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Adecco US, Inc. Claims Representative in El Segundo, California

Adecco is currently recruiting Claims Representatives in El Segundo, CA.

Please read below and apply with an updated resume for consideration:

Pay: $20/hr

Type: Five month Contract; opportunity for extension or become FT

Schedule: 6AM to 2:30PM

Primary Responsibilities:

  • Reviews medical claims submitted with and without prior authorization to attach medical records.

  • Engages with claims and clinical claims review functions to discuss trends identified.

  • Works with clinical claims review function to ensure compliance with all regulatory requirements.

  • Requests medical records in a timely manner in accordance with regulatory/departmental compliance.

Qualifications:

  • Completion-high school education or higher

  • 1 year prior managed care / HMO experience preferably in utilization / claims review and claims process

Pay Details: $20.00 per hour

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.adeccousa.com/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records subject to federal contractor requirements and/or security clearance requirements.

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