- Travelers Insurance Company (Diamond Bar, CA)
- …with insured based on application of policy information, facts or allegations of each case . Consults with Unit Manager on use of Claim Coverage Counsel. + ... **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By...fraud investigators and to other experts. Requests through Unit Manager and coordinate the results of their efforts and… more
- Huntington Ingalls Industries (San Diego, CA)
- …C5ISR systems. HII works within our nation's intelligence and cyber operations communities to defend our interests in cyberspace and anticipate emerging threats. Our ... a successful award. Essential Job Responsibilities + Reports to the Transition Manager . + Manages execution of transition activities as detailed in the Transition-In… more
- Walmart (Irvine, CA)
- …cross-functional teams; troubleshooting open issues and bug-fixes; interacting with project manager to provinput on project plan; and ensuring on-time delivery and ... between the customer/business expectations and the existing product/solutions (in case of agile methodology, for the iteration). Classify the requirements… more
- Elevance Health (CA)
- …team to facilitate the administrative components of clinical referrals for case management or disease management services to include home health, nutritional ... of education and experience which would provide an equivalent background. ** Preferred Skills, Capabilities and Experiences :** + Computer proficiency and the… more
- San Diego Youth Services (San Diego, CA)
- …location. This is a full-time & non-exempt position reporting to the PEI Program Manager . San Diego Youth Services: Who we are San Diego Youth Services has helped ... youth overcome trauma and challenges that put them at risk, including case management, counseling, mental health treatment and educational support and resources.… more
- Maxim Healthcare (Oxnard, CA)
- …clients and Case Managers throughout the process + Provides timely updates to Case Managers as directed by the Account Manager or Office Operations Leader + ... client service planning meetings as instructed by the Account Manager or Operations Leader + Maintains the consumer record...+ Assists the Field Support team with onboarding their preferred respite providers by making connect calls, and tracking… more
- Zurich NA (Sacramento, CA)
- …is hiring a Marine Claims Senior Claims Specialist Role (With Hull and Liability experience preferred ) to join our team! We are open to remote work for the right ... to have a timely resolution to claims by developing case strategy; developing a case evaluation; escalating...assigned to outside contractors. Departs from approved vendors with manager approval, where in the best interests of the… more
- CenterWell (Sacramento, CA)
- …Senior Primary Care's) highest need and complexity patients with care and case management services. The Director is response for the strategic direction, execution ... Transitions of Care Management (TCM) program, and Episodic Consult (single-use case specific offerings) programs designed to improve quality and reduce costs… more
- Elevance Health (Walnut Creek, CA)
- …necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts peer-to-peer consultation ... state(s). + Experience performing standard neurosurgical spine procedures independently. ** Preferred Skills, Capabilities and Experiences:** + Minimum of 3 years… more
- Elevance Health (CA)
- …work Pacific Time Zone (PST) hours. Residence in Pacific Time Zone preferred . The **Medical Director** is responsible for supporting Elevance Health's Washington ... with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss… more