- Cognizant (Sacramento, CA)
- …and able to multi-task successfully? If so, please apply today! The Claims Processor, you will ensure accurate and timely adjudication of professional and ... hospital claims utilizing payer specific policies and procedures. Provide support...stakeholders and other teams. **Primary Responsibilities** : + Review claim system data and verify against UB or HCFA… more
- Sedgwick (Sacramento, CA)
- …FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim files are ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Commercial Auto Claims Representative **PRIMARY PURPOSE** : To analyze and process low to mid-level… more
- Kemper (Chatsworth, CA)
- …complex to claims to conclusion. This role will have advanced claim handling skills and demonstrate high quality results. This position necessitates strong ... a cohesive team. **Position Responsibilities** : + Primarily handles claims with a high complexity and large injury severity....high complexity and large injury severity. + Review each claim to ensure that all coverage and exposures issues… more
- TEKsystems (Los Angeles, CA)
- …process improvement initiatives. Key Responsibilities: + Review and process paper and electronic claims for assigned claim types. + Analyze Manual Review and ... Medical Claims Examiner Location: Remote (must be located in...quality assurance efforts. Qualifications: + Prior experience in healthcare claim adjusting required. + Strong analytical and organizational skills.… more
- Molina Healthcare (Long Beach, CA)
- **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of ... claims . Ensures that claims are settled in...Procures all medical records and statements that support the claim . + Makes recommendations for further investigation or resolution.… more
- Zurich NA (Gold River, CA)
- AVP, General Liability Claims Manager 126572 Zurich is currently looking for an AVP, General Liability Claims Manager. We're seeking an inspiring and dynamic ... leader to guide and support a high-performing team of Managers and Claims Professionals within our General Liability Specialty Team. In this pivotal role, you'll… more
- ICW Group (Sacramento, CA)
- …you want to be here! **JOB** **SUMMARY** The Director, Workers' Compensation Claims , leads assigned branches, overseeing claims handling strategies, compliance, ... service for policyholders and injured workers. By ensuring excellence in claims resolution and leadership, the Director also directly influences ICW Group's… more
- Providence (CA)
- …empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional, general, ... and other liability claims under the PSJH Insurance Program:** + Communicate with...for each matter:** + Develop and document for each claim or lawsuit a plan of action for resolution… more
- Guidehouse (San Marcos, CA)
- …+ Transmits or releases claims at a minimum daily. + Works all assigned claims daily by resolving edits, validating claim , or placing on departmental hold by ... billing, and payer audit follow-up for government and non-government claims . Must work with other departments to facilitate the...Billing Emphasis + Correcting and billing electronic and hardcopy claims + Submits Adjusted claims + Provides… more
- Zurich NA (Gold River, CA)
- Commercial Auto Claims Manager 126571 Zurich is currently looking for an Auto Claims Manager to work out of any of our larger Claims Offices in the United ... leader who willlead and direct a team of technical Claims Professionals in low to high-exposure claims ...in analyzing coverage, liability, and damages for commercial casualty claim + Experience in oversight in handling and managing… more