Local 1014, the self-funded ERISA Trust dedicated to serving the well-being of the Los Angels County Fire Fighters and their families, is seeking a full-time medical Senior Claims Adjuster. The ideal candidate will be processing more complex claims and should be extremely confident and will be trusted to make independent decisions. The SCA should be highly effective in communication and writing correspondence. This position is not remote, Monday to Friday, with frequent potential for overtime.
Position Overview:
The Senior Claims Adjuster will be handling facility, ancillary, and Blue Card claims based on medical authorization and apply all applicable coding edits, contractual agreements, and Plan provisions, as well as claims requiring greater confidentiality. Provide back-up support to Member Services, fielding incoming telephone calls from members and providers as needed upon request of Claims Manager. Train and advise other claims adjusters, serve as workflow coordinator for the Claims Department as needed, and perform various system-related tasks including data transmission. While certain companies find ways to deny claims, we find ways to approve them.
Essential Job Functions:
Required Knowledge/Skills/Abilities/Experience
Amazing Compensation & Benefits Package (all start day 1 of employment)
If interested, please send us your resume and cover letter today for immediate consideration!
Job Type: Full-time
Pay: $65,000.00 – $79,000.00 per year
Benefits:
Schedule:
Application Question(s):
Experience:
Work Location: One location
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