700 Fraud Program Assistant jobs in Los Angeles,CA

2 - 4 years of recent Human Resources experience in a corporate environment
Experience working in a corporate environment
College degree preferred
Pay Details: $21.00 to $26.00 per hour
8:00am - 5:00pm, 40 hours per week
Pursuant to the Los Angeles Fair Chance Initiative for Hiring, we will consider for employment qualified applicants with arrest and conviction records
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
The California Fair Chance Act
Los Angeles City Fair Chance Ordinance
Los Angeles County Fair Chance Ordinance for Employers
San Francisco Fair Chance Ordinance
Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

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Education and Employment Specialist

First Place for Youth

Compton, CA 90222

New, Posted 1 day ago

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Sales Representative (Bilingual Spanish)

Spectrum

Chatsworth, CA 91311

~ 39 min OnsiteUrgently HiringBilingual Preferred

This role requires the ability to work lawfully in the U.S. without employment-based immigration sponsorship, now or in the future.
Knowledge of cold call sales skills, persuasion, and clear communication
Ability to travel (including during inclement weather) to and from assigned territories and company facilities using a reliable personal vehicle
Ability to work outside for extended periods in any season and/or during inclement weather
Familiarity with computer operating systems, a myriad of consumer and commercial communications devices (e.g., PDAs, smartphones, routers, modems, converters, and wireless devices), and computer software applications
Valid driver's license with a satisfactory driving record within Company required standards
High School Diploma or equivalent work experience
Experience in sales or customer service – 0 to 6 months
Bilingual - Spanish

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Claim Specialist - Property Field Inspection

State Farm

Santa Monica, CA 90401

$64,965.62-$111,595/yr

RemoteFlexible ScheduleEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit

A valid driver's license is required
Experience as a Property Field Inspection Claim Specialist in the insurance industry, specifically in property claims
Strong knowledge of property insurance policies, coverage and claim handling practices
Knowledge of both residential and commercial building construction
Familiarity with local regulations and compliance requirements in your assigned territory
Excellent communication and interpersonal skills to effectively interact with clients, agents, and other stakeholders
Proven effective communication skills to handle difficult/emotional conversations with a customer-minded focus
Proven ability to assess damages, estimate repair costs, and negotiate settlements
Detail-oriented with strong organizational and analytical skills
Proficient in using claims management software and other relevant tools
Physical agility to allow for: frequent lifting, carrying and climbing a ladder; ability to navigate roofs at various heights for inspection of both residential and commercial structures; ability to crawl in tight spaces
Pursuant to the Los Angeles Fair Chance Initiative for Hiring, we will consider for employment qualified applicants with criminal histories
Employees must successfully complete all required training, including applicable licensing exam(s), Motor Vehicle Record (MVR) checks, and background checks required of various state(s)

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SIU Investigator Intermediate - Field

USAA

Los Angeles, CA 90001

RemoteHealth InsurancePaid Time OffRetirement Benefit

High School Diploma or General Equivalency Diploma.
2 years claims adjusting experience, or P&C; SIU/Fraud Investigation experience OR 4 years prior investigative law enforcement (to include military) or relevant fraud industry investigation experience.
Proven investigatory skills.
Experience obtaining statements from various parties to incidents, witnesses, and suspects.
Ability to gather broad range of evidence and draw conclusions based on the objective details related to the applicability of fraud.
Demonstrated ability to organize and prioritize workload, performing multiple tasks and devising solutions to problems.
Familiarity with using computers and various software packages to enter and extract data for analysis from relevant data sources and systems.
Knowledge of city, state and local regulations, legal concepts, understanding of contracts, case law, medical treatment, and medical terminology.

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Entry Writer / Data Entry & PGA Specialist

American Shipping

Long Beach, CA 90805

~ 29 min OnsiteHealth InsurancePaid Time OffRetirement Benefit

3+ years of entry writing and/or brokerage operations experience (data entry & PGA focus)
Proficiency in Microsoft Outlook, Word, and Excel
Strong written and verbal communication abilities

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Data Encounter Analyst

TEKsystems

Canoga Park, CA 91304

$28/hr

~ 35 min OnsiteHealth InsurancePaid Time OffRetirement Benefit

Data Encounter Analyst
The Benefits Analyst is responsible for supporting the daily operations, configuration, and maintenance of the medical group's claims processing systems.
This role ensures the accuracy of member benefit setups, eligibility data, claims adjudication, and overall financial integrity.
Maintain and support claims processing systems, including configuration and ongoing system updates
Ensure accurate setup and maintenance of member benefits, eligibility, and provider assignments
Support claims adjudication processes to ensure timely and accurate reimbursement outcomes
Interpret managed care contracts and translate requirements into system configurations and fee schedules
Monitor and ensure data integrity across claims, benefits, and financial systems
Conduct system testing and validation to support enhancements and process improvements
Collaborate cross-functionally with operations, IT, and finance teams to resolve issues and optimize workflows
Analyze data to identify trends, discrepancies, and opportunities for automation and efficiency improvements
Support payment integrity initiatives and financial accuracy of claims processing
Claims system configuration and adjudication experience
Strong knowledge of EZ-Cap
Experience with fee schedule management
Understanding of managed care contracts and DOFR (Division of Financial Responsibility)
Proficiency in data integrity auditing and analysis
Experience with benefits enrollment and eligibility verification
Technical skills in SQL, Microsoft Access, and Excel
Familiarity with ICD-9 and ICD-10 coding
Intermediate level experience within healthcare claims, benefits administration, or managed care environments
This is a Contract position based out of Canoga Park, CA 91304.

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Category Manager

Keurig Dr Pepper

Los Angeles, CA 90071

$96,800-$126,000/yr

OnsiteEducation AssistanceHealth InsurancePaid Time OffRetirement Benefit

Bachelor's Degree required
A minimum of 5 years of business experience in Consumer Packaged Goods (CPG) with a focus on category management (mandatory), business analytics and/or shopper insights
Extensive syndicated data knowledge with IRI and/or Nielsen
Proficient in JDA Space Planning software and Tableau
Exceptional communication skills – verbal, written & presentation and follow-through
Strength in leveraging facts and insights to build category shelving guidance with actionable recommendations
Superior drive for results with demonstrated ability to build indispensable, collaborative partnerships with the customer and internal business partners, across functional teams
Capability to develop and influence strategies and tactics at both retailer and manufacturer, vertically and horizontally
Highly skilled in Microsoft Office Suite (Excel, Access, Word and PowerPoint)
Travel: Up to 20%

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