Claim processor jobs in Camarillo, CA

PENNYMAC Pennymac (NYSE: PFSI) is a specialty financial services firm with a comprehensive mortgage platform and integrated business focused on the production and servicing of U. S. mortgage loans and the management of investments related to the U. S. mortgage market. At Pennymac, our people are the foundation of our success and at the heart of our dynamic work culture. Together, we work towards a unified goal of helping millions of Americans achieve aspirations of homeownership through the complete mortgage journey. Job Overview The Claims Processor is a specialized role within the mortgage industry, primarily focused on the financial aspects and reimbursement of fees, costs and advances that incurred during the foreclosure process. A Typical Day The Claims Processor is mainly responsible for filing MI, investor, and/or insurer claims timely and accurately, providing all back-up as requested, and the reconciliation and posting of claim proceeds. As the Claims Processor, you will demonstrate proficiency in all aspects of the role (including the ability to meet and exceed personal goals) and is ready to assume additional responsibility including but not limited to; OJT training, writing policies and procedures, management of multiple claim types, reporting, and other related duties as required and assigned. The Claims Processor will perform post-foreclosure servicing functions as required by MI, investor, insurer, and internal guidelines including: Eviction management, property inspection and maintenance Filing reimbursement claims, Conveyance of Title and Title Delivery Maintenance of HOA, Taxes, and/or property insurance during the GSE REO process Assist in development and maintenance of Claims related policies and procedures Maintain workflow in a current status through demonstrated proficiency in dashboard and exception reporting tools Performs other related duties and assist with projects as required Demonstrate behaviors which are aligned with the organization's culture and values What You'll Bring High School Diploma or equivalent work experience 3+ years' Default-related experience is required An aptitude for data, reporting, and working with numbers, is desired Proficiency in Microsoft Office Knowledgeable with GSE, insurer servicing guidelines and requirements Why You Should Join As one of the top mortgage lenders in the country, Pennymac has helped over 4 million lifetime homeowners achieve and sustain their aspirations of home. Our vision is to be the most trusted partner for home. Together, 4,000 Pennymac team members across the country are guided by our core values: to be Accountable, Reliable and Ethical in all that we do. Pennymac is committed to conducting a business that makes positive contributions and promotes long-term sustainable growth and to fostering an equitable and inclusive environment, where all employees and customers feel valued, respected and supported. Benefits That Bring It Home: Whether you're looking for flexible benefits for today, setting up short-term goals for tomorrow, or planning for long-term success and retirement, Pennymac's benefits have you covered. Some key benefits include: Comprehensive Medical, Dental, and Vision Paid Time Off Programs including vacation, holidays, illness, and parental leave Wellness Programs, Employee Recognition Programs, and onsite gyms and cafe style dining (select locations) Retirement benefits, life insurance, 401k match, and tuition reimbursement Philanthropy Programs including matching gifts, volunteer grants, charitable grants and corporate sponsorships To learn more about our benefits visit: ********************* page. link/benefits For residents with state required benefit information, additional information can be found at: ************ pennymac. com/additional-benefits-information Compensation: Individual salary may vary based on multiple factors including specific role, geographic location / market data, and skills and experience as defined below: Lower in range - Building skills and experience in the role Mid-range - Experience and skills align with proficiency in the role Higher in range - Experience and skills add value above typical requirements of the role Some roles may be eligible for performance-based compensation and/or stock-based incentives awarded to employees based on company and individual performance. Salary $40,000 - $60,000 Work Model OFFICE

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Company Job Description/Day to Day Duties: -Reports to the Director of Claims -Responsible for the accurate and timely adjudication of all claims in accordance with applicable contracts, state and federal regulations, health plan requirements -Examiners are expected to produce a minimum of 30 claims per hour. -Examiners are expected to maintain 98 percent coding and financial accuracy. -Examiners must meet timeliness requirements for the product line(s) they are responsible for processing. This can be achieved by effectively managing pended items/claims on a daily basis (working them at least two times a day) and by meeting daily production goals. A. Medicare- 30 calendar days regardless of provider contract status. B. Medi-Cal- 30 calendar days regardless of provider contract status. C. Commercial- 60 calendar days regardless of provider contract status. Qualifications Minimum Education/Licensures/Qualifications: -HS/Diploma or GED/equivalent -1-3+ years of processing of managed care health claims -Strong knowledge of medical terminology -Strong Ten Key by touch -Ability to type at least 40- 45 wpm (if they are unsure of typing skills, please send prove it!) -Proficient with Microsoft Office/General office equipment experience (i.e. photocopier, fax, calculator, ability to operate a PC) -Strong working knowledge of ICD.9.CM, CPT, HCPCS, RBRVS coding schemes -Experience with different software and hardware systems for claims adjudication -Must have an excellent understanding of health and managed care concepts and their application in the adjudication of claims. -Must be able to accurately assess financial responsibility and liability for claims submitted by both members and providers. -Accurate input of data is required for claims adjudication including: diagnostic and procedural coding, pricing schedules, member and provider identification, and all other related information as required. Best Candidate: 3+ years of experience working on Managed Care claims 2nd Best: 1+ year experience as a Claims Examiner Additional Information Location: 15821 Ventura Blvd suite 600 Encino, CA 91436 If Contract, Length of Assignment: RTH Shift: Monday-Friday, 8am-5pm (There is a night shift, but as of now they are not looking to fill any night spots- if you have a candidate seeking a later shift, I am happy to present them) Start Date: As soon as all HR is back and clear Times/Interviewer: Phone interviews with hiring manager- Laura Saez, Claims Supervisor- possible for same day scheduling if not as soon as next day

We are seeking a Claims Processor to join a well-established sales and marketing firm that represents an international partner and serves as the liaison between overseas operations and customers across North America. This role is ideal for someone with strong analytical skills, attention to detail, and the ability to manage claims processes while maintaining excellent communication with multiple stakeholders. Essential Duties and Responsibilities Process all product claims, reviewing and analyzing new claims for accuracy and disseminating them to the appropriate insurance carrier. Act as a liaison with intercompany parties, insurance adjusters, and customers to resolve product claims. Evaluate claims submitted to insurance companies to determine eligibility standards. Research and resolve issues within the scope of the job. Maintain communication between corporate and field offices to gather information for timely responses to legal documents and claim losses. Draft written and oral correspondence related to claims processing. Report exposures, pending claims, and litigations that may impact company assets or goals. Perform additional office duties as assigned by the immediate supervisor. Competencies Strong attention to detail, organization, and thoroughness. Familiarity with general merchandise manufacturing processes, product parts, and plumbing industry standards. Knowledge of commercial insurance and claims processing. Excellent research, analytical, and problem-solving skills. Professionalism, collaboration, and strong communication skills (oral and written). Proficiency in Microsoft Office (Outlook, Excel, Word, PowerPoint) and Adobe. Travel Requirements Up to 25% travel required for offsite product inspections. Education and Experience Associate degree in business or related field. Minimum of two years of relevant work experience and/or training, or equivalent combination of education and experience. Language Skills Ability to read, analyze, interpret, and respond to general business correspondence. This will be a full-time, Non-exempt position with a salary of $22.00/hour. Monday to Friday from 8:00am to 5:00pm. KPG123

**Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. **Salary Range** $67,000.00 - $110,600.00 **Target Openings** 1 **What Is the Opportunity?** This role is eligible for a sign-on bonus! LOCATION REQUIREMENT: This position services Insureds/Agents in Riverside County or Northwest Los Angeles County. The selected candidate must reside in or be willing to relocate at their own expense to the assigned territory. For the Riverside County location, ideal locations include Riverside, Redlands, Jurupa Valley, Moreno Valley, Beaumont, Grand Terrace, Colton, Bloomington, Rialto, and surrounding areas. For the Northwest Los Angeles County location, ideal locations include Culver City, Inglewood, Santa Monica, Los Angeles, Beverly Hills, Van Nuys, Sherman Oaks, Burbank, Glendale, Pasadena, and surrounding areas. Under moderate supervision, this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim resolution for personal or business claims of moderate severity and complexity. Handles claims and other functional work involving one or more lines of business other than property (i.e. auto, workers compensation, premium audit, underwriting) may be required. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. This position is based 100% remotely and may include a combination of mobile work and/or work from your primary residence. **What Will You Do?** + Handles 1st party property claims of moderate severity and complexity as assigned. + Completes field inspection of losses including accurate scope of damages, photographs, written estimates and/or computer assisted estimates. + Broad scale use of innovative technologies. + Investigates and evaluates all relevant facts to determine coverage, damages and liability of first-party property damage claims (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first-party property claims under a variety of policies. Secures recorded or written statements as appropriate. + Establishes timely and accurate claim and expense reserves. + Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters. + Negotiates with multiple constituents, i.e.; contractors or insured's representatives and conveys claim settlements within authority limits. + Writes denial letters, Reservation of Rights and other complex correspondence. + Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools. + Meets all quality standards and expectations in accordance with the Knowledge Guides. + Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures. + Manages file inventory to ensure timely resolution of cases. + Handles files in compliance with state regulations, where applicable. + Provides excellent customer service to meet the needs of the insured, agent and all other internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit. + Identifies and refers claims with Major Case Unit exposure to the manager. + Performs administrative functions such as expense accounts, time off reporting, etc. as required. + Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation, General Liability and other areas of the business as needed. + May provides mentoring and coaching to less experienced claim professionals. + May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed. + CAT Duty ~ This position will require participation in our Catastrophe Response Program, which could include deployment away for a minimum of 16 days (includes 2 travel days) to assist our customers in other states. + Must secure and maintain company credit card required. + In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. + On a rotational basis, engage in resolution desk technical work and resolution desk follow up call work. + This position requires the individual to access and inspect all areas of a dwelling or structure, which is physically demanding requiring the ability to carry, set up and climb a ladder weighing approximately 38 to 49 pounds, walk on roofs, and enter tight spaces (such as attic staircases and entries, crawl spaces, etc.). While specific territory or day-to-day responsibilities may not require an individual to climb a ladder, the incumbent must be capable of safely climbing a ladder when deploying to a catastrophe which is a requirement of the position. + Perform other duties as assigned. **What Will Our Ideal Candidate Have?** + Bachelors Degree preferred. + General knowledge of estimating system Xactimate preferred. + Customer Service experience - preferred + Interpersonal and customer service skills - Advanced + Organizational and time management skills- Advanced + Ability to work independently - Intermediate + Judgment, analytical and decision making skills - Intermediate + Negotiation skills - Intermediate + Written, verbal and interpersonal communication skills including the ability to convey and receive information effectively -Intermediate + Investigative skills - Intermediate + Ability to analyze and determine coverage - Intermediate + Analyze, and evaluate damages -Intermediate + Resolve claims within settlement authority - Intermediate + Valid passport preferred. **What is a Must Have?** + High School Diploma or GED required. + A minimum of one year previous outside property claim handling experience or successful completion of Travelers Outside Claim Representative training program required. + Valid driver's license required. **What Is in It for You?** + **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. + **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. + **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. + **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. + **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. **Employment Practices** Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit ******************************************************** .

Los Angeles | Remote/In-Office (In-Office Preferred) |Auto Insurance Claims Pay Range: $75,000- $98,000 Per Year. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire and will be dependent on a wide range of factors, including but not limited to geographic location, skill set, experience, education, credentials, and licensure when applicable. Knight Insurance Group is a well-established insurance company committed to providing exceptional service to our clients. We take pride in offering comprehensive insurance solutions and ensuring a seamless claims process for our customers. We are currently seeking a dynamic and experienced individual to join our team as a Claims Supervisor. As a Claims Supervisor at Knight Insurance Group, you will manage and lead a team of Personal Auto Claims Adjusters. Your primary responsibility will be to oversee and optimize the claims handling process to ensure timely and accurate resolution while maintaining the highest level of customer satisfaction. We are looking for a candidate with a minimum of 8 years of experience in claims who can bring leadership, expertise, and dedication to our team. What You'll do as a Claims Supervisor: Recruit, train, and supervise a team of Personal Auto Claims Adjusters. Provide guidance and mentorship to claims adjusters, ensuring they meet performance goals and deliver exceptional customer service. Monitor claim files for accuracy, compliance, and adherence to company policies and regulatory requirements. Collaborate with other departments to streamline processes and enhance the overall claims experience. Handle complex or escalated claims and ensure fair and efficient settlements. Stay current with industry trends, best practices, and changes in insurance regulations. Prepare reports and present claim-related data to management. Qualifications What we look for in our Claims Supervisor? Minimum of 5 years of experience in claims handling of bodily injury and property damage claims with an Insurance Carrier or Third-Party Administrator. Minimum of 3 years of experience in claims supervision, with a strong background in Personal Auto claims with an Insurance Carrier or Third-Party Administrator. Litigated claims handling a plus. Proven leadership and team management skills. Excellent communication and interpersonal skills. Excellent writing skills. Knowledge of insurance regulations and industry standards. Detail-oriented with strong analytical and problem-solving abilities. Proficient in using claims management software and Microsoft Office Suite. Bachelor's degree in a related field is preferred but not required. Benefits What do we offer? Medical, Dental, Vision, Supplemental Life Insurance, LTD, and Flexible Spending Account 401K and Employee Stock Ownership Program (employer matching) Metro Tap Card and Metro-link Reimbursement (On-Site CA Employees) Career Path Opportunities Onsite Yoga, Pilates, Onsite Gym (On-Site CA Employees) UKG Wallet (access to your pay before payday)

Job Description- National Insurance Carrier is looking for an experienced EPL Claims Manager that is currently managing a team. Prior experience in EPLI & professional liability claims is preferred but not mandatory. Will need a minimum of 5 to 7 years experience in EPL and or professional liability claims. JD preferred with good interpersonal skills. Call for additional details.

Job Description Seeking experienced investigators with commercial or personal lines experience, with multi-lines preferred to include AOE/COE, Auto, and Homeowners. SIU experience is highly desired, but not required. We are seeking individuals who possess proven investigative skill sets within the industry, as well as honesty, integrity, self-reliance, resourcefulness, independence, and discipline. Good time management skills are a must. Must have reliable transportation, digital recorder and digital camera. Job duties include, but are not limited to, taking in-person recorded statements, scene photos, writing a detailed, comprehensive report, client communications, as well as meeting strict due dates on all assignments. If you have the desire to operate at your highest professional level within an organization that values and rewards excellence, please submit your resume. Only the finest individuals are considered for hire. Visit our website and find out why at ****************** The Claims Investigator should demonstrate proficiency in the following areas: AOE/COE, Auto, or Homeowners Investigations. Writing accurate, detailed reports Strong initiative, integrity, and work ethic Securing written/recorded statements Accident scene investigations Possession of a valid driver's license Ability to prioritize and organize multiple tasks Computer literacy to include Microsoft Word and Microsoft Outlook (email) Full-Time benefits Include: Medical, dental and vision insurance 401K Extensive performance bonus program Dynamic and fast paced work environment We are an equal opportunity employer. Powered by JazzHR kv Zg9zuK2O

Reports to: Claims Supervisor Employment Status: Full-Time FLSA Status: Non-Exempt We are searching for a diligent Claims Specialist to ensure the timely and accurate collection of medical claims. The specialist will work closely with insurance companies to rectify payment denials, settle disputes, and receive due reimbursements. The ideal candidate will possess strong communication skills, a deep understanding of medical billing and coding, and the determination to resolve outstanding claims. Duties/Responsibilities: · Reviews and works on unpaid claims, identifying and rectifying billing issues. · Communicates with insurance companies regarding any discrepancy in payments if necessary. · Conducts research and appeals denied claims timely. · Reviews Explanation of Benefits (EOBs) to determine denials or partial payment reasons. · Provides detailed notes on actions taken and next steps for unpaid claims. · Collaborates with the billing team to ensure accurate claim submission. · Maintains a comprehensive understanding of the insurance follow-up process, payer guidelines, and compliance requirements. · Resubmits claims with necessary corrections or supporting documentation when needed. · Tracks and documents trends related to denials and work towards a resolution with the billing team. · Assists patients with inquiries related to their insurance claims, providing clear and accurate information. · All other duties as assigned. Required Skills/Abilities: · Proficiency in healthcare billing software. · Strong analytical, organizational, and multitasking skills. · Excellent verbal and written communication abilities. · Ability to navigate payer websites and use online resources to resolve outstanding claims. Education and Experience: · High school diploma or equivalent required. · Experience in medical billing collections or a similar role in a Behavioral Health industry specializing in Substance Abuse and Mental Health is strongly preferred. · Knowledge of medical terminology, CPT and ICD-10 coding is a plus. · Knowledge of HIPAA and other healthcare industry regulations. Benefits · Health Insurance · Vision Insurance · Dental Insurance · 401(k) plan with matching contributions View all jobs at this company

REPORTS TO Assistant Manager, Claims & Appeals CONTACTS AND RELATIONSHIPS The position interfaces with department management, department employees, and employees from other departments. The position also requires contact with participants and their families, business managers, other insurance companies, and healthcare providers (e.g. doctors and hospitals). ESSENTIAL FUNCTIONS Accurate and timely processing of delegated claims per regulatory and contractual guidelines. Determine eligibility, medical necessity, reasonable and customary allowances, and appropriate coding. 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 to participants and providers requesting additional information when necessary. Follow-up on pending claims. Work with Eligibility Department to resolve eligibility problems, add or delete dependents, address changes, etc. Act in accordance with all HIPAA Privacy and Security guidelines to ensure confidential handling of protected health information. Answer phone calls from participants and providers when necessary. Regular, predictable, and reliable attendance is required. SKILLS AND ABILITIES Extensive knowledge of medical terminology, ICD9, ICD10, and CPT codes. Extensive knowledge of Plan benefits, group insurance, and Medicare principals. Knowledge of Coordination of Benefits rules. Ability to maintain production standards in a detail-oriented, quality-conscious service environment. Ability to work independently with minimal supervision. Good written and verbal communication skills. EDUCATION AND EXPERIENCE High school diploma with some college plus three years or more experience in health claims processing preferred. PHYSICAL REQUIREMENTS Possess manual dexterity sufficient to operate standard office machines. Ability to sit for extended periods of time. Position requires bending, reaching, walking, and lifting of up to 10 lbs. Location and Schedule Onsite. Position eligible for alternative workweek schedule. Salary $22.12 per hour.

Are you interested in harnessing technology and AI to transform healthcare? At XiFin, we believe a healthier, more efficient healthcare system starts with strong financial and operational foundations. Our innovative technologies help diagnostic providers, laboratories, and healthcare systems manage complexity, drive better outcomes, and stay focused on what matters most: patient care. We're on a mission to simplify the business side of healthcare-and we know that mission takes people from all backgrounds and experiences. Whether you're early in your career or bringing years of expertise, we welcome your perspective, your curiosity, and your passion. We value individuals who ask questions, challenge the status quo, and want to grow while making a real difference. About the Role The Claims Satisfaction Specialist in Radiology Billing supports payment posting operations by coordinating workflow between the internal payment team and the offshore payment posting team. This role ensures payments are processed accurately and on time, follows up on pending items, and assists with daily payment intake and deposit activities. The ideal candidate will have strong attention to detail, effective communication skills, and the ability to thrive in a fast-paced environment with shifting priorities. A solid understanding of payment posting and EOB processes in a healthcare or medical billing setting is essential. This position will be located at our office Westlake Village, CA. How you will make an impact: In this role, you'll: * Create and assign daily payment posting batches and workloads for the offshore payment posting team. * Review and resolve payments pended by the offshore team due to missing EOBs, unidentified patients, balancing discrepancies, or other exceptions. * Collaborate with internal teams to obtain missing information or clarify payment posting details as needed. * Assist with opening and sorting incoming mail related to payments and correspondence. * Scan and deposit checks into the bank following established procedures. * Act as a point of contact for client inquiries related to radiology claim status, billing issues, and payer responses. * Provide clear, professional, and timely updates to clients regarding claim progress and resolution outcomes. * Support process improvement initiatives related to payment posting accuracy and efficiency. * Maintain detailed records and documentation of payment activities and resolutions. * Provide feedback to management regarding trends in claim errors, payer changes, or system inefficiencies impacting client satisfaction. * Ensure all client communications and claim-related actions adhere to HIPAA, CMS, protected health information (PHI), and payer compliance requirements. * Represent the organization with professionalism and integrity in all client and payer interactions. * Assist with audits and special projects What you will bring to the team: We're looking for someone with a growth mindset and a passion for learning. You might be a great fit if you: * Excellent communication and interpersonal skills with a strong focus on client service. * Strong organizational, analytical, and follow-up skills. * Ability to manage multiple client accounts and priorities simultaneously. * High attention to detail with accuracy in documentation and reporting. * Collaborative mindset with the ability to work effectively across departments. * Positive, solution-oriented attitude with a commitment to continuous improvement. Skills and experience you have: You don't need to check every box. We will consider a combination of education and experience, including: * High school diploma or equivalent required; Associate's or Bachelor's degree in Healthcare Administration, Business, or related field strongly preferred. * Minimum 2-4 years of experience in medical billing, customer service, or claims resolution-radiology experience strongly preferred. * Familiarity with CPT, HCPCS, and ICD-10 codes and payer claim processes. * Proficiency in Microsoft Office Suite; CRM or ticketing system experience a plus. * Experience with billing or RCM systems (e.g., XiFin, Imagine, Epic, Athena, eClinicalWorks) preferred. Why XiFin? We're more than just a healthcare technology company-we're a team that cares about people. Here's a glimpse at what we offer: * Comprehensive health benefits including medical, dental, vision, and telehealth * 401(k) with company match and personalized financial coaching to support your financial future * Health Savings Account (HSA) with company contributions * Wellness incentives that reward your preventative healthcare activities * Tuition assistance to support your education and growth * Flexible time off and company-paid holidays * Social and fun events to build community at our locations! Pay Transparency At XiFin, we believe in pay transparency and fairness. The expected hourly rate for this role is $20.00 to $24.00, based on your experience, skills, and geographic location. Depending on your qualifications, you may be considered for a Specialist or Sr. Specialist title. Final compensation will be determined during the selection process and may vary accordingly. Accessibility & Accommodations We're committed to providing an inclusive and accessible experience for all applicants. If you need a reasonable accommodation during the application process, please contact us at ************. Equal Opportunity Employer XiFin is proud to be an equal opportunity employer. We value diverse voices and do not discriminate on the basis of race, color, religion, national origin, gender, gender identity, sexual orientation, disability, age, veteran status or any other basis protected by law. Ready to apply? We'd love to hear from you-even if you're not sure you meet every qualification. If you're excited about the role and believe you can contribute to our team, please apply. Let's build something meaningful together.

EXAM NUMBER: E1141P TYPE OF RECRUITMENT: We welcome applications from anyone. FILING DATES: The application filing period will begin Monday, December 8, 2025, at 8:00 am (PT) - Continuous. We will keep accepting applications until the position is filled. The application window may close unexpectedly once we have enough qualified candidates. REBULLETIN INFORMATION THIS ANNOUNCEMENT IS BEING REPOSTED TO REOPEN TO UPDATE THE ADDITIONAL INFORMATION SECTION AND SUPPLEMENTAL QUESTIONNAIRE Get ready to join one of the nation's largest county employers! Recognized by Forbes as one of America's Best Large Employers, the County of Los Angeles offers broad career growth, outstanding benefits, and competitive salaries. We are the largest employer in Southern California, with opportunities for you to make a difference in the lives of over 10 million residents. At the Registrar-Recorder/County Clerk, it is our mission to serve Los Angeles County by providing essential records management and election services in a fair, accessible, and transparent manner. We are providing you with an amazing opportunity to join our organization of professionals committed to serving our employees, the public, and the community. We seek to achieve accountability, professionalism, integrity, respect, and equity. OUT-OF-CLASS: Out-of-Class experience will not be accepted for this examination. WITHHOLD INFORMATION: No withholds will be allowed for this examination. Required experience must be fully met and indicated on the application at the time of filing. POSITION DESCRIPTION: The Property Conveyances Examiner receives technical direction from a Senior Property Conveyances Examiner. The Property Conveyances Examiner examines, evaluates, and records legal documents submitted by individuals, corporations, partnerships, and others, effecting and/or evidencing title to or interest in real or personal property. Incumbent in this position must have a general knowledge of laws, codes, ordinances and legal terminology relating to property ownership, and specialized knowledge of recording policies and procedures essential for the protection of property right. ESSENTIAL DUTIES INCLUDE, BUT ARE NOT LIMITED TO: Visually examine legal documents (e.g., deeds, deeds of trust, leases, homesteads, reconveyances, assignments, etc.) and maps by reviewing their contents in compliance with specific requirements set forth in the applicable legal codes, in order to determine their acceptability for recording in the public records. Reject documents that do not meet the recording requirements or are statutorily incomplete or missing in order to ensure that only accurate and statutorily complete documents are recorded. Provide information (e.g., bulletins, posted notices, verbally, etc.) to the public regarding Federal, State, County, and city laws, rules, regulations, and policies, which provide the basis for accepting or rejecting documents presented for recording in the public records. Determine which prescribed fees are to be charged for the recording of documents by inputting information into a computer in order to ensure that all applicable fees are received. Examine documents submitted for recordation to determine the applicability of the Documentary Transfer Tax and determine or verify the amount of tax. Verbally (in-person or over the telephone) respond to questions from individuals, representatives of title insurance companies, attorneys, lending institutions, and real estate agents pertaining to public recordation of legal documents in order to provide information and assistance, without providing legal advice. Provide reject letters to members of the public, legal representatives, etc. in order to specify the reasons why a document was not accepted for recordation. Perform cashiering functions by collecting or billing customers for all applicable taxes and fees, providing certified or conformed copies, providing change, and issuing a receipt in order to create a record of monetary transactions. Scan documents into JEDI (Departmental custom computer program) and verify that images are clear and legible in order to create a permanent public record. Two (2) years* of specialized experience in the review and evaluation*of documents relating to real or personal property. PHYSICAL CLASS: Physical Class II - Light: This class includes administrative and clerical positions requiring light physical effort that may include occasional light lifting to a 10-pound limit and some bending, stooping, or squatting. Considerable ambulation may be involved. VETERAN'S CREDIT: If you are a veteran, you may be eligible for veteran's credit, which is an additional 10% of the total points added to a passing score. We will need a copy of your form DD214 to review, so please include that with your application or email it to the exam analyst at *************************** as soon as possible so, if you are eligible for veteran's credit, we can include it before the list is available. DESIRABLE QUALIFICATIONS: Additional credit will be awarded to qualified candidates who possess the additional years beyond the required specialized experience in the review and evaluation of documents related to real or personal property SPECIAL REQUIREMENTS INFORMATION: * Credit for experience is given based on a 40-hour workweek. Specialized experience is defined as performing document review of subject matter, clerical duties requiring a working knowledge of specific subject matter, and the use of initiative and independent judgment within procedural and policy limits. * For this examination, review and evaluation means to process or prepare and review real property and personal documents, such as maps, deeds, deeds of trust, assignments, liens, or other pertinent documents, for public recording at a Recorder's office. EXAMINATION CONTENT: The examination will consist of two (2) parts: Part I: An Evaluation of Experience, weighted at 50%. Each candidate will be evaluated based on the information provided on the Supplemental Questionnaire. Applicants must receive a passing score of 70% or higher on Part I to proceed to Part II. Part II: A Structured Interview, weighted at 50%. The Structured Interview is designed to measure job related knowledge and ability to perform duties of the position, work habits, customer service and interpersonal skills, problem solving. Applicants must receive a passing score of 70% or higher on each weighted part to be added to the list. ELIGIBILITY AND VACANCY INFORMATION: Applicants who passed the assessment are placed on an eligible register list in the order of their score group for a period of six (6) months. Applications will be processed as they are received and added to the list accordingly. We will use this list to fill vacancies in the RR/CC as they occur. Appointees may be required to work any shift, including evenings, weekends, and holiday. Application and Filing Information: We only accept applications filed online. Applications submitted by U.S. Mail, Fax, or in person will not be accepted. Apply online by clicking on the "Apply" green button at the top right of this posting. This website can also be used to get application status updates. Please fill out the application completely. Provide relevant job experience including employer's name and address, position/payroll title, beginning and ending dates, and description of work performed. We may verify information included in the application at any point during the examination and hiring process, including after an appointment has been made. Falsification of information could result in refusal of application or rescission of appointment. Copying verbiage from the requirements or class specification as your work experience will not be sufficient to demonstrate meeting the requirements. Doing so may result in an incomplete application and may lead to disqualification. PASSING THIS EXAMINATION AND BEING PLACED ON THE ELIGIBLE LIST DOES NOT GUARANTEE AN OFFER OF EMPLOYMENT. SOCIAL SECURITY INFORMATION: Federal law requires that all employed persons have a Social Security Number, so please include yours when applying. NO SHARING OF USER ID AND PASSWORDS: All applicants must file their application online using their own user ID and password. Using a family member or friend's user ID and password may erase a candidate's original application record. COMPUTER AND INTERNET ACCESS AT PUBLIC LIBRARIES: For candidates who may not have regular access to a computer or the internet, applications can be completed on computers at public libraries throughout Los Angeles County. TESTING ACCOMMODATION: If you require an accommodation to fairly compete in any part of the assessment process, contact the Testing Accommodations Coordinator at **************************. We require a completed Request for Reasonable Accommodation form as well as supporting documentation from a qualified professional justifying the request. The sooner you contact us, the sooner we can respond and keep you moving through the process. ANIT-RACISM, DIVERSITY, AND INCLUSION (ARDI) The County of Los Angeles recognizes and affirms that all people are created equal and are entitled to all rights afforded by the Constitution of the United States. RRCC is committed to promoting Anti-racism, Diversity, and Inclusion efforts to address the inequalities and disparities amongst race. We support the ARDI Strategic Plan and its goals by improving equality, diversity, and inclusion in recruitment, selection, and employment practices. CONTACT INFORMATION: For assistance, please contact us using the following information: DEPARTMENT CONTACT NAME: Britney Haggood DEPARTMENT CONTACT PHONE: ************** DEPARTMENT CONTACT EMAIL: ************************** CALIFORNIA RELAY SERVICES PHONE: ************ TELETYPE PHONE: ************ TESTING ACCOMMODATION COORDINATOR: **************

Notice of Change - This recruitment will now remain open until filled with first considerations beginning November 20, 2025 SALARY Department Business Specialist I: $82,357.60 - $98,889.44 Annually Department Business Specialist II: $94,446.56 - $113,628.32 Annually Bilingual allowance when applicable The County of Santa Barbara's Sheriff's Office is accepting applications to fill a Custody Coordinator for the California Advancing and Innovating Medi-Cal (CalAIM) Justice Involved Initiative. The initiative aims to transform the Medi-Cal Delivery System to improve the quality of life and health outcomes of Medi-Cal beneficiaries. The job classification for this position is a Department Business Specialist I/II. The work location will be based in the South Branch County Jail (Santa Barbara) and North Branch County Jail (Santa Maria). Therefore, applicants must check "Santa Barbara" and "Santa Maria" on the application AND be willing to accept an initial assignment at any location. Please note, the Sheriff's Office conducts a polygraph examination and in-depth background investigation. Under general direction, this key position coordinates and monitors CalAIM Custody Services, contributing to efforts that improve health outcomes and service delivery for justice-involved individuals. As an active partner in the CalAIM initiative, you will collaborate with internal teams, community organizations, and other stakeholders to ensure services align with project goals and timelines. The role involves reviewing program performance, identifying areas for improvement, and helping strengthen operations by connecting data, funding, and business processes. It's well-suited for someone who values teamwork, enjoys solving complex challenges, and is committed to making a meaningful impact. Distinguishing Characteristics: Department Business Specialist I/II is a professional-level, flexibly staffed classification series. Department Business Specialist I is the entry level and may lead but would not typically supervise staff. Department Business Specialist II is the journey level and may be assigned supervisory responsibilities over other professional staff. Incumbents are expected to be knowledgeable in department business processes and at least one of the following: critical program regulations; governmental fiscal record keeping - including budget, contract, and grant preparation and monitoring; or automated systems. BENEFITS: For more information on County of Santa Barbara benefits click HERE or visit the Benefits Tab above. Additionally, applicants from other public sector employers may qualify for retirement reciprocity and time and service credit towards an advanced vacation accrual rate. Examples of Duties * Researches and analyzes rules, regulations, legislation, and procedures to determine their impact on departmental processes, reporting, and fiscal requirements; develops and recommends policies and procedures; and identifies and validates business process requirements, critical success factors, and fiscal, technological, and environmental constraints and assumptions. * Develops written procedures to implement adopted policy or to clarify and describe standard practices; coordinates the development or revision of policies and procedures to support new processes and systems, reduce costs, enhance revenue, and maximize service levels; evaluates organizational impact of changes; prepares response strategies; designs and improves forms; and coordinates publication and dissemination of such material. * Serves as liaison with clients and representatives of private businesses, state and/or federal agencies, and other County departments to coordinate special projects and to provide specified administrative services such as budget reports generated from automated financial systems or contracts for services based on an analysis of program needs and available funding; represents the department in the development of, or change in, programs and regulations; and gathers information for use in assigned studies or management decisions. * Organizes and leads meetings specific to CalAIM with partner agencies as needed pre and post implementation. Participates in meetings and presents data to assist managers in making operational and administrative decisions. * May lead or supervise staff. Employment Standards * Possession of a bachelor's degree in business administration, economics, criminal justice, political science, public administration, psychology, or sociology, or related; OR, * possession of an associate's degree in business administration, economics, criminal justice, political science, public administration, psychology, or sociology, or related AND two years of experience that would demonstrate basic knowledge of (a) fiscal management, budgeting, grant preparation and monitoring, and contract management; (b) automated systems; or (c) jail management systems OR, * four years of experience that would demonstrate basic knowledge of (a) fiscal management, budgeting, grant preparation and monitoring, and contract management; (b) automated systems; or (c) jail management systems; or, * a combination of training, education, and/or experience that is equivalent to one of the employment standards listed above and that provides the required competencies. Supplemental Information * Incumbent will be required to travel throughout the County to Sheriff's Office locations. * Possession of a valid California Class C Driver's License may be required. * Fingerprinting for the purpose of a criminal record check as authorized by Section 16501 of the California Welfare and Institutions Code and Section 11105.3 of the California Penal Code may be required for some positions. For the full job classification description and competencies, click HERE. Supplemental Information APPLICATION & SELECTION PROCESS: * Review applications and supplemental questionnaire to determine those applicants who meet the employment standards. * Personal History Questionnaire (PHQ): Qualified candidates will be emailed a notice to complete and submit a Personal History Questionnaire (PHQ). Failure to submit a PHQ by the deadline will result in disqualification from the selection process. Candidates who successfully pass the PHQ will advance to the next step. * Supplemental Questionnaire Ranking: Candidates' response to the required supplemental questionnaire will be evaluated and scored. Candidates' final score and rank on the employment list will be determined by their responses to the supplemental questionnaire. This process may be eliminated if there are fewer than 11 qualified candidates. Candidates must receive a percentage score of at least 70 on the supplemental questionnaire to be placed on an employment list. An adjustment may be made to raw scores based on factors listed in Civil Service Rule 6. Those candidates who are successful in the selection process will have their names placed on the employment list for a minimum of three months. At the time the employment list is established, all candidates will receive an email notice of their score on the examination, rank on the employment list, and duration of the employment list. VETERAN'S PREFERENCE POINTS: Veteran's preference credit is applicable for this recruitment (5 points for veterans, 10 points for disabled veterans). To be eligible for this credit, you must be applying for this position within five years from your most recent date of: (1) honorable discharge from active military service; or, (2) discharge from a military or veterans' hospital where treatment and confinement were for a disability incurred during active military service; or, (3) completion of education or training funded by a Federal Educational Assistance Act. No time limit exists for veterans with 30% or more disability. To receive veteran's preference points, you must: (1) check the Veteran's Preference Points box on the employment application form, (2) submit a copy of your Form DD-214 to the Human Resources Department on or before the closing date, and (3) pass all phases of the examination process. The preference points will be added to your final test score. Appointee must successfully pass the following: 1. Polygraph Examination will measure the accuracy of information disclosed during the background investigation process. 2. Background Investigation includes an interview and in-depth background investigation of police records, personal, military, and employment histories; inquiry of persons who know you and evaluate whether you respect the law and rights of others; are dependable and responsible; have demonstrated mature judgment in areas such as the use of drugs and intoxicants; are honest; and is a safe driver. 3. LiveScan: A Live Scan is electronic fingerprint scanning that is certified by the State Department of Justice. Further instructions about when and how to complete the Live Scan will be included in the offer letter. BACKGROUND INVESTIGATION: The Sheriff's Office conducts a polygraph examination and in-depth background investigation. If you feel your past may hinder your future from working for the Sheriff's Office or you are not sure how to answer the Personal History Questionnaire, please contact Sheriff's Office Human Resources Bureau at ************** for questions or assistance. Disqualifiers: * An admission of having committed any act amounting to a felony within five years in California, or in another state which would be classified as a felony in California * An adult felony conviction in California, or with a conviction for an offense in another state which would be classified as a felony in California * Currently on Probation or Parole * Adult felony and/or misdemeanor conviction(s) may be disqualifying depending on type, number, severity, and how recent * Conviction of/or sustained petitions for any sex crime * Recent use and/or possession of illegal drugs; Failure to reveal prior use will be disqualifying * Unfavorable work history * Current or excessive use of drugs, sale of drugs, serious criminal history * History of committing domestic violence * Dishonesty or failure to reveal pertinent information CONDITIONAL JOB OFFER: * Live Scan and Background Check: Once a conditional offer of employment has been made, the selected candidate's appointment is contingent upon successful completion of a Live Scan and background check which includes a conviction history check, and satisfactory reference checks. A Live Scan is electronic fingerprint scanning that is certified by the State Department of Justice. Further instructions about when and how to complete the Live Scan will be included in the offer letter. * Appointee will be subject to a post-offer medical evaluation or examination. The appointee must satisfactorily complete a one-year probationary period. Recruiters will correspond with applicants by e-mail during each step in the recruitment process. Applicants are reminded to check spam filters continuously during the Recruitment & Selection Process steps listed above to ensure they do not miss required deadlines. REASONABLE ACCOMODATIONS: The County of Santa Barbara is committed to providing reasonable accommodation to applicants. Qualified individuals with disabilities who need reasonable accommodation during the application or selection process should contact the recruiter listed on the job posting. We require verification of accommodation needed from a professional source, such as a Medical Provider or a learning institution. Disaster Service Workers: Pursuant to Governmental code section 3100, all employees with the County of Santa Barbara are declared to be disaster service workers subject to such disaster service. Activities as may be assigned to them by their superiors or by law. Equal Employment Opportunity (EEO) Statement The County of Santa Barbara provides equal employment opportunities to all employees and applicants and prohibits discrimination, harassment, and retaliation of any type with regard to any characteristic or status protected by any federal law, state law, or Santa Barbara County ordinance. The County continues to be committed to a merit-based selection process and to eliminating barriers to attracting and retaining top qualified candidates. The County has a long-standing practice of providing a work environment that respects the dignity of individual employees and values their contributions to our organization. APPLICATION AND SUPPLEMENTAL QUESTIONNAIRE DEADLINE: Open until filled with first considerations beginning November 20, 2025. Applications and job bulletins can be obtained 24 hours a day at ********************* Leza Patatanian - ************************** Retirement Plans * Generous County Defined Benefit Plan * Eligible to participate in 457(b) Deferred Compensation Plan * Retirement Reciprocity with CalPERS, CalSTRS, and 1937 Act plans * For more information on our retirement plans, please visit: *********************** and ****************************** Health Benefits * Choice of dental, vision and medical plans. In addition to the Benefit Allowance noted above, the County contributes toward medical premiums and dental premiums * On-Site Employee Health Clinics in Santa Barbara and Santa Maria which provide ongoing and episodic services to eligible employees and their eligible dependents * Employee Assistance Program (EAP) offers free, confidential assistance with personal and workplace problems to employees and their immediate family members * Healthcare Advocacy Program to help employees navigate the complexities of health plan benefits * Available Health Care and Dependent Care Flexible Spending Accounts, Health Savings Account (HSA), Supplemental Term or Whole Life Insurance, Personal Accident Insurance, Critical Illness Insurance, Accident Insurance and more! * For more information on our health benefits, please visit: *********************************************** Paid Time Off * Vacation Leave 12 to 25 days per year depending on length of public employment * Sick Leave 12 days annually with unlimited accumulation, one year of which can be converted to service credit upon retirement * Paid Holidays based on bargaining unit (view the compensation summary for this bargaining unit, link below) * Alternative Transportation Benefit (TDM) up to 2 days of additional vacation for using alternative methods of commuting * For more information on Paid Time Off please view the Compensation Summary for this bargaining unit (available below) Miscellaneous Benefits * County Paid Term Life Insurance * County Paid Long Term Disability Insurance * Childcare and Employee Discounts * Relocation Assistance may apply * Flexible work schedule may apply * For more information on all of these benefits, please visit: ******************************************************* Compensation Summary * To view the Compensation Summary specific to the bargaining unit for this position (link to full Memorandum of Understanding also available at bottom of the summary), please visit: ********************************************** * This benefits list is for convenience only; please refer to the Memorandum of Understanding for complete details of terms and conditions. Amounts are generally prorated for part-time employment. 01 I acknowledge that it is my responsibility as an applicant to provide sufficient information on my application to demonstrate that my education and experience meets the employment standards (minimum qualifications) for this position as detailed in the job bulletin. I further acknowledge that if the County determines that I do not meet the employment standards there will be no opportunity for me to provide additional information regarding my application after the closing date listed on the job bulletin. Therefore, I understand that before submitting a job application, it is important that I review the job bulletin thoroughly and ensure that my application clearly reflects how my education and experience meets the employment standards at the time I submit my application. * I understand 02 As part of the application process, a Supplemental Questionnaire must be submitted along with the standard application form. Resumes are accepted, but NOT in lieu of a completed application and supplemental questionnaire. * I understand 03 The Human Resources Department communicates with ALL APPLICANTS through e-mail. Please make sure your email address is entered correctly and it is current. If you feel you are not receiving your emails, please check your spam or junk inbox for our emails. * Yes, I understand 04 To be considered for this position your application must CLEARLY state how you meet each of the requirements under EMPLOYMENT STANDARDS on the Job Posting or you will not be considered for this position. If you are unsure, go back and review your application before continuing. Which Employment Standard did you clearly state in your application? * Possession of a bachelor's degree in business administration, economics, criminal justice, political science, public administration, psychology, or sociology, or related * possession of an associate's degree in business administration, economics, criminal justice, political science, public administration, psychology, or sociology, or related AND two years of experience that would demonstrate basic knowledge of (a) fiscal management, budgeting, grant preparation and monitoring, and contract management; (b) automated systems; or (c) jail management systems * four years of experience that would demonstrate basic knowledge of (a) fiscal management, budgeting, grant preparation and monitoring, and contract management; (b) automated systems; or (c) jail management systems * a combination of training, education, and/or experience that is equivalent to one of the employment standards listed above and that provides the required competencies. * None of the above. I do not meet the minimum qualifications for this position. 05 If you selected any of the options from the preceding supplemental question other than the first or last answer option, briefly describe your fiscal management, budgeting, grant preparation/monitoring, contract management, automated systems, or jail management system experience. In your response, provide your employer, title, dates of employment, and hours worked per week. If you selected the first or last answer, type "N/A". 06 If you selected the fourth answer option in supplemental question #4, "A combination of training, education, and/or experience that is equivalent...", then please describe in detail how your combined training, education and experience qualifies you for this position. In your response, provide your employer, title, dates of employment, and hours worked per week. If you did not select this answer option, type "N/A". 07 If you have an international degree, please attach your documentation from an evaluation service that shows you meet the U.S. education standards and your transcripts. Below is a link to a list of evaluation services you can use: ********************************** You are required to attach your evaluation service documents to your application. This is your only opportunity to provide such documentation. You may skip this question if you do not have an international degree. * I have an international degree and have attached the required documents. * I have international degree, but do not have the required documents. I understand that I do not qualify for this position. * I do not have an international degree. 08 Your responses to the following questions will be read and scored by a rater. The rater WILL NOT have access to your application/resume, while reviewing your responses. Although you may have some of this information in your application, you will need to answer the questions completely. To give the rater the best opportunity to evaluate your responses, please make sure you read the question carefully and fully answer all the questions asked. This is your only opportunity to provide detailed information. Failure to provide full and complete answers may affect the outcome of your score and rank on the employment list. * I understand. 09 I understand my responses to the following supplemental questions will be used as a weighed, scored selection device that will determine my ranking on the employment list for this job. Do not enter "see resume" or "see application" as raters will not have access to any information except what you enter in the box for each question. For information on protest procedures for the supplemental questionnaire, please see Civil Service Rules 612 and 613: *************************************************** * I understand. 10 Examination Question: Provide two to three examples of your professional experience and expertise in preparing written reports, summaries, and presentations that display information to a wide variety of audiences. In your response, provide your employer, title, and dates of employment. If you do not have this experience, type "N/A". 11 Examination Question: Describe a successful project you managed or assisted with. In your response, include details on the project's scope, timeline, goal of the project, the role you served, and the final outcome. Also provide your employer, title, dates of employment, and hours worked per week. If you do not have this experience, type "N/A". 12 Examination Question: Describe in detail your experience with document management and performing data entry/analysis. Include the following information: • Types of information you managed • Methods and practices to track and analyze data •Visualizations of data findings. In your response, also provide your employer, title, dates of employment, and hours worked per week. If you do not have this experience, type "N/A". 13 Examination Question: Describe your experience monitoring contracts to ensure compliance of provided services and enhance program quality. In your response, provide your employer, title, and dates of employment. If you do not have this experience, type "N/A." Required Question Employer County of Santa Barbara Address 1226 Anacapa Street Santa Barbara, California, 93101 Website ***********************************************

Amca is building airplanes for the 21st century, starting by designing new hardware that flies on today's planes. Aviation was once humanity's boldest ambition, but the industry hasn't successfully built a new plane in 40 years. We don't think it has to be this way. Overview: You will define and own the process for getting our products certified for flight as quickly and reliably as possible. Responsibilities: Define the process by which Amca tests and certifies products for customers (PMA and STC) that is robust and repeatable Conduct internal and external coordination of certification activities between DER's, the FAA, customers, and other third parties Prepare certification documentation such as certification plans, compliance sheets, master data lists, classifications of design changes, and other applications Serve as the primary liaison with the FAA and other external parties for certification and other compliance activities Work with the test and design engineering team to ensure we have proper documentation and compliance of all in-house analysis and testing Qualifications: Aerospace engineering background or strong familiarity with aerospace systems Comprehensive knowledge of aviation regulations, standards, and certification processes, including FAA Part 23/25/27/29 and EASA CS-23/25/27/29 Experience working with the FAA and aerospace customers to certify products for flight Willingness and ability to dive deep into new requirements and regulatory processes to quickly understand the status quo and identify solutions to improve it Clear and creative thinker; capable of distilling complex processes and requirements into simple and repeatable workflows Self-starter and autonomous; values and responds well to ownership, not micromanagement Exceptional verbal and written communicator Proven ability to manage multiple projects and deadlines simultaneously Plus: experience as a DER or role within the FAA This position requires use of information which is subject to the International Traffic in Arms Regulations (ITAR). All applicants must be U.S. persons within the meaning of ITAR. ITAR defines a US person as: any individual who is granted U.S. citizenship; or. any individual who is granted U.S. permanent residence ("Green Card" holder); or. any individual who is granted status as a "protected person" under 8 U.S.C 1324b(a)(3). The Advanced Manufacturing Company of America prohibits discrimination or harassment based on the following categories: race, color, religion, religious creed (including religious dress and grooming practices), national origin, ancestry, citizenship, physical or mental disability, medical condition (including cancer and genetic characteristics), genetic information, marital status, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), gender, gender identity, gender expression, age (40 years and over), sexual orientation, veteran and/or military status, protected medical leaves (requesting or approved for leave under the Family and Medical Leave Act or the California Family Rights Act), domestic violence victim status, political affiliation, and any other status protected by state or federal law.

Job Description We are seeking a detail-oriented and analytical Auditor to join our team, with a focus on reviewing managed care claims to ensure billing accuracy, compliance with payer contracts, and identification of fraud, waste, or abuse. This role involves deep dives into claims data, provider billing patterns, and contract terms to identify discrepancies and recommend corrective actions. Duties: Conduct audits of managed care claims to verify accuracy, appropriateness, and adherence to contractual and regulatory requirements. Identify billing anomalies, upcoding, unbundling, duplicate billing, or other indicators of fraud, waste, or abuse. Analyze claim data using audit software and data analytics tools (e.g., Excel, SAS, SQL, Power BI). Review and interpret managed care contracts, payer policies, fee schedules, and medical records as needed to support audit findings. Prepare detailed reports with findings, supporting documentation, financial impact, and recommended corrective actions. Collaborate with internal departments (billing, coding, compliance, legal) and external stakeholders (payers, providers) to resolve discrepancies. Stay current with industry regulations, CMS guidelines, and payer-specific billing requirements. Support investigations of potential fraud or overpayment recovery efforts. Assist in the development of audit methodologies, risk assessments, and process improvement initiatives. JOB QUALIFICATIONS Minimum Education (Indicate minimum education or degree required.) Bachelor's degree in Accounting, Finance, Healthcare Administration, or related field. Preferred Education (Indicate preferred education or degree required.) N/A Minimum Work Experience and Qualifications (Indicate minimum years of job experience, skills or abilities required for the job.) Minimum of 5 years of experience in forensic auditing, healthcare claims auditing, or managed care analytics. Strong working knowledge of managed care claims processing, CPT/HCPCS/ICD-10 coding, and payer reimbursement methodologies. Familiarity with MediCal, Medicare, and commercial insurance guidelines. Proficient in data analysis tools (e.g., Excel, Access, SQL, audit software). Exceptional attention to detail and analytical thinking. Strong written and verbal communication skills, with the ability to present findings to both technical and non-technical audiences. Ability to manage multiple priorities in a deadline-driven environment. Preferred Work Experience and Qualifications (Indicate preferred years of job experience, skills or abilities required for the job.) Certified Fraud Examiner (CFE), Certified Internal Auditor (CIA), or similar certification. Prior experience at a Management Service Organization (MSO) of Health plan a plus Experience working with healthcare auditing platforms or tools (e.g., Truven, Minitab, RAC tools). Background in healthcare compliance or legal investigations related to claims a plus. Required Licensure, Certification, Registration or Designation (List any licensure or certification required and specify name of agency.) Current Los Angeles County Fire Card (or must be obtained within 30 days of hire) Assault Response Competency (ARC) required (within 30 days of hire) Full-Time, Exempt

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Job Description Are you an experienced Claims Examiner looking for a new opportunity with a prestigious healthcare company in the San Fernando, CA area? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions - this is the position for you! The ideal person for this position would have 1+ year of Managed Care claims experience. In this role you will be responsible for the accurate & timely adjudication of all claims in accordance with applicable contracts, state & federal regulations, health plan requirements, policies & procedures. Key Responsibilities: Analyzes professional &/or hospital claims for accuracy according to set dollar thresholds, meets & maintains production & quality standards Reviews authorization &/or provider's contract & adjudicates claims accordingly Accurate input of data is requried for claims adjudication including: diagnostic & procedural coding, pricing schedules, member & provider identification & all other related information is required Performs any correspondence, follow up & any projects delegated by claims supervisor Knowledge, Skills & Abilities: Understanding of health & managed care concepts & their application in the adjudication of claims Strong working knowledge of ICD9 CM, CPT, HCPCS, RBRVS coding schemes & medical terminology Minimum Qualifications: Monday - Friday schedule & competitive pay! Qualifications 1-3+ year experience processing of managed care health claims Ability to type 40-45 wpm Understanding of medical terminology Must have excellent understanding of health & managed care concepts & their application in the adjudication of claims Must be able to accurately assess financial responsibility & liability for claims submitted by both members & providers High School diploma/GED required Additional Information Interested in being considered? If you are interested in applying to this position, please contact Blake Anderson at 407-478-0332 ext. 115 and/or click the Green I'm Interested Button to email your resume

**Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. **Salary Range** $67,000.00 - $110,600.00 **Target Openings** 1 **What Is the Opportunity?** This role is eligible for a sign-on bonus! LOCATION REQUIREMENT: This position services Insureds/Agents in Riverside County or Northwest Los Angeles County. The selected candidate must reside in or be willing to relocate at their own expense to the assigned territory. For the Riverside County location, ideal locations include Riverside, Redlands, Jurupa Valley, Moreno Valley, Beaumont, Grand Terrace, Colton, Bloomington, Rialto, and surrounding areas. For the Northwest Los Angeles County location, ideal locations include Culver City, Inglewood, Santa Monica, Los Angeles, Beverly Hills, Van Nuys, Sherman Oaks, Burbank, Glendale, Pasadena, and surrounding areas. Under moderate supervision, this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim resolution for personal or business claims of moderate severity and complexity. Handles claims and other functional work involving one or more lines of business other than property (i.e. auto, workers compensation, premium audit, underwriting) may be required. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. This position is based 100% remotely and may include a combination of mobile work and/or work from your primary residence. **What Will You Do?** + Handles 1st party property claims of moderate severity and complexity as assigned. + Completes field inspection of losses including accurate scope of damages, photographs, written estimates and/or computer assisted estimates. + Broad scale use of innovative technologies. + Investigates and evaluates all relevant facts to determine coverage, damages and liability of first-party property damage claims (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first-party property claims under a variety of policies. Secures recorded or written statements as appropriate. + Establishes timely and accurate claim and expense reserves. + Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters. + Negotiates with multiple constituents, i.e.; contractors or insured's representatives and conveys claim settlements within authority limits. + Writes denial letters, Reservation of Rights and other complex correspondence. + Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools. + Meets all quality standards and expectations in accordance with the Knowledge Guides. + Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures. + Manages file inventory to ensure timely resolution of cases. + Handles files in compliance with state regulations, where applicable. + Provides excellent customer service to meet the needs of the insured, agent and all other internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit. + Identifies and refers claims with Major Case Unit exposure to the manager. + Performs administrative functions such as expense accounts, time off reporting, etc. as required. + Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation, General Liability and other areas of the business as needed. + May provides mentoring and coaching to less experienced claim professionals. + May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed. + CAT Duty ~ This position will require participation in our Catastrophe Response Program, which could include deployment away for a minimum of 16 days (includes 2 travel days) to assist our customers in other states. + Must secure and maintain company credit card required. + In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. + On a rotational basis, engage in resolution desk technical work and resolution desk follow up call work. + This position requires the individual to access and inspect all areas of a dwelling or structure, which is physically demanding requiring the ability to carry, set up and climb a ladder weighing approximately 38 to 49 pounds, walk on roofs, and enter tight spaces (such as attic staircases and entries, crawl spaces, etc.). While specific territory or day-to-day responsibilities may not require an individual to climb a ladder, the incumbent must be capable of safely climbing a ladder when deploying to a catastrophe which is a requirement of the position. + Perform other duties as assigned. **What Will Our Ideal Candidate Have?** + Bachelors Degree preferred. + General knowledge of estimating system Xactimate preferred. + Customer Service experience - preferred + Interpersonal and customer service skills - Advanced + Organizational and time management skills- Advanced + Ability to work independently - Intermediate + Judgment, analytical and decision making skills - Intermediate + Negotiation skills - Intermediate + Written, verbal and interpersonal communication skills including the ability to convey and receive information effectively -Intermediate + Investigative skills - Intermediate + Ability to analyze and determine coverage - Intermediate + Analyze, and evaluate damages -Intermediate + Resolve claims within settlement authority - Intermediate + Valid passport preferred. **What is a Must Have?** + High School Diploma or GED required. + A minimum of one year previous outside property claim handling experience or successful completion of Travelers Outside Claim Representative training program required. + Valid driver's license required. **What Is in It for You?** + **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. + **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. + **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. + **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. + **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. **Employment Practices** Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit ******************************************************** .

Job DescriptionDescription: Command Investigations, LLC is looking for Claims Investigator to become part of a dynamic team. This is a great opportunity for individuals with prior SIU experience who demonstrate integrity, independence, and a drive to succeed in a fast-paced investigative environment. Why You Will Love Working with Command Investigations, LLC? At Command Investigations, we are invested in YOU! We know, together, we can Lead with Excellence to provide top tier Service with Integrity that drives Results! Pay: $28.00 - $32.00 per hour Schedule: Full-time, however, due to the nature of this role, there is no guarantee of hours or case assignments; however, we pride ourselves on distributing available cases fairly. Our employees have opportunities to grow within a nationally recognized organization in an exciting and evolving industry. How We Take Care of You (for Full Time positions): Accrued Paid Time Off Medical, Dental, Vision, and Life Insurance 401(k) Plan Employee Referral Program At Command, we take care of our own. Our benefits plan helps keep you and your family healthy, happy, and secure. What You will Do: In this role, you will conduct claims investigations by gathering evidence, interviewing involved parties, documenting findings, and preparing comprehensive, detailed reports for client review. Conduct investigations related to insurance claims, including workers' compensation, general liability, auto, and property cases Obtain in-person recorded statements from claimants, witnesses, and involved parties Capture detailed scene photographs to support investigative findings Prepare comprehensive, factual, and well-organized investigative reports within required deadlines Review case materials and identify inconsistencies or areas requiring further inquiry Communicate effectively with clients and internal teams to provide case updates and ensure investigative objectives are met Utilize sound judgment and discretion while maintaining confidentiality and compliance with company standards Manage multiple case assignments simultaneously while prioritizing tasks to meet strict due dates Operate investigative equipment, including digital recorders and cameras, with proficiency and accuracy Special Note: This role requires you to supply your own equipment, including but not limited to, a camera and a digital recorder. Certain equipment specifications or minimum standards may apply. Requirements: What We are Looking For: Exceptional attention to detail and accuracy Strong work ethic with a willingness to learn and adapt Team-oriented mindset and open-minded attitude Ability to thrive in a focused, detail-driven, and repetitive environment Strong computer skills and working knowledge of Microsoft Suite, specifically in Word and Outlook Excellent written and verbal communication skills What You Will Bring: 3-5 years of experience required Prior experience with multi-lines investigations strongly preferred Reside within a 60-mile radius of the posted location required Multi-lingual is a plus High school diploma or equivalent required College degree strongly preferred Proficient reading skills and ability to follow directions required Must be able to work independently, provide excellent customer service, and demonstrate strong interpersonal, organizational, and multi-tasking skills. Flexibility and effective time management are required Flexible to work overtime preferred Regular, predictable, and full attendance, as assigned, is an essential function of the job Willingness to work the required schedule Complete a Command Investigations, LLC employment application, submit to pre-employment tasks as required for employment Physical Requirements: The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The employee will be required to remember and understand certain instructions, guidelines, or other information. The employee should have the ability to lift up to and including 25lbs/11.34kg on occasion. The employee will be required to sit, stand, and/or walk for long periods at a time. The employee will be required to enter text or data into a computer or other machine by means of a traditional keyboard. Traditional Keyboard refers to a panel of keys used as the primary input device on a computer, typographic machine, or 10-Key numeric keypad. Specific vision abilities required for this position include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus. The associate must be able to hear, understand, and distinguish speech and surrounding sounds, such as traffic, environmental noises, or standard office activity. About Command Investigations Command Investigations, founded in 2012, is a nationally recognized investigations firm offering surveillance, remote investigations, desktop intelligence, and specialty services to the insurance defense industry. Grounded in core values of integrity, service, and results, we deliver fast, reliable outcomes and treat every client like they are our only client. Our team leverages cutting-edge technology to stay at the forefront of the industry. With headquarters in Lake Mary, Florida, our experts provide services across the U.S. on a national scale. Command Investigations, LLC is an Equal Opportunity Employer.

Are you interested in harnessing technology and AI to transform healthcare? At XiFin, we believe a healthier, more efficient healthcare system starts with strong financial and operational foundations. Our innovative technologies help diagnostic providers, laboratories, and healthcare systems manage complexity, drive better outcomes, and stay focused on what matters most: patient care. We're on a mission to simplify the business side of healthcare-and we know that mission takes people from all backgrounds and experiences. Whether you're early in your career or bringing years of expertise, we welcome your perspective, your curiosity, and your passion. We value individuals who ask questions, challenge the status quo, and want to grow while making a real difference. About the Role The Claims Satisfaction Specialist in Radiology Billing supports payment posting operations by coordinating workflow between the internal payment team and the offshore payment posting team. This role ensures payments are processed accurately and on time, follows up on pending items, and assists with daily payment intake and deposit activities. The ideal candidate will have strong attention to detail, effective communication skills, and the ability to thrive in a fast-paced environment with shifting priorities. A solid understanding of payment posting and EOB processes in a healthcare or medical billing setting is essential. This position will be located at our office Westlake Village, CA. How you will make an impact: In this role, you'll: Create and assign daily payment posting batches and workloads for the offshore payment posting team. Review and resolve payments pended by the offshore team due to missing EOBs, unidentified patients, balancing discrepancies, or other exceptions. Collaborate with internal teams to obtain missing information or clarify payment posting details as needed. Assist with opening and sorting incoming mail related to payments and correspondence. Scan and deposit checks into the bank following established procedures. Act as a point of contact for client inquiries related to radiology claim status, billing issues, and payer responses. Provide clear, professional, and timely updates to clients regarding claim progress and resolution outcomes. Support process improvement initiatives related to payment posting accuracy and efficiency. Maintain detailed records and documentation of payment activities and resolutions. Provide feedback to management regarding trends in claim errors, payer changes, or system inefficiencies impacting client satisfaction. Ensure all client communications and claim-related actions adhere to HIPAA, CMS, protected health information (PHI), and payer compliance requirements. Represent the organization with professionalism and integrity in all client and payer interactions. Assist with audits and special projects What you will bring to the team: We're looking for someone with a growth mindset and a passion for learning. You might be a great fit if you: Excellent communication and interpersonal skills with a strong focus on client service. Strong organizational, analytical, and follow-up skills. Ability to manage multiple client accounts and priorities simultaneously. High attention to detail with accuracy in documentation and reporting. Collaborative mindset with the ability to work effectively across departments. Positive, solution-oriented attitude with a commitment to continuous improvement. Skills and experience you have: You don't need to check every box. We will consider a combination of education and experience, including: High school diploma or equivalent required; Associate's or Bachelor's degree in Healthcare Administration, Business, or related field strongly preferred. Minimum 2-4 years of experience in medical billing, customer service, or claims resolution-radiology experience strongly preferred. Familiarity with CPT, HCPCS, and ICD-10 codes and payer claim processes. Proficiency in Microsoft Office Suite; CRM or ticketing system experience a plus. Experience with billing or RCM systems (e.g., XiFin, Imagine, Epic, Athena, eClinicalWorks) preferred. Why XiFin? We're more than just a healthcare technology company-we're a team that cares about people. Here's a glimpse at what we offer: Comprehensive health benefits including medical, dental, vision, and telehealth 401(k) with company match and personalized financial coaching to support your financial future Health Savings Account (HSA) with company contributions Wellness incentives that reward your preventative healthcare activities Tuition assistance to support your education and growth Flexible time off and company-paid holidays Social and fun events to build community at our locations! Pay Transparency At XiFin, we believe in pay transparency and fairness. The expected hourly rate for this role is $20.00 to $24.00, based on your experience, skills, and geographic location. Depending on your qualifications, you may be considered for a Specialist or Sr. Specialist title. Final compensation will be determined during the selection process and may vary accordingly. Accessibility & Accommodations We're committed to providing an inclusive and accessible experience for all applicants. If you need a reasonable accommodation during the application process, please contact us at ************. Equal Opportunity Employer XiFin is proud to be an equal opportunity employer. We value diverse voices and do not discriminate on the basis of race, color, religion, national origin, gender, gender identity, sexual orientation, disability, age, veteran status or any other basis protected by law. Ready to apply? We'd love to hear from you-even if you're not sure you meet every qualification. If you're excited about the role and believe you can contribute to our team, please apply. Let's build something meaningful together.

We are seeking a detail-oriented and analytical Auditor to join our team, with a focus on reviewing managed care claims to ensure billing accuracy, compliance with payer contracts, and identification of fraud, waste, or abuse. This role involves deep dives into claims data, provider billing patterns, and contract terms to identify discrepancies and recommend corrective actions. Duties: * Conduct audits of managed care claims to verify accuracy, appropriateness, and adherence to contractual and regulatory requirements. * Identify billing anomalies, upcoding, unbundling, duplicate billing, or other indicators of fraud, waste, or abuse. * Analyze claim data using audit software and data analytics tools (e.g., Excel, SAS, SQL, Power BI). * Review and interpret managed care contracts, payer policies, fee schedules, and medical records as needed to support audit findings. * Prepare detailed reports with findings, supporting documentation, financial impact, and recommended corrective actions. * Collaborate with internal departments (billing, coding, compliance, legal) and external stakeholders (payers, providers) to resolve discrepancies. * Stay current with industry regulations, CMS guidelines, and payer-specific billing requirements. * Support investigations of potential fraud or overpayment recovery efforts. * Assist in the development of audit methodologies, risk assessments, and process improvement initiatives. JOB QUALIFICATIONS Minimum Education (Indicate minimum education or degree required.) * Bachelor's degree in Accounting, Finance, Healthcare Administration, or related field. Preferred Education (Indicate preferred education or degree required.) * N/A Minimum Work Experience and Qualifications (Indicate minimum years of job experience, skills or abilities required for the job.) * Minimum of 5 years of experience in forensic auditing, healthcare claims auditing, or managed care analytics. * Strong working knowledge of managed care claims processing, CPT/HCPCS/ICD-10 coding, and payer reimbursement methodologies. * Familiarity with MediCal, Medicare, and commercial insurance guidelines. * Proficient in data analysis tools (e.g., Excel, Access, SQL, audit software). * Exceptional attention to detail and analytical thinking. * Strong written and verbal communication skills, with the ability to present findings to both technical and non-technical audiences. * Ability to manage multiple priorities in a deadline-driven environment. Preferred Work Experience and Qualifications (Indicate preferred years of job experience, skills or abilities required for the job.) * Certified Fraud Examiner (CFE), Certified Internal Auditor (CIA), or similar certification. * Prior experience at a Management Service Organization (MSO) of Health plan a plus * Experience working with healthcare auditing platforms or tools (e.g., Truven, Minitab, RAC tools). * Background in healthcare compliance or legal investigations related to claims a plus. Required Licensure, Certification, Registration or Designation (List any licensure or certification required and specify name of agency.) * Current Los Angeles County Fire Card (or must be obtained within 30 days of hire) * Assault Response Competency (ARC) required (within 30 days of hire) Full-Time, Exempt