- Sedgwick (Sacramento, CA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigated Claims Manager | Staff Attorney | Public Entity Pooling | Hybrid Are ... related to claims , oversight, or governance. + Ensures application of management principles to the litigation process and the use of outside counsel. +… more
- CVS Health (Sacramento, CA)
- …improvements across key provider journeys including self-service / digital transactions, claims management , dispute resolution, and more. They will directly ... Strong organizational skills **Preferred Qualifications** + Prior experience across common claims management tools / resources including Availity provider… more
- Zurich NA (Sacramento, CA)
- …organizations. **This role will be filled at either the** **Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate ... + Develop and implement effective claim resolution strategies, including case evaluations, issue escalation, and timely disposition planning. +...and 4 or more years of experience in the Claims and Litigation Management area.OR + High… more
- ADP (San Dimas, CA)
- …is hiring a ** Claims Lead Examiner** . **_RESPONSIBILITIES:_** + Assist Claims Manager in monitoring the workers compensation program within the ADPTS/PEO ... that could be problematic and take steps along with Claims Manager to take steps to develop...region states with general insurance policy coverage and state case laws. + Understands the ins and outs of… more
- CVS Health (Sacramento, CA)
- …functionality. - Reviews prior claims to address potential impact on current case management plan. - Assessments include the member's level of work capacity ... however, it is subject to change based on business needs.** The RN Case Manager is responsible for telephonically assessing, planning, implementing, and… more
- Elevance Health (Rancho Cordova, CA)
- …states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of ... as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of...Management experience is preferred. + Certification as a Case Manager is preferred. + Minimum 2… more
- TORKLAW (Irvine, CA)
- …Spanish and English? TORKLAW, a leading personal injury law firm, is seeking a Bilingual Case Manager to support our attorneys and clients. In this role, you'll ... and professionalism to every interaction. Key Responsibilities As a Case Manager , you will be involved in...but are by no means limited to: + Strategic Management of Client Cases: Uphold the integrity of our… more
- Robert Half Legal (San Jose, CA)
- Description Reputable personal injury firm is seeking an experienced and compassionate Case Manager to join their team. This position is ideal for someone with a ... and develop strategies. * Perform investigative tasks related to claims and pre-litigation case work. * Manage...duties such as faxing, filing, and copying to support case management . * Oversee and prioritize a… more
- Sutter Health (Burlingame, CA)
- …**SKILLS AND KNOWLEDGE:** A broad knowledge base of health care delivery and case management within a managed care environment. Comprehensive knowledge of ... preferred. Working knowledge of laws, regulations, and professional standards affecting case management practice in an integrated delivery system: including… more
- Sutter Health (San Francisco, CA)
- …**SKILLS AND KNOWLEDGE:** + A broad knowledge base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of ... preferred. + Working knowledge of laws, regulations, and professional standards affecting case management practice in an integrated delivery system: including… more