Primary Location: Los Angeles, CA Other Locations:Job ID #: JR20215833Category: Claims.
This individual will work in concert with adjusters handling injury claims to ensure compliance with Medicare regulations..
Primary Duties/Responsibilities.
Updates ICD codes, confirming beneficiaries, coordinating Medicare forms, and negotiating charges..
Develop leads with CMS and Medicare Advantage Plans to determine No-Fault and Liability lien amounts.
Completes the appropriate Medicare reports timely to ensure Medicare reporting compliance..
Resolves conditional payment and demand disputes with Medicare..
Communicate and interact with a variety of individuals including insureds and claimants.
Explain benefits, coverages, and claims process either verbally or in writing in compliance with Medicare guidelines, regulatory, and statutory requirements..
Interpret and evaluate Medicare liens for appropriate reimbursement.
Coordinate with bodily injury adjuster to ensure proper claim value and repayment of Medicare lien(s)..
Handle administrative functions, update database production reports, and document and update claim files via company systems, i.e.
Guidewire, ISO, CACS, HUON, HOC, etc..
Verify and interpret/resolve coverage by gathering necessary information to ensure policy applicability.
Coordinate with internal and external departments as required..
Updates claims systems upon receipt of confirmation from Medicare of an exposure’s beneficiary status, and upon closure of the claim for accurate Medicare reporting..
4-yr.
College Degree or equivalent combination of education and work experience required..
Ability to service claims of low to moderate complexity, as normally acquired through 3-5 years’ experience..
Moderate computer and line of business technical software skills required..
General knowledge of negligence and subrogation principles desired..
Medical coding and terminology desired..
Moderate understanding of Medicare compliance and bodily injury claims required..
Advanced organization and planning recognition skills required..
Advanced oral and written communication skills required..
Advanced interpersonal skills required..
Valid driver’s license with a level of financial responsibility required by the club and an acceptable motor vehicle record required for field positions..
#LI-SS1.
Remarkable benefits:
• Health coverage for medical, dental, vision
• 401(K) saving plan with company match AND Pension
• Tuition assistance
• PTO for community volunteer programs
• Wellness program
• Employee discounts.
The Automobile Club of Southern California is part of the largest federation of AAA clubs in the nation.
We have 14,000 employees in 21 states helping 17 million members.
With our national brand recognition, long-standing reputation since 1902, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team..
“Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value.”.
AAA is an Equal Opportunity Employer.
The Automobile Club of Southern California will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance..
Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value..
Our Values:.
RESPECT – Appreciate each other’s contributions..
TEAMWORK – Excel through collaboration..
RELEVANCE – Anticipate and adjust to evolving needs..
COMMITMENT – Relentlessly pursue excellence..
CHARACTER – Do the right thing, honor our commitments..
We are committed to creating a workplace where all employees, regardless of background, or characteristics, are engaged, feel they belong and can grow and develop long careers with our organization.
We are focusing on what we can do to help bring about meaningful change to advance diversity, inclusion and belonging in both our organization and our local communities..
Our Mission:.
Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value..
Our Values:.
RESPECT – Appreciate each other’s contributions..
TEAMWORK – Excel through collaboration..
RELEVANCE – Anticipate and adjust to evolving needs..
COMMITMENT – Relentlessly pursue excellence..
CHARACTER – Do the right thing, honor our commitments..
We are committed to creating a workplace where all employees, regardless of background, or characteristics, are engaged, feel they belong and can grow and develop long careers with our organization.
We are focusing on what we can do to help bring about meaningful change to advance diversity, inclusion and belonging in both our organization and our local communities..
Our Mission:.
Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value..
Our Values:.
RESPECT – Appreciate each other’s contributions..
TEAMWORK – Excel through collaboration..
RELEVANCE – Anticipate and adjust to evolving needs..
COMMITMENT – Relentlessly pursue excellence..
CHARACTER – Do the right thing, honor our commitments..
We are committed to creating a workplace where all employees, regardless of background, or characteristics, are engaged, feel they belong and can grow and develop long careers with our organization.
We are focusing on what we can do to help bring about meaningful change to advance diversity, inclusion and belonging in both our organization and our local communities..
Our Mission:.
Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value..
Our Values:.
RESPECT – Appreciate each other’s contributions..
TEAMWORK – Excel through collaboration..
RELEVANCE – Anticipate and adjust to evolving needs..
COMMITMENT – Relentlessly pursue excellence..
CHARACTER – Do the right thing, honor our commitments..
We are committed to creating a workplace where all employees, regardless of background, or characteristics, are engaged, feel they belong and can grow and develop long careers with our organization.
We are focusing on what we can do to help bring about meaningful change to advance diversity, inclusion and belonging in both our organization and our local communities..
Our Mission:.
Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value..
Our Values:.
RESPECT – Appreciate each other’s contributions..
TEAMWORK – Excel through collaboration..
RELEVANCE – Anticipate and adjust to evolving needs..
COMMITMENT – Relentlessly pursue excellence..
CHARACTER – Do the right thing, honor our commitments..
We are committed to creating a workplace where all employees, regardless of background, or characteristics, are engaged, feel they belong and can grow and develop long careers with our organization.
We are focusing on what we can do to help bring about meaningful change to advance diversity, inclusion and belonging in both our organization and our local communities..
Our Mission:.
Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value..
Our Values:.
RESPECT – Appreciate each other’s contributions..
TEAMWORK – Excel through collaboration..
RELEVANCE – Anticipate and adjust to evolving needs..
COMMITMENT – Relentlessly pursue excellence..
CHARACTER – Do the right thing, honor our commitments..
We are committed to creating a workplace where all employees, regardless of background, or characteristics, are engaged, feel they belong and can grow and develop long careers with our organization.
We are focusing on what we can do to help bring about meaningful change to advance diversity, inclusion and belonging in both our organization and our local communities..
Benefits Made for You:.
Competitive Pay.
AAA offers competitive pay, paid training, and—depending upon the role—commission and bonuses based on performance..
Employee Development.
We provide award-winning training programs, free online learning on-demand, tuition assistance, and leadership programs..
Time Off.
To help our employees achieve proper work/life balance, we offer paid volunteer time off..
Retirement Programs.
AAA’s 401(k) and pension plans (in most states) help ensure a financially viable future for our employees..
Benefits Made for You:.
Competitive Pay.
AAA offers competitive pay, paid training, and—depending upon the role—commission and bonuses based on performance..
Employee Development.
We provide award-winning training programs, free online learning on-demand, tuition assistance, and leadership programs..
Time Off.
To help our employees achieve proper work/life balance, we provide paid vacation, sick, holiday, and paid volunteer time..
Retirement Programs.
AAA’s 401(k) and pension plans (in most states) help ensure a financially viable future for our employees..
Working in a branch, you get to meet all kinds of people.
I love to help people..
Terry C.
| Member Specialist.
I love being able to go above and beyond for our members.
We actually bond with them and learn about their lives.
It helps us provide a personal touch..
AAA has been fantastic providing a flexible schedule for me as a working mom.
I’ve never received negative feedback because I have to pick up a sick child or take them to the doctor..
Paola Torres | Claims Service Rep IV.
Knowing that the training was extensive made me comfortable with the transition into insurance sales.
It’s also great that AAA pays for your license..
Preston Griffin | Insurance Business Manager.
AAA provided my family and me the security and benefits that we needed.
The more I learned about the company and what it had to offer, I knew I would grow here..
Lola Israel | Recruitment Lead Consultant.
AAA provided my family and me the security and benefits that we needed.
The more I learned about the company and what it had to offer, I knew I would grow here..
Lola Israel | Recruitment Lead Consultant.
Northern New England Region.
Maine, New Hampshire, and Vermont..
AAA Northern New England was founded in 1910 and has grown to serve more than 900,000 members.
Our regional headquarters is located in Portland, Maine.
There are an additional nine branches throughout Maine, plus six locations in New Hampshire and three in Vermont, covering such cities as Bangor, Manchester, and Burlington..
East Central Region.
Sections of Pennsylvania, Ohio, Kentucky, West Virginia, and New York..
This geographically vast market is spread out over sections of Pennsylvania, Ohio, Kentucky, West Virginia, and New York.
AAA East Central can trace its roots back 100 years.
It serves more than 2 million members and has branches serving Pittsburgh, Cleveland, and Louisville, among other cities..
Southeastern Virginia..
AAA Tidewater Virginia was founded in 1913 with 18 original members and a commitment to serve the needs of Southeastern Virginia’s motorists.
Today, there are eight branches and six Car Care Centers serving more than 320,000 members.
Our headquarters is in Virginia Beach, with many offices nearby in the Hampton Roads..
The Alabama Motorist Association was founded in 1924.
Now known as AAA Alabama, it serves more than 300,000 members and operates 10 state branches, from Huntsville in the north to Mobile in the south.
Its regional headquarters is located in Birmingham..
Missouri, Arkansas, Mississippi, Louisiana, and sections of Kansas, Illinois, and Indiana..
The Automobile Club of Missouri was founded more than 100 years ago.
Its regional headquarters is in St.
Louis, and there are 39 branches throughout the state, including many in the St.
Louis and Kansas City areas.
There are eight additional offices in Arkansas, six in Kansas, four each in Illinois and Louisiana, two in Mississippi, and one in Indiana.
Combined, the membership is nearly 1.5 million..
Texas Region.
Originally known as the Dallas Auto Club when it formed in 1904, today AAA Texas assists nearly 1.5 million members.
Headquartered in Coppell, on the outskirts of Dallas, we have 30 additional offices throughout the state, stretching from El Paso in the West to Houston in the East..
AAA New Mexico became a division of AAA in 1947 and has since grown to provide service to nearly 200,000 members in the Southwest.
Our New Mexico headquarters is in Albuquerque, with additional offices in Santa Fe and Las Cruces..
Southern California Region.
The Automobile Club of Southern California was founded in 1900 and today serves well over 6 million members.
Our expansive headquarters facility is situated on acres of former farmland in Costa Mesa, and more than 80 local branches provide member services throughout Southern California.
The Automobile Club of Southern California serves members in the following California counties: Inyo, Imperial, Kern, Los Angeles, Mono, Orange, Riverside, San Bernardino, San Diego, San Luis Obispo, Santa Barbara, Tulare, and Ventura..
Hawai`i Region.
Headquartered in Honolulu, AAA Hawai`i can trace its roots back to the Honolulu Automobile Club, first established in 1915.
Since then, our island affiliate has flourished and now provides service to more than 100,000 members..
The strength of AAA is built on our commitment to exceeding our member’s expectations and earning their trust for over 120 years..
Tackle Tough Problems.
Ready for a challenge?
A career with AAA is fast-paced and never boring..
Opportunities for Development.
Launch your career with an industry leader..
The strength of AAA is built on our commitment to exceeding our member’s expectations and earning their trust for over 120 years..
Tackle Tough Problems.
Ready for a challenge?
A career with AAA is fast-paced and never boring..
Opportunities for Development.
Launch your career with an industry leader..
The strength of AAA is built on our commitment to exceeding our member’s expectations and earning their trust for over 120 years..
A Legendary Team.
Ready for a challenge?
A career with AAA is fast-paced and never boring..
Opportunities for Development.
Launch your career with an industry leader..
The strength of AAA is built on our commitment to exceeding our member’s expectations and earning their trust for over 120 years..
A Legendary Team.
Ready for a challenge?
A career with AAA is fast-paced and never boring..
Opportunities for Development.
Launch your career with an industry leader..
The strength of AAA is built on our commitment to exceeding our member’s expectations and earning their trust for over 120 years..
A Legendary Team.
Ready for a challenge?
A career with AAA is fast-paced and never boring..
Opportunities for Development.
Launch your career with an industry leader..
The strength of AAA is built on our commitment to exceeding our member’s expectations and earning their trust for over 120 years..
A Legendary Team.
Ready for a challenge?
A career with AAA is fast-paced and never boring..
Opportunities for Development.
Launch your career with an industry leader..
This site is hosted by Symphony Talent, a third-party provider with its own Terms of Use and Privacy Policy to which you will have agreed when you join our Talent Community on this site.Experience/Education/CompetenciesSarahi Melendez | Policy Services SpecialistNew Mexico RegionAlabama RegionMissouri RegionTidewater Virginia Region