Under supervision of the Manager of HIV Prevention and Linkage, the Linkage to Care Specialist will ensure linkage and retention in medical care for newly diagnosed HIV-positive patients, PrEP patients, and at-risk patients.
Responsibilities
Assists HIV-positive patients, PrEP patients, and at-risk patients in person, by phone, by text, and/or email to support client linkage and retention in health, mental health, and ancillary services
Educates and provides information to clients on services available throughout the Center and externally in Los Angeles County
Coordinates financial screening visit, first medical visit, and other services such as mental health, 12-step programs, legal aid, housing assistance, general relief, and support services
Provides benefit/insurance enrollment, financial screening, case management, and counseling support until client successfully links to care
Assesses for and helps mitigate barriers to care including physical and mental ability, transportation, and ability to effectively use technology
Requirements
CPR (BCLS) certification within 60 days of hire
State certified HIV pre/post-test counselor within 60 days of hire
Nice to have: Bilingual skills, a plus (ASL/English/Spanish fluency preferred)
Supervises staff and coordinates daily operations of the Patient Access Front Office Administration for outpatient hospital services, including scheduling, registration, and point of service collections.
Responsibilities
Supervises and determines daily staffing assignments based on planned and unplanned PTO
Ensures Float Pool staff are adequately trained in cross coverage of various departments
Ensures all Patient Access departments are adequately staffed through the use of Float staff
Supervises and coordinates scheduling and patient pre-registration/registration for Outpatient Therapy and Diagnostic Services
Ensures staff are knowledgeable in all aspects of registration and insurance regulations
Requirements
Nice to have: Certified Healthcare Manager (CHAM)
Nice to have: National Association of Healthcare Managers (NAHAM)
Coordinate the claims process from initial submission to final resolution, providing guidance, training, and support to ensure efficient and accurate claims handling.
Compensation
The target hourly rate range for this position is $22.25 - $26.20 per hour.
Responsibilities
Handles the end-to-end process of insurance claims, including receiving claims from policyholders, reviewing claim documentation, verifying coverage, and processing payments.
Supports claims processing, reviews completed claims for accuracy and compliance with company policies and regulatory requirements.
Ensures compliance with insurance regulations, industry standards, and company policies in all aspects of claims processing.
Resolves escalated or complex claims issues, supports decision-making on claims settlements within established authority limits, and recommends solutions for challenging cases.
Identifies opportunities to streamline claims processing workflows, improve efficiency, and enhance the overall customer experience.
Requirements
Bachelor’s degree in Legal, Finance, Business Administration, or a related field
Nice to have: Associate in Claims (AIC)
Nice to have: Certified Claims Professional (CCP)
Nice to have: Certified Insurance Service Representative (CISR)
The ambulatory oncology case manager is a vital link in providing patients with access to services and treatments needed along the cancer care journey. The team is responsible for coordination of services needed in the home, including but not limited to, VNA, hydration services, oxygen and durable medical equipment.
Compensation
$41.72 - $108.29/Hourly
Responsibilities
Maintain accurate, detailed reports, and records
Administer medications to patients and monitor patients for reactions or side effects
Record patients' medical information and vital signs
Monitor, record, and report symptoms or changes in patients' conditions
Consult and coordinate with healthcare team members to assess, plan, implement, or evaluate patient care plans
We are seeking Senior Claims Specialists to join our Property Catastrophe Claims Team to handle personal and commercial property claims related to natural disasters and catastrophic events.
Compensation
The pay range for the role is $78,000 to $112,000. The specific offer will depend on an applicant’s skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program.
Responsibilities
Manage personal and commercial property claims for CAT response and contingency support.
Ensure thorough investigations with prompt identification of available coverages, recovery potential, fraudulent claim indicators, and loss exposure amounts.
Utilize cost effective tools and resources to enhance client experiences and improve accuracy in claim outcomes.
Conduct virtual inspections through approved vendors and tools to assess and adjust a variety of personal and commercial property claim types.
Effectively control the use, work product, and expenses when retaining outside vendors.
Requirements
4-year college degree
Nice to have: Proficiency in property claim handling
Nice to have: Experience handling complex claims with large exposures
Claim Investigators validate the facts of loss for Insurance claims through scene Investigations, claimant and witness Interviews, document retrieval and data Interpretation.
Responsibilities
Investigate insurance claims for a variety of coverage to include workers’ compensation, general liability, property and casualty and disability
Gather information independently and in collaboration with clients and case managers through various methods such as data collection, interviews, research, and scene investigations
Follow guidance from the handling insurance adjuster to perform field tasks essential to the investigation
Develop and document information on any investigation in a professional and expert manner by writing clear, concise and grammatically correct reports, memos, and letters
Run appropriate database indices if necessary and verify the accuracy of results found
The Chief Corporate Officer (CCO) – Insurance & Investments is responsible for overseeing corporate affairs, governance, strategic corporate functions, regulatory compliance, and stakeholder relationships across the organization's insurance and investment businesses.
Responsibilities
Support the development and execution of corporate strategies, business plans, and organizational growth initiatives
Gallagher Center of Excellence is seeking an AM/DM -Claims Operations. The Claims Lead will supervise a team of Claims adjusters, delivering high-quality cost-effective claims service, and contributing to claims business goals.
Responsibilities
Supervise a team of Employee Benefits claims examiners and may carry an individual case load based on business needs.
Actively manage work allocation, query resolution, and delivery of key SLAs.
Report key claims handling metrics using dashboards & scorecard to evaluate performance and trends and drive process improvements.
Review work of others via file reviews; identify coaching opportunities and act on needed coaching opportunities.
Identify performance and behavioral issues and work with staff and management to address and correct them.
Seeking an Assistant Manager/Deputy Manager to oversee the setup and management of Workers Compensation Claims, ensuring accuracy and compliance with industry standards within a shared services team.
Responsibilities
Supervise a team of Analysts/Senior Analysts.
Actively manage work allocation, assigned workloads, query resolution and delivery of key SLAs for the team
Report key performance metrics using dashboards & scorecard to evaluate performance and trends and drive process improvements
Review work of others, identify coaching opportunities and act on needed coaching opportunities
Identify performance and behavioral issues and work with staff and management to address and correct them
Requirements
Bachelor's degree
Nice to have: Degree in insurance or related field
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