Worker, Compensation, Client Relations, Administrative, Insurance

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

Overview: Administer indemnity claims and handle complex claim issues. Use strong litigation management experience, lien resolution abilities, and customer service skills to resolve routine claims without legal representation. Keenan, an Accretive company, is an insurance brokerage and consulting firm meeting the insurance needs of hospitals, public entities and California school districts. Keenan specializes in providing consulting services in the areas of: employee benefits, workers' compensation, loss control, financial, and property & liability. What You'll Do: Maintain current diary. Identify, prevent and mitigate potential penalties. Update claim notes in computer. Provide timely reporting of excess files to the Reinsurance Manager. Report SIU/Fraud. Identify and pursue subrogation. Complete Rehab forms/benefit notices/SJDB/RTW form. Refer all PRIME deletions only to office designee. Update reserves no later than 30 days of receipt of information modifying the financial exposure