- Zurich NA (Sacramento, CA)
- Sr. Claims Specialist - Complex Construction 126105 Zurich North America is seeking a skilled and experienced Senior Claims Specialist to join our Complex ... team. This role is essential in managing complex, high-exposure construction, and litigation claims , while supporting the New York Labor team to ensure claims … more
- Unilever (El Segundo, CA)
- …out-of-the-box thinker to join our R&D Scientific Affairs team as the Claims Substantiation Lead (Associate Principal Scientist) Reporting to the Sr. Director, ... Scientific Affairs. This role will be responsible for managing claims substantiation for all current products and campaigns as well as future innovations. The … more
- Philadelphia Insurance Companies (Pasadena, CA)
- Description Marketing Statement: TM Claims Service (TMCS) is an independent global claims management firm established in 1987 to provide clients with a broad ... range of claims related services in the areas of transportation, product...and/or distributors for payment. Identify liable carrier, filing of claim , collection of funds, and file maintenance. Interact with… more
- Conduent (Los Angeles, CA)
- …our client's pharmacy claim data. This is to ensure billed pharmacy claims are being accurately submitted. You will also be required to represent our clients ... part of a culture where individuality is noticed and valued every day. **Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification?** **Would you like to… more
- Sedgwick (Sacramento, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Work Comp Claims Services Associate | Hybrid | Sacramento, CA Are you looking for an ... mental, physical, financial and professional needs **PRIMARY PURPOSE OF THE ROLE:** The Claims Services Associate is an important part of the services provided as… more
- LA Care Health Plan (Los Angeles, CA)
- Specialty Health Plans Auditor III Claims Job Category: Customer Service Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full ... purpose. Job Summary The Specialty Health Plans Auditor III Claims is responsible for all aspects of planning, execution,...liaison for Centers for Medicare and Medicaid Services (CMS) claim audit section of LA Care delegates. Reviews and… more
- Molina Healthcare (Long Beach, CA)
- **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding ... and benefit interpretation. Monitors and controls backlog and workflow of claims . Ensures that claims are settled in a timely fashion and in accordance with… more
- Philadelphia Insurance Companies (Mission Viejo, CA)
- …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Specialist to join our team! Summary: Investigate, evaluate and settle more complex first and ... third party commercial auto insurance claims . A typical day will include the following: Thoroughly...communication as well as results of investigation. Evaluates each claim in light of facts; Affirm or deny coverage;… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: The primary purpose of this position is to examine & process claims from the UB04 & CMS-1500 claim forms into the claims adjudication system for ... This position is responsible for the accurate review, input & adjudication of claims using payment policies & methodologies that are consistent with and recognized… more
- Zurich NA (Gold River, CA)
- Claims Administrative Manager 126753 What can go right when you can grow your career? Now is the time to move forward and make a difference. At Zurich, we want you ... referral.** Zurich is looking for a driven and dynamic Claims Operations Manager to lead our high performing ...Claims Operations Manager to lead our high performing Claims Shared Services team across multiple locations! In this… more