- Ross Stores, Inc. (Dublin, CA)
- …of the Employment Law team primarily assessing, handling, and managing employment claims including defending Ross in agency hearings and in arbitrations\. This ... primarily working on optimal litigation results \(agency, individual, and representative actions\) with the potential for future work on...other employment law team members on the handling of claims and other tasks as assigned\. The base salary… more
- Highmark Health (Sacramento, CA)
- …the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the ... effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review of...+ Ability to visualize, articulate and solve complex problems representative of a broad range of service and claim… more
- Highmark Health (Sacramento, CA)
- …+ High school diploma or GED + Experience in pharmacy prescription claims processing/submission/payment. **Preferred** + Associate degree + Pharmacy technician ... medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …insurance coverage, identifying payer requirements, and facilitating prior authorizations. The associate will also assess patient eligibility for admission based on ... document benefit verification results in pharmacy systems. . Troubleshoot rejected claims and perform necessary claim adjustments. . Assist in obtaining overrides… more
- Acosta Group (Fullerton, CA)
- **DESCRIPTION** **Overview** The Associate is responsible for completing in-store food and non-food demonstrations. Acquires and maintains knowledge of products ... each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations… more
- Cushman & Wakefield (San Francisco, CA)
- …that tenants and vendors comply with insurance requirements and coordinate all claims as required * Proactively inspect the facility, systems, rooms, common areas, ... Orientation 6. Relationship Management 7. Financial Management IMPORTANT EDUCATION * Associate 's degree in facilities management, building, business or other related… more
- Allied Universal (San Diego, CA)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... demeanor, and Interaction during all contacts with provider/suppliers/facility administrative staff/ representative throughout the entire site inspection process. **QUALIFICATIONS (MUST… more
- ZOLL Medical Corporation (Los Angeles, CA)
- …intake and reimbursement to ensure appropriate and timely filing of billing claims + Maintain credentialing/access to all assigned accounts at all times ... role for a minimum of 1 year OR have successfully performed within a Associate Territory Manager role. Physical Demands + This position requires the employee to sit,… more
- Financial Partners Credit Union (Downey, CA)
- …- $32.32 Position Type Full Time Job Description FPCU's Electronic Services Representative provides external Member and internal Partner support as it relates to ... + Works in collaboration with Risk Management to research and resolve fraud claims arising from account takeover in digital channels. + Develops and uses… more
- Carollo Engineers (Costa Mesa, CA)
- …Leadership position that requires project lead experience **Preferred Qualifications** + Associate of Science or Bachelor of Science in Engineering or Construction ... (PE/PG) and construction/project management certification (CCM/PMI) + Direct owner representative experience and management involvement in municipal programs/projects +… more