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Claim Processor jobs at L.A. Care Health Plan - 7 jobs

  • Supervisor, Claims

    L.A. Care Health Plan 4.7company rating

    Claim processor job at L.A. Care Health Plan

    Salary Range: $77,265.00 (Min.) - $100,445.00 (Mid.) - $123,625.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Claims Supervisor works with the Claims Manager to oversee the daily operations of the claims department. This position is responsible for ensuring that quality levels of performance are maintained throughout the Claims Department and that all functions remain in compliance with State and Federal regulations. This position will manage new program implementations and/or system implementations. This position must maintain an up-to date knowledge of national and state-wide standards and regulations pertaining to claims processes and will ensure that production standards meet quality guidelines are met throughout the department ensuring the Plan's compliance. This position will work with department Supervisors and staff to develop procedures ensuring the achievement of goals and will continuously monitor the work performed within the Department. The position supervises all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct-reports. Duties Provide an environment that allows staff members to flourish in their work duties. Quality levels of 99% maintained throughout the department. Continuous training of supervisors on supervisory responsibilities as well as staff training on all enhancements and updates to claims regulations and company policies. Develop procedure changes to improve results. Corrective action plans developed and implemented to remediate any shortcomings in goal achievement. Maintain quality goals and production levels within the Department. Ensure that Claims Department Supervisors are working effectively with their staff to ensure quality and production goals associated with each work area are consistently met by staff during their regularly scheduled work hours. Create, maintain and monitor departmental documents including policies, procedures, desktop procedures, workflow documents and job aids to ensure these documents are current and meet the requirements of L.A. Care. Track and trend the metrics associated with the claims adjudication. Prepare and present written and verbal reports. Research complex problem areas within the department or within the systems used by department, and identify the root cause of these issues and recommend corrective actions. Supervise staff , including, but not limited to: monitoring of day to day activities of staff, monitoring of staff performance, mentoring, training, and cross-training of staff, handling of questions or issues, etc. raised by staff, encourage staff to provide recommendations for relevant process and systems enhancements, among others. Perform other duties as assigned. Duties Continued Education Required Bachelor's Degree in Business or Healthcare Related Field In lieu of degree, equivalent education and/or experience may be considered. Education Preferred Master's Degree in Business or Healthcare Related Field Experience Required: At least 3 years of experience as claims examiner working with medical facility claims and high dollar claims. At least 2 years of leading process, program, or staff or supervisory experience. Equivalency: Completion of the L.A. Care Management Certificate Training Program may substitute for the supervisory/management experience requirement. Experienced in working with Provider Dispute Resolution (PDR's). Must have extensive experience in handling claims appeals with experience in communicating with external providers. Skills Required: Sound understanding of health care code sets including Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), ICD-10 and revenue codes required. Familiarity with Diagnosis Related Group (DRG) pricing. Ability to multi-task in a high production environment. Familiarity in working with and interpreting Provider and facility contracts and LOA's and MOU's. Ability to draw conclusions from data analysis and to formulate corrective action plans when necessary. Proficient in using Microsoft Word and Excel. Must have strong coaching and mentoring skills and have the ability to build effective teams. Must have excellent written and verbal communication skills with ability to work effectively with diverse team members. Ability to research complex claims problems and to create clear and concise procedures for the handling of complex claims. Licenses/Certifications Required Licenses/Certifications Preferred Required Training Physical Requirements Light Additional Information Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. L.A. Care offers a wide range of benefits including * Paid Time Off (PTO) * Tuition Reimbursement * Retirement Plans * Medical, Dental and Vision * Wellness Program * Volunteer Time Off (VTO) Nearest Major Market: Los Angeles Job Segment: Claims, Insurance
    $77.3k-123.6k yearly 17d ago
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  • Warehouse Processor I

    Goodwill Industries of San Diego County 3.9company rating

    California jobs

    About Us Are you looking for meaningful work and want to make a difference? Do you want to gain valuable work experience? Joining the Goodwill team could be a great fit for you! At Goodwill we live and breathe our Core Values of Creativity, Credibility, and Collaboration. We are a mission-integrated organization that is funded by resalable goods. Last year alone, we were able to keep 10 million pounds of donated goods from hitting our landfills. Through the reselling of donated items, we can provide job readiness training and employment opportunities to individuals with disabilities and barriers to employment. Overview POSITION SUMMARY: Understands the facility operation including, product flow, sorting, operating the register, auctions, dock area, and provides excellent customer service. Process various recycling materials per our guidelines. Responsibilities Essential Functions Statement: Accurately handles purchases of merchandise by following the Cash Handling Policy. Abides to the Bin Labeling Procedure to determine quality and price of our merchandise. Assists in the movement of product to ensure efficient product flow. Assists in the loading / unloading of containers, and trucks. Provides excellent customer service, by greeting customers, and enhancing their shopping experience. Directs complaints to management in a timely manner. Maintain their work areas including equipment, parking lot, and facility, clean, safe, organized, and supports with other housekeeping duties. Assists in conducting auctions, tracking the board, door verification process, sorting of goods according to company guidelines, and setting up the sales floor. Assists customers with their donations. Issues donation receipts. Safeguards company property, including donated goods. Reports incidents to management in a timely manner. Follows daily assignment and department priorities to ensure productivity. Performs other miscellaneous duties as assigned or directed. Supports 4DX process within the organization and Development through active participation. Qualifications SKILLS AND ABILITIES Education: High School Diploma or GED preferred. Experience: No previous experience needed. Computer Skills: Must be able to operate a computerized register. Other requirements: Must be able to communicate in English. Bilingual (Spanish/English) preferred.
    $35k-44k yearly est. Auto-Apply 23d ago
  • SUPERVISING CORPORATION EXAMINER

    State of California 4.5company rating

    Sacramento, CA jobs

    Under the general supervision of the Assistant Deputy Director, the Supervising Examiner is responsible for directing the provider solvency program within the Division of Provider Solvency. The provider solvency program is charged with overseeing the fiscal viability of medical groups and Independent Physician Associations that qualify as Risk-Bearing Organizations (RBOs), which includes financial solvency monitoring, review of all financial filings, addressing compliance issues, corrective action plans, and conducting financial and claims examinations. Occasional travel for meetings and/or conferences. Please let us know how you heard about this position by taking a brief survey: DMHC Recruitment Survey. Leave Program (PLP) 2025 agreement: Effective July 1, 2025, the California Department of Human Resources (CalHR) implemented the temporary Personal Leave Program 2025 (PLP 2025). PLP 2025 directs that each employee receive a temporary reduction in pay in exchange for PLP 2025 leave credits. The temporary salary reduction percentage and the number of PLP 2025 leave credits are based on the position's associated bargaining unit. The salary range(s) included in this job advertisement do not include the temporary salary reduction. You will find additional information about the job in the Duty Statement. Working Conditions The DMHC has locations in Downtown Sacramento and Rancho Cordova. Both locations are located close to light-rail with various amenities. The incumbent will work in a climate-controlled cubicle and/or office environment with artificial lighting. This position may be eligible for hybrid telework. The telework schedule is permitted at the operational needs of the Department and is subject to change, consistent with the State Telework Policy and the DMHC's Telework Policy. All employees who telework are required to be California residents and maintain California residency in accordance with Government Code 14200. Minimum Requirements You will find the Minimum Requirements in the Class Specification. * SUPERVISING CORPORATION EXAMINER Additional Documents * Job Application Package Checklist * Duty Statement Position Details Job Code #: JC-503149 Position #(s): 409-131-4440-008 Working Title: Supervising Examiner Classification: SUPERVISING CORPORATION EXAMINER $10,551.00 - $12,578.00 New to State candidates will be hired into the minimum salary of the classification or minimum of alternate range when applicable. # of Positions: 1 Work Location: Sacramento County Telework: Hybrid Job Type: Permanent, Full Time Department Information The mission of the Department of Managed Health Care (DMHC) is to is to ensure health plan members have access to equitable, high-quality, timely, and affordable health care within a stable health care delivery system. The DMHC accomplishes its mission by ensuring the health care system works for consumers. The Department protects the health care rights of 30.2 million Californians by regulating health care service plans, assisting consumers through a consumer Help Center, educating consumers on their rights and responsibilities and preserving the financial stability of the managed health care system. DMHC values diversity at all levels of the organization and is committed to fostering an environment in which employees from a variety of backgrounds, cultures, and personal experiences are welcomed and can thrive. DMHC believes the diversity of our employees and their unique ideas inspire innovative solutions to further our mission. Join DMHC and help us improve the lives of all Californians. If you are interested in learning about the Department of Managed Health Care (DMHC) culture from the perspective of someone like yourself, contact our Someone Like Me program (please check your Spam or Junk folders for our email replies). Within five business days of your request to participate in the Someone Like Me program, you will be matched with a DMHC employee with a similar background to discuss the DMHC's culture. This program is not part of, or in any way affiliated with the application or hiring process. Prospective employees must complete the application process on Cal Careers (e.g., submit your application within the specified timeframes on the job posting) to be considered for hire at the DMHC. None of the information you provide through the Someone Like Me program will be relayed to the Hiring Unit. Department Website: ********************** Special Requirements * The position(s) require(s) a Background Investigation be cleared prior to being hired. All applicants not currently employed by the DMHC will be subject to a pre-employment background investigation. The investigation will consist of fingerprinting and an inquiry to the California Department of Justice to disclose criminal records. Any documents you submit for a job vacancy such as your State application, resume, cover letter, educational transcripts, etc. SHOULD NOT include ANY confidential information. Confidential information that should be excluded or removed from these documents include, but is not limited to, your Social Security Number (SSN), birthday, driver's license number (unless required), basis of eligibility, examination results, LEAP status, marital status, and age. Confidential information on the first page of applications submitted electronically online, such as Easy ID number, SSN, examination related information, and driver's license number will automatically be redacted upon submission. Possession of Minimum Qualifications will be verified prior to interview and/or appointment. If you are using education to meet the minimum qualifications for this position, you MUST submit a copy of your college transcripts. Unofficial transcripts may be accepted during the application process; however, submission of official transcripts may be required prior to appointment. Application Instructions Completed applications and all required documents must be received or postmarked by the Final Filing Date in order to be considered. Dates printed on Mobile Bar Codes, such as the Quick Response (QR) Codes available at the USPS, are not considered Postmark dates for the purpose of determining timely filing of an application. Final Filing Date: 1/23/2026 Who May Apply Individuals who are currently in the classification, eligible for lateral transfer, eligible for reinstatement, have list or LEAP eligibility, are in the process of obtaining list eligibility, or have SROA and/or Surplus eligibility (please attach your letter, if available). SROA and Surplus candidates are given priority; therefore, individuals with other eligibility may be considered in the event no SROA or Surplus candidates apply. Applications will be screened and only the most qualified applicants will be selected to move forward in the selection process. Applicants must meet the Minimum Qualifications stated in the Classification Specification(s). How To Apply Complete Application Packages (including your Examination/Employment Application (STD 678) and applicable or required documents) must be submitted to apply for this Job Posting. Application Packages may be submitted electronically through your CalCareer Account at ********************** When submitting your application in hard copy, a completed copy of the Application Package listing must be included. If you choose to not apply electronically, a hard copy application package may be submitted through an alternative method listed below: Address for Mailing Application Packages You may submit your application and any applicable or required documents to: Department of Managed Health Care DMHC Recruitment Attn: Human Resource Office 980 9th Street, Suite 500 Sacramento, CA 95814 Address for Drop-Off Application Packages You may drop off your application and any applicable or required documents at: Department of Managed Health Care DMHC Recruitment Human Resource Office 980 9th Street, Suite 500 Sacramento, CA 95814 08:00 AM - 05:00 PM Required Application Package Documents The following items are required to be submitted with your application. Applicants who do not submit the required items timely may not be considered for this job: * Current version of the State Examination/Employment Application STD Form 678 (when not applying electronically), or the Electronic State Employment Application through your Applicant Account at ********************** All Experience and Education relating to the Minimum Qualifications listed on the Classification Specification should be included to demonstrate how you meet the Minimum Qualifications for the position. * Resume is required and must be included. Applicants requiring reasonable accommodations for the hiring interview process must request the necessary accommodations if scheduled for a hiring interview. The request should be made at the time of contact to schedule the interview. Questions regarding reasonable accommodations may be directed to the EEO contact listed on this job posting. Desirable Qualifications In addition to evaluating each candidate's relative ability, as demonstrated by quality and breadth of experience, the following factors will provide the basis for competitively evaluating each candidate: 1. Experience and knowledge with general and specialized accounting and auditing principles and procedures; laws, policies, rules and regulations administered by the Department of Managed Health Care. 2. Knowledge and ability to apply the Generally Accepted Auditing Standards (GAAS), Generally Accepted Accounting Principles (GAAP), Audit and Accounting Guide for Health Care Organizations (AICPA), Generally Accepted Governmental Auditing Standards (GAGAS), and other accounting or auditing standards. 3. Knowledge of the Knox-Keene Act for licensure applications; notices of material modifications and amendments to application file. 4. Ability to direct senior examiners and examiner staff to ensure staff is properly trained to perform essential job. 5. Experience in developing, implementing and supervising training programs to ensure staff is properly trained / educated. 6. Ability to administer procedures and program activities; gather, organize, summarize and interpret financial data; analyze situations accurately and adopt an effective course of action; prepare reports. 7. Establish and maintain cooperative relations with internal and external stakeholders. 8. Possess strong oral and written communication skills. 9. Experience developing, planning, and overseeing examinations of programs such as audits, program review, and budget reviews. 10. Knowledge and expertise with the principles and practices of public and business administration, including personnel management. 11. Experience with Microsoft Access, Excel, Word and/or Audit Command Language (ACL). 12. Experience reviewing financial statements, such as income statements, balance sheets and/or cash flow statements. 13. Experience in analyzing financial projections and assumptions in a Corrective Action Plan. 14. Experience gathering, organizing, summarizing and interpreting financial data to prepare reports and/or recommendations. 15. Experience with examination protocols including the usage of workbooks or reference materials. 16. Preferred college level education with courses in accounting, auditing, business administration, public administration, business law, and/or corporate finance with verifiable transcripts. 17. Possess CPA license or CPA Candidate in the process to take CPA test are preferred, but not required. 18. Understanding of federal and state legislation, statutes and regulations related to health care. 19. Strong written and oral communication skills. 20. Strong organizational skills and a commitment to producing a quality work product. 21. Ability to use tact and good judgment. 22. Ability to be flexible in response to changing workload. Benefits Benefit information can be found on the CalHR website and the CalPERS website. Contact Information The Human Resources Contact is available to answer questions regarding the position or application process. Department Website: ********************** Human Resources Contact: DMHC Recruitment ************** *********************** Please direct requests for Reasonable Accommodations to the interview scheduler at the time the interview is being scheduled. You may direct any additional questions regarding Reasonable Accommodations or Equal Employment Opportunity for this position(s) to the Department's EEO Office. EEO Contact: EEO Office ************** *************** California Relay Service: ************** (TTY), ************** (Voice) TTY is a Telecommunications Device for the Deaf, and is reachable only from phones equipped with a TTY Device. Additional Application Instructions To be considered for this vacancy, please complete all applicable fields on the application form, including a list or description of previous/current occupational experience in the duties performed section. Electronic applications through your CalCareer account are highly recommended. If you are unable to apply electronically through your CalCareer account, please mail or drop off a hard copy of your application packet. Please notate RPA: 25-135 and Job Control: JC-503149 on your application. All Experience and Education relating to the Minimum Qualifications listed on the Classification Specification should be included to clearly demonstrate how you meet the Minimum Qualifications for the position on your State Application (STD Form 678). The application should also clearly demonstrate the candidate's ability to meet the Desirable Qualifications identified in this job advertisement. The Classification Specification for Supervising Corporation Examiner is located at the top of this Job Announcement Posting under Minimum Requirements. Foreign Degrees or Transcripts - Applicants with foreign degrees or transcripts who wish to apply that coursework toward meeting the minimum qualifications of the classification must provide a transcript evaluation that indicates the number of units to which his/her foreign coursework is equivalent. DMHC accepts foreign transcript evaluations that are completed by one of the agencies approved by the California Commission on Teacher Credentialing. PLEASE NOTE: If you are mailing your application, it must be postmarked by the final filing date. Hand delivered applications must be submitted no later than 5:00 p.m. on the final filing date. Applications slipped under the door at the Human Resources Office will be time stamped the following business day. Equal Opportunity Employer The State of California is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation. It is an objective of the State of California to achieve a drug-free work place. Any applicant for state employment will be expected to behave in accordance with this objective because the use of illegal drugs is inconsistent with the law of the State, the rules governing Civil Service, and the special trust placed in public servants.
    $43k-67k yearly est. 13d ago
  • Gift Processor (Accounting Technician II)

    CSU Careers 3.8company rating

    Fullerton, CA jobs

    Job Title Gift Processor Classification Accounting Technician II AutoReqId 551531 Department Central Development Division Vice President, University Advancement Salary Range Classification Range $4,037 - $5,881 per month (Hiring range depending on qualifications, not anticipated to exceed $4,037 - $4,498 per month) Appointment Type Ongoing Time Base Full Time Work Schedule Monday - Friday, 8:00 AM - 5:00 PM; Occasional early morning, evening and/or weekend hours. About CSUF Standing on 241 acres in the heart of Southern California, Cal State Fullerton was founded in 1957 and has grown to serve more than 43,000 students. As a leading campus of the California State University system, the University serves as both an intellectual and cultural hub for the region and a driving force in workforce and economic development. We are dedicated to student success through innovative, high-impact educational experiences and robust support programs. Equally, we invest in the growth of our staff, faculty, and administrators through orientations, training opportunities, and ongoing professional development. As a member of the Titan Community, you'll have access to a wide range of campus resources and experiences-including the Grand Central Art Center in Santa Ana, the Arboretum and Botanical Garden, cultural performances at the Clayes Performing Arts Center, Titan Athletics events, the Titan Recreation Center, and our Employee Wellness Program. Job Summary It is an exciting time to join Cal State Fullerton as we are an in demand comprehensive University that is driven to shape the future of education and foster a vibrant community of diverse students, faculty, staff, and administrators who uphold values of inclusive excellence, free speech, and an environment free from discrimination. We are continuously seeking individuals from various career disciplines that share the University's mission and core values. We warmly welcome you to consider joining the Titan Community where minds expand and opportunities flourish. About the Position: A strong foundation of supporters is essential to enhancing academic innovation, empowering students, transforming campus structures and enriching the community. Through gifts large and small, Cal State Fullerton elevates the potential of our remarkable students. The office of Central Development is dedicated to increasing community, tradition, and contributions to the University by working together with the campus community. We seek an exceptional individual to join our team as the Gift Processor (Accounting Technician II). The ideal candidate in this role should have a positive attitude and an active, energetic mind characterized by highly ethical practices and a commitment to inclusivity, openness, flexibility, and integrity. Reporting directly to the Director of Gift, Compliance and Data Services, the Gift Processor executes the necessary daily activities to record, document, and receipt all gifts and memberships received by the CSU Fullerton Philanthropic Foundation in a timely and accurate manner. The Gift Processor will be responsible for maintaining donor database records, conducting quality controls, processing, and maintaining monthly payroll deduction gifts, and responding to inquiries from University Advancement staff regarding gift deposits. Requires considerable judgment, initiative, and independence in all aspects of cash receipts/accounts receivable accounting. Provides considerable support for complex accounting processes and exceptional customer service to division and campus partners in person and over the phone. The Gift Processor will serve as the primary contact person for the matching gift program for CSU Fullerton Philanthropic Foundation. Other duties as assigned. Essential Qualifications Equivalent to three years of progressively responsible financial record-keeping experience which has provided thorough knowledge of financial record-keeping, mathematical and general office methods, procedures, and practices. Must be able to apply accounting procedures and practices to the analysis of basic accounting problems; analyze and interpret accounting data; apply problem solving techniques in finding solutions to basic accounting problems; understand and apply applicable rules, regulations, policies, and procedures; use current computer word processing and spreadsheet software programs, web browsers, query tools, integrated financial systems and/or other types of records management systems, such as student accounting, cashiering and student financial aid; work independently; and make sound decisions and recommendations regarding accounting activities. A background check (including a criminal records check) must be completed satisfactorily and is required for employment. CSU will make a conditional offer of employment, which may be rescinded if the background check reveals disqualifying information, and/or it is discovered that the candidate knowingly withheld or falsified information. Failure to complete the background check satisfactorily may affect the continued employment of a current CSU employee who was conditionally offered the position. Preferred Qualifications Experience in higher education. Experience with accounts receivable and/or accounts payable processing. Demonstrated proficiency with query tools to extract data from systems and the ability to analyze, validate, and prepare consolidated reports using tools such as pivot tables and financial formulas within Microsoft Excel. Demonstrated experience processing financial accounting transactions with an online financial system, maintaining financial ledgers/records, and initiating correcting entries in accordance with Generally Accepted Accounting Principles (GAAP) and good business practices. Experience with Enterprise Resource Planning (ERP) systems and Microsoft Excel. License/Certifications A valid California driver's license. Special Working Conditions Notice of Non-Discrimination on the Basis of Gender or Sex and Contact Information for Title IX Coordinator Must be able to work the annual commencement ceremonies. Additional Information California State University, Fullerton is committed to fostering an environment where students, staff, administrators, and faculty thrive. We welcome individuals ready to make an impact on student and staff success to apply and become part of the Titan Community. Reasonable accommodations will be provided for qualified applicants with disabilities who self-disclose. As of January 1, 2022, the CSU Out-of-State Employment Policy prohibits the hiring of employees to perform CSU-related work outside the state of California. Multiple positions may be hired from this recruitment based on the strength of the applicant pool. If you are applying for a staff position, please note that you are not eligible to work concurrently in a staff position and an Academic Student position such as a Graduate Assistant, Teaching Associate, Instructional Student Assistant, or Student Assistant position. Regular attendance is considered an essential job function; the inability to meet attendance requirements may preclude the employee from retaining employment. Employee/applicant who applies for a position may be required to successfully complete job-related performance test(s) as part of the selection process. Online application/resume must be received by electronic submission on the final filing date by 9:00 PM (Pacific Standard Time)/midnight (Eastern Standard Time). Applicants who fail to complete all sections of the online application form will be disqualified from consideration. California State University, Fullerton is not currently sponsoring any new H-1B petitions for staff, management, or faculty positions. Effective October 1, 2025, the California State University (CSU) will implement a salary step structure for CSUEU-represented employees in bargaining units 2, 5, 7, and 9. This position may be subject to changes resulting from this implementation, in alignment with the provisions of the collective bargaining agreement. Hiring Preference On-Campus CSUEU Employees
    $4k-5.9k monthly 60d+ ago
  • Claims Coordinator - ServiceMaster

    Irvine 4.7company rating

    Irvine, CA jobs

    Replies within 24 hours Benefits: Health insurance Opportunity for advancement Paid time off Training & development Position Overview As the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensures that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met. The Coordinator will be responsible to follow up daily with the OPS team to ensure and that all required documentation, estimates and procedures are followed according to required program guidelines. A successful Coordinator will possess tenacity and thrives in a fast-paced environment. The coordinator who is detail oriented and able to focus with many projects in varying degrees of completion will be most successful in this position. Job Responsibilities Understanding of the claims flow process - Water Mitigation, Reconstruction, Contents, and other Environmental work Manages data entry for each claim from First Notice of Loss through to completion of job in the CRM system Daily review of compliance tasks and all job tasks are completed on time Monitor and update jobs in required operating system making sure the job flows efficiently through the claims process requirements and cycle times Ensure that uploading photos, and other documents are appropriately described, titled and uploaded in real time, as well as follows up to get missing required data from homeowner and insurance/mortgage information not obtained on initial call Creates and or assists with job estimate, reviews final estimate to ensure estimate is complete per company standards Manages Customer Service issues and complaints, documenting actions and resolution Understanding of all company cycle times and SLAs required for each job and phase Client Care Calls - ensure constant, often daily, communication with the customer, may communicate with adjuster Ensure daily notes are entered in all jobs, contacting relevant participants and escalating to the department manager as required May be responsible for creating job estimate and or assisting the Estimator/Project Manager with final estimate Job Requirements High school diploma/GED required Bachelor's Degree or applicable experience preferred, work experience will be considered IICRC Certifications preferred but not required: WTR, ASD, OCT, STC Exceptional Customer Service skills 1-3 years of Xactimate experience required- proficient use Xactimate 28 Experience with Microsoft© Office application (Word, Outlook, PowerPoint, and Excel) required Personal time management and organizational skills Strong verbal and written communication skills Dependable and adaptable to operate within a fast-paced work environment Ability to manage highly confidential information Strong problem-solving skills Proficient at using Microsoft Office, Outlook, CRM software Experience do you have with customer interaction and conflict resolution Physical Demands and Working Conditions The physical demands are representative of those that must be met by an employee to perform the essential function to this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Incumbent must be prepared to: Move up to 20 pounds occasionally, by lifting, carrying, pushing, pulling, or otherwise repositioning objects. Sitting for long periods of time while using office equipment such as computers, phones etc. Fingering and Repetitive motions; such as movement of wrists, hands and fingers while picking, pinching and typing during your normal working environment. Express or exchange ideas with others quickly, accurately, and receive and act on detailed information. Close visual acuity to perform detail-oriented activities at distances close to the eyes, such as preparing and analyzing data, viewing computer screen and expansive reading. Be exposed to various inside working conditions: The change of building environment such as with or without air conditioning and heating. May be required to travel for short periods of time. Disclaimer The above statements are intended to describe the general nature and level of work being performed by associates assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed. The Company reserves the right to modify this description in the future, with or without notice to the employee. This Job Description does not create an employment contract, implied or otherwise, and employment with the Company remains at will. These responsibilities are subject to possible modification to reasonably accommodate individuals with disabilities. Compensation: $60,000.00 - $75,000.00 per year Built on a foundation of great brands and employees with a passion for service, our vision is to be the leading provider of essential services through empowered people, world-class customer service and convenient access. By joining ServiceMaster, you'll be part of a talented network of employees with a shared vision. Our environment is a diverse community where successful people work together to achieve common goals. This franchise is independently owned and operated by a franchisee. Your application will go directly to the franchisee, and all hiring decisions will be made by the management of this franchisee. All inquiries about employment at this franchisee should be made directly to the franchise location, and not to The ServiceMaster Company, LLC.
    $60k-75k yearly Auto-Apply 60d+ ago
  • ELPAC (English Language Proficiency Assessments for California) Examiner (Temporary), one.Program, Venture, Special Education (one or more positions)

    San Joaquin County Office of Education 4.3company rating

    Stockton, CA jobs

    Educate, Innovate and Inspire! San Joaquin County Office of Education located in Stockton, CA is a regional agency that provides educational leadership, resources, and customized services to assist school districts. San Joaquin County Office of Education (SJCOE) employs over 2,100 classified and certificated employees. SJCOE promotes student achievement and accountability, serves San Joaquin County's most at-risk students, and strives to create an environment in which every student, regardless of circumstances, has an opportunity for a quality education. See attachment on original job posting Equivalent of the completion of the twelfth grade. Please be advised that your application will be considered incomplete if a formal letter of introduction, resume and three letters of recommendation are not attached to your on-line application by the closing date. If you need assistance attaching your documents please call **************. Equivalent of the completion of the twelfth grade. Please be advised that your application will be considered incomplete if a formal letter of introduction, resume and three letters of recommendation are not attached to your on-line application by the closing date. If you need assistance attaching your documents please call **************. * Letter of Introduction (COVER LETTER) * Letter(s) of Recommendation (3 Letters of Recommendation-MUST BE SIGNED BY AUTHOR) * Resume Comments and Other Information Nondiscrimination in Employment & Sexual Harassment The Superintendent prohibits discrimination and/or harassment of San Joaquin County Office of Education (SJCOE) employees and job applicants on the basis of actual or perceived race, religious creed, color, national origin, ancestry, age, marital status, pregnancy, physical or mental disability, medical condition, genetic information, veteran status, gender, gender identity, gender expression, sex or sexual orientation at any SJCOE site and/or activity. The Superintendent prohibits sexual harassment of San Joaquin County Office of Education (SJCOE) employees and job applicants, as well as retaliatory behavior or action against employees or other persons who complain, testify, or otherwise participate in the complaint process established pursuant to this policy and administrative regulation. Contact the Title IX Coordinator/Coordinator for Nondiscrimination in Employment listed below for information on Nondiscrimination in Employment/Harassment (including Sexual harassment). Name: HR Title IX Investigations E-mail: ********************************* School District: San Joaquin County Office of Education Telephone: ************
    $35k-44k yearly est. Easy Apply 60d+ ago
  • Contracts and Legal Claims Specialist

    Washington Hospital 4.0company rating

    Fremont, CA jobs

    Salary Range: $50.42 - $68.08 The Contracts and Legal Claims Specialist oversees contracts management the organization's system. and contract lifecycle, from drafting and preparation to execution; ensuring contractual accountability and duties are met by all parties involved. The role ensures effective administration of the full contract lifecycle, from drafting and review. to execution and compliance monitoring. The Contracts and Legal Claims Specialist is also responsible for coordinating claims and legal matter in collaboration with Vice President, outside legal counsel, insurance carriers and internal stakeholders. The Contracts and Legal Claims Specialist is also responsible for the following duties: Oversite and daily management Management System of the health system's Contract administrative function. Oversite and management of health system policies and numbered memorandums lifecycle with the collaboration stakeholders. on internal Subpoena intake and management for the healthcare system, ensuring timely and accurate response to subpoenas and related data requests and coordinating with legal counsel and internal departments and external vendor to manage the subpoena lifecycle Daily management of the health system's Public Record Request website and coordinate with the appropriate stake holders and legal counsel to ensure compliance with regulatory requirements for responding to requests. Supporting the Vice President and Chief Compliance & Risk Officer with management of litigation claims and other legal matter logistics. Facilitates the claims filing and adjudication process with malpractice carriers and collaborates malpractice carriers with legal counsel and to ensure timely coordination of the discovery process for litigation. Works with legal counsel to coordinate meetings, interviews depositions with and support. staff and medical staff and provides logistical In addition to performing the essential functions listed below, may also be assigned other duties as required. Washington Hospital Health System does not utilize any form of electronic chatting, such as Google chat for the purposes of interviewing candidates for employment. If you are contacted by any entity or individual attempting to engage you in this format, do not disclose any personal information and contact Washington Hospital Healthcare System.
    $50.4-68.1 hourly Auto-Apply 25d ago

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