Medical Claims Processing jobs in Lake Forest, Orange County, CA

Performs a combination of duties in accordance with departmental guidelines:Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following co Consultant, Practice, Medical, Claims, Claims Specialist, Business Partner, Business Services

You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.Start the next chapter of your career as a Complex Claims Consultant in Healthcare for CNA Insurance. CNA is a...

Overview You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.CNA is a market leader in insuring skilled nursing, assisted living and independent living facilities...

Are you a highly motivated, reliable, and detail-oriented individual ready to launch your career in a cutting-edge, FDA-regulated environment? Medix is partnering with an innovative leader in the medical field to find a dedicated Process Technician for an exciting Contract-to-Hire opportunity on our 2nd Shift team! This is your chance to get your foot in the door, gain valuable experience, and...

Actalent Services, LLC is hiring a a Process Engineer for a full-time role as part of a key strategic M&A initiative with one of our engineering outsourcing clients in the medical device industry. We are seeking a detail-oriented Process Engineer with a strong medical-device expertise and validation engineering experience. This fully onsite role in Irvine, CA requires an engineering professional...

Job Description Primary Duties and Responsibilities The Sr. Inventory Medical Specialist will manage daily operations associated with the procurement and management of all stock and non-stock (e.g. new, single use, contract conversion) supplies utilized by the department. Will work closely with to ensure supplies are maintained at full par levels, with a focus on continuous process improvement....

A medical device company in California is seeking a Labeling Process Engineer I to design and implement labeling processes for various medical devices. The role emphasizes compliance and supports quality control, involving collaboration with cross-functional teams to enhance manufacturing efficiency. Candidates should have a Bachelor's in engineering and experience in SolidWorks 3D modeling. A...

A leading medical technology company in California seeks a Manufacturing Engineering Technician II to optimize manufacturing processes and ensure compliance with quality standards. Responsibilities include troubleshooting, inventory control, and validation of new tooling. The ideal candidate has a strong background in the medical device field, is detail-oriented, and possesses excellent...

A leading healthcare company is seeking a Staff Process Engineer in Irvine, CA. The role involves applying engineering principles to reduce costs and improve operations. Candidates should have a Bachelor's degree and 6-8 years of experience, with a strong background in project management, engineering software, and effective communication skills. This position may require travel and offers an...

Duties and Responsibilities:* Conducts analysis/audit/review of warranty data/costs and provides detailed reporting for product/process improvement as needed; expands root problem analysis; proposes insights and solutions for warranty/quality issues.* Creates technological solutions and options to analyze claim information in order to make/recommend changes or adjustment to programs, policies,...

Role OverviewMercor is collaborating with a top-tier AI research group to model real-world claims workflows for property and casualty insurance. We are seeking experienced independent contractors—particularly claims adjusters, examiners, and investigators—to execute and evaluate a wide range of P&C insurance tasks. This project supports the development of AI systems capable of understanding,...

A leading technology firm located in Irvine, CA, seeks an Optical Engineer II for a dynamic R&D team. This role focuses on owning optical manufacturing processes, ensuring validation and compliance, while supporting production through troubleshooting and process improvements. Candidates must have a B.S. in a relevant engineering field and preferred experience with tools like Zemax and SolidWorks....

A leading beverage company located in California is seeking a Claims Manager for the Bottler Claims department. This role requires strong leadership and problem-solving skills to ensure efficient claims processing. Ideal candidates will have a Bachelor's degree, 5-7 years of accounting experience, and proficiency in Microsoft Excel. The position offers a competitive salary range of $82,500 -...

Applied Medical is a new generation medical device company with a proven business model and commitment to innovation fueled by rapid business growth and expansion. Our company has been developing and manufacturing advanced surgical technologies for over 35 years and has earned a strong reputation for excellence in the healthcare field. Our unique business model, combined with our dedication to...

SUMMARY Dynacast, LLC is the global supplier of choice for precision engineered die-cast solutions, surpassing customer expectations through dedicated people and technology. We are the global leader in the precision die-casting of zinc, aluminum and magnesium alloys with 23 manufacturing locations spanning 16 countries. Dynacast supplies major companies in a variety of industries including...

Introduction At Gallagher, we help clients face risk with confidence because we believe that when businesses are protected, they’re free to grow, lead, and innovate. You’ll be backed by our digital ecosystem: a client-centric suite of consulting tools making it easier for you to meet your clients where they want to be met. Advanced data and analytics providing a comprehensive overview of the...

Applied Medical is a new generation medical device company with a proven business model and commitment to innovation fueled by rapid business growth and expansion. Our company has been developing and manufacturing advanced surgical technologies for over 35 years and has earned a strong reputation for excellence in the healthcare field. Our unique business model, combined with our dedication to...

JOB DESCRIPTION : Essential Duties & Responsibilities Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex healthcare professional liability claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations,...

You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.Start the next chapter of your career as a Complex Claims Consultant in Healthcare for CNA Insurance. CNA is a...

Position Requirements Possess a high school diploma or equivalent.Read, write, and speak in English.Entry level ability to work with ALS and SAP systems.Entry level experience of mold preventative maintenance and cleaning.Proficient in Microsoft Word and Excel. Preferred Applicants should have two years of experience in injection molding and robot position programming.Knowledge of mold set ups...