- Novolex (CA)
- …transaction. + Services accounts and manage relationship regarding pricing, product warranty claims , receivables, etc. + Spends 40% of time in market developing, ... and compensation decisions are dependent on the facts and circumstances of each case . The benefits for this role include 401(k) plan with company match,… more
- Travelers Insurance Company (Irvine, CA)
- …with insured based on application of policy information to facts or allegations of each case . + Consults with Manager on use of Claim Coverage Counsel as needed. ... and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Sedgwick (West Hills, CA)
- …from some of the world's most reputable brands + An assigned mentor and manager who will guide you on your career journey + Career development and promotional ... physical, financial and professional needs. **PRIMARY PURPOSE** : Provides disability case management and routine claim determinations based on medical documentation… more
- Ventura County (Ventura, CA)
- …programs. The candidate must possess extensive experience in workers' compensation claims administration, rating permanent disability, developing case settlement ... floating holiday. THE POSITION Under the supervision of the Workers' Compensation Manager within the County Executive Office, this position oversees and monitors the… more
- Travelers Insurance Company (San Diego, CA)
- …with insured based on application of policy information to facts or allegations of each case . + Consults with Manager on use of Claim Coverage Counsel as needed. ... and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- University of Southern California (Alhambra, CA)
- …Collector Appeal Specialist is responsible for accurately processing inpatient and out-patient claims to third party payers and private pays, following all mandated ... guidelines are met; provided quality control checks on paper and electronic claims ; process tracers, denial and related correspondence; initiate appeals; compose and… more
- Travelers Insurance Company (Redlands, CA)
- …Unit and/or Subrogation Unit. + Identifies and refers claims with Major Case Unit exposure to the manager . + Performs administrative functions such as ... this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim… more
- LA Care Health Plan (Los Angeles, CA)
- …Social Worker; current and unrestricted California License. Licenses/Certifications Preferred Certified Case Manager (CCM) Accredited Case Manager ... clinical skills and judgement. Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and facilitating… more
- Elevance Health (Los Angeles, CA)
- …Coding Auditor Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including ... case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients.… more
- Medtronic (Los Angeles, CA)
- …connected, compassionate world. **A Day in the Life** The Principal Insurance and Claims Management role is a newly created expert and highly specialized position ... at all levels to gather information for insurance placement, facilitates claims resolution between internal and external stakeholders, provides transparency and… more