- Elevance Health (Walnut Creek, CA)
- ** Benefits Consultant - FEP** **Location:** This role enables associates to work virtually full-time providing maximum flexibility and autonomy. This approach ... us and together we will drive the future of health care. The ** Benefits Consultant - FEP** is responsible for telephonically facilitating federal employee health … more
- Crown Equipment Corporation (Long Beach, CA)
- …on warranty claims . + Tracking rejected warranties and notifying Service Manager about rejected warranties. + Prepare monthly list of warranties not paid and ... **Job Posting External** **Job Duties** + Review and correct all warranty claims generated through technicians to prepare for submission to vendors. + Process… more
- NBC Universal (Universal City, CA)
- …matters, including general commercial disputes, media litigation (including defamation claims and journalist privilege issues), employment litigation, privacy ... claims , consumer protection claims , intellectual property claims (both affirmative and...three days per week. Subject to change based on Manager discussion or business need. + This position is… more
- Sharecare (Sacramento, CA)
- …in healthcare/health sciences OR equivalent experience in healthcare, preferably helping members navigate benefits and claims , OR held one or more of the ... from members (via voice and chat) for the following: + Help with eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID… more
- Sharp HealthCare (San Diego, CA)
- …functions that interface with medical management such as provider relations, member services, benefits and claims management, etc. Assists (as determined by the ... care needs of the membership. Serves as a medical manager and policy advisor to SHP and its Chief...analysis of Plan performance from summary data of paid claims , encounters, authorization logs, complaint and grievance logs and… more
- Sharp HealthCare (San Diego, CA)
- …that interface with medical management such as provider relations, member services, benefits and claims management, IT management, etc. + Plans, organizes, ... needs of the membership. Serves as a lead medical manager and policy advisor to SHP clinical and its'...analysis of Plan performance from summary data of paid claims , encounters, authorization logs, complaint and grievance logs and… more
- Prime Therapeutics (San Diego, CA)
- …pharmacy audits and is responsible for the selection and auditing of claims , educating Prime's network pharmacies and driving contract compliance, and supporting ... history, and/or referrals, and submit recommended audit plan to manager for approval; finalize onsite audit plans and schedule...to Prime's travel and expense policy + Analyze pharmacy claims to identify those at the highest risk for… more
- Elevance Health (Los Angeles, CA)
- …in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health insurance policies, ... health insurance claims handling and provider network contracting. **How will you...of Plan policies and procedures in all facets of benefit programs management with heavy emphasis in negotiation preferred.… more
- Zurich NA (Los Angeles, CA)
- …work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... at either the Mid-Senior or Senior Level. The hiring manager will determine the appropriate level based upon the...and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Parker Hannifin Corporation (Carson, CA)
- …role: $90,000 - $120,000 + Participation in Annual Incentive Program (ACIP) Benefit & Retirement Plans Parker offers competitive benefit programs, including: ... 3% of pay + Career development and tuition reimbursement + Additional benefits including paid parental leave, short and long-term disability programs, adoption… more