Jobs by Simply Hired

Search for Jobs

Job Title, Skills, or Company

City, State, or ZIP

Claims Review Nurse jobs - Huntington Beach, CA

Viewing 1 - 10 of 154 jobs

  • Medical Claim Review Nurse

    Molina Healthcare - Long Beach, CA

    approaches to improve and standardize overall retrospective claims review. Knowledge/Skills/Abilities * Demonstrated ... Minimum one year Utilization Review and/or Medical Claims Review...

    17 days ago from Molina Healthcare

  • Utilization Review Nurse – Oncology

    New Century Health - Brea, CA

    we will respond immediately.Summary:The Utilization Review Nurse is involved with every aspect of the utilization ... referrals, approvals and case preparation for medical review, claims review, request and review medical records.

    30+ days ago from Jobing.com

  • Manager, Medical Claims Review

    Molina Healthcare - Long Beach, CA

    required. Required Experience: * 3-5 years healthcare claims processing required * 2-3 years of claims management ... healthcare claims processing preferred * 4 or more years of claims management experience preferred * Experience with...

    21 days ago from Molina Healthcare

  • Claims Examiner II

    St. Joseph Health - Orange, CA

    track claims in inventory and follows-up on all claims suspended for review purposes or additional information ... until claims are in a final status. � Alerts Claims Management of all claims issues that would impact any Healthplan...

    30+ days ago from St. Joseph Health

  • Claims Examiner III (14012542)

    Heritage Healthcare - Orange, CA

    claims for non-contracted provider and contracted hospital claims for both Commercial and Senior plans within the ... review purposes or additional information requests until claims are in a final status. Alerts Claims Management of...

    30+ days ago from Heritage Healthcare

  • Construction Claim Manager (Director Level Role)

    Travelers Indemnity Company - Diamond Bar, CA

    continuous process of management involvement and claim file review. Evaluates claim behaviors, taking improvement ... - Extensive claim and/or legal experience and thus the technical expertise to evaluate severe and complex claims...

    3 days ago from The Travelers Indemnity Company

  • Construction Claim Manager (Director Level Role) Job

    Travelers Insurance - Diamond Bar, CA

    - Extensive claim and/or legal experience and thus the technical expertise to evaluate severe and complex claims ... Major Market:Los Angeles Job Segments:Construction, Claims, Underwriter, Law, Data Management, Engineering,...

    30+ days ago from Travelers Insurance

  • VP Specialty Operations

    Sedgwick Claims Management Services - Long Beach, CA

    identify emerging risks and opportunities for healthcare PL claims management. ESSENTIAL FUNCTIONS and RESPONSIBILITIES ... requires: •10 plus years handling med malpractice claims. Five plus years management/supervision •Excellent...

    8 days ago from InsuranceJobs.com

  • Claims Examiner III

    St. Joseph Health - Orange, CA

    track claims in inventory and follows-up on all claims suspended for review purposes or additional information ... until claims are in a final status. � Alerts Claims Management of all claims issues that would impact any Healthplan...

    30+ days ago from St. Joseph Health

  • Claims Examiner III (14009962)

    Heritage Healthcare - Orange, CA

    claims for non-contracted provider and contracted hospital claims for both Commercial and Senior plans within the ... in order to track claims in inventory and follows-up on all claims suspended for review purposes or additional...

    30+ days ago from Heritage Healthcare

Post a Job on BusinessWeek.com

Post a Job

Reach millions of talented professionals