- CDM Smith (San Diego, CA)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...potential fraud, and ensure the integrity and fairness of claim settlements. By applying advanced accounting, auditing, and investigative… more
- Travelers Insurance Company (Diamond Bar, CA)
- …Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is ... provides industry-leading resources designed to detect and deter fraudulent claims . Leveraging advanced technology and analytics, we proactively identify risk… more
- The County of Los Angeles (Los Angeles, CA)
- …applicant's responsibility to take steps to view correspondence, and we will not consider claims of missing notices to be a valid reason for re-scheduling an exam ... to complete this questionnaire completely, correctly, and accurately. The experience you claim in this supplemental questionnaire MUST also be listed and fully… more
- Actalent (Irvine, CA)
- …team. This role is critical in ensuring the integrity and compliance of marketing claims associated with our medical devices. The ideal candidate will have a strong ... within the medical device industry and a proven ability to trace marketing claims to supporting engineering analyses and documentation. This individual will also be… more
- Crown Equipment Corporation (Long Beach, CA)
- …+ Review monthly A/R reports on all vendor warranty accounts. + Process all warranty claim paperwork and track claims from the time they are submitted to the ... External** **Job Duties** + Review and correct all warranty claims generated through technicians to prepare for submission to...returned from vendor as a result of a rejected claim . + Assist other parts personnel as required such… more
- Behavior Treatment & Analysis (Walnut Creek, CA)
- …fill out the following spreadsheets: + "Billing projection Monthly" + Follow up with claim denials/unpaid claims - Via Emails or Phone calls + Submit Disputes in ... position will assist the Billing Coordinator in Billing to Insurance companies and claim denials resolution. Key Responsibilities: + Prepare and submit claims to… more
- Insight Global (Burbank, CA)
- …Fund. The Senior Participant Service Specialist/Analyst will process health insurance claims and answers calls from the customer (participant, providers, physicians, ... hospitals etc.) Adhere to eligibility, claims and call policies and procedures... and call policies and procedures while making sound claim /call decisions. Foster strong relationships through the resolution of… more
- Sedgwick (Sacramento, CA)
- …criteria; to provide leadership within the dedicated team of clinician and claim professionals in support of the dedicated program through training and ... reviews on cases where the nurse is seeking treatment plan clarification, claim denial, disability certification or duration management for return to work guidance.… more
- Sedgwick (West Hills, CA)
- …based on client plans, state and federal regulations. Ensures that on-going claim management is within company service standards and industry best practices. ... Establishes FMLA and other unpaid state, military, and/or company-specific leave claims ; tracks and codes documentation in accordance with internal workflow… more
- Sedgwick (Rancho Cucamonga, CA)
- …+ This role will be primarily responsible for **_Large Complex Property_** claims . **PRIMARY PURPOSE** **:** To investigate losses or claims internationally ... including handling accounting-based losses (business interruption and stock). + Examines claim forms and other records to determine insurance coverage. + Interviews,… more