- Elevance Health (Los Angeles, CA)
- …with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable ... and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize...California In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- Elevance Health (Walnut Creek, CA)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and...State In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- Robert Half Finance & Accounting (San Ramon, CA)
- …and payment. * Timely responses to VOE's verbal or written, levies, EDD claims / benefit statements, UI Filing responses, EDD new hire registry. * Administer ... will act as a liaison between Accounting and HR. * Benefits Administration- including enrollments, terminations, changes, annual open enrollment; manage … more
- Sedgwick (Sacramento, CA)
- …advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. ... of accounting department or special projects as assigned by the Finance Manager or Director. + Process account collections/receivables. + Reconcile claims … more
- Zurich NA (Los Angeles, CA)
- …global footprint that offers an incentive plan, excellent work/life balance, terrific benefits including a 401K match and a second 401K company contribution, ... challenging and varied caseload. Responsibilities will include working directly with claims professionals providing legal analysis and advice, preparing and filing… more
- Herbalife (Torrance, CA)
- …their safety and scientific integrity, and that all product efficacy claims , and related statements are scientifically substantiated according to applicable local ... tables, to support scientific substantiation of product safety and health benefit assessments under supervisory guidance. * Develops product efficacy and safety… more
- Philadelphia Insurance Companies (Roseville, CA)
- …status, military status, sexual orientation and/or any other status protected by law. Benefits : We offer a comprehensive benefit package, which includes tuition ... AM Best. We are looking for a Product Development Manager to join our team. Summary The Product Development...with functional leaders in Actuarial, IT, Stat, Underwriting and Claims throughout the product development cycle. Responsible for the… more
- Zurich NA (San Francisco, CA)
- …role will be filled at either the Senior or AVP Level. The hiring manager will determine the appropriate level based upon the selected applicant's experience and ... Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate… more
- Evolent (Sacramento, CA)
- …1 years of experience in technical quality assurance and database testing, medical benefits , provider, enrollment, and / or claims data. + Demonstrable ... The IQA reports to a associate director or a manager . One or many IQAs may be engaged in...total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits ) to qualifying… more
- Travelers Insurance Company (San Jose, CA)
- …level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . ... conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.… more