- US Tech Solutions (Whittier, CA)
- …3+ months contract** **Responsibilities:** + Review, adjudicate, and process medical claims for HMO patients + Work closely with affiliated medical groups ... Evaluate provider reimbursement terms and flag non-contracted providers + Ensure claims are processed accurately and timely per policy guidelines **Experience:** 2+… more
- Sedgwick (Long Beach, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Manager | Long Beach, CA | SIP Required Are you looking for an ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Fluor (Fresno, CA)
- …direction of the Director and Deputy Director of the PMO/forensics & Claims , this role is responsible for developing forensic analyses and providing oversight ... also responsible for reviewing and analyzing Contractors' Time Impact Analyses and claims and assisting with the rebuttal responses. In addition to forensic analysis… more
- Sedgwick (Sacramento, CA)
- …& Insurance (Remote) Manager Global Service Delivery Operations - Casualty Claims **PRIMARY PURPOSE** **:** Manages the global service delivery partnership, which ... university preferred. Preferred certifications include Six Sigma, Associate in Claims (AIC), and/or Chartered Property Casualty Underwriter (CPCU). **Experience**… more
- UCLA Health (Los Angeles, CA)
- …to the next level. You can do all this and more at UCLA Health. The Claims Quality Auditor will be responsible for the daily audit of all examiners assigned to the ... auditor. You will review claims (paid, pending, and denied) for accuracy, appropriate application...or equivalent + Four or more years of medical claims payment experience in an HMO environment + Experience… more
- Providence (CA)
- **Description** **Senior Claims Manager - Employment Practice Liability \*Remote * Candidates residing in Alaska, Washington, Montana, Oregon, California, Texas or ... New Mexico are encouraged to apply.** The Senior Claims Manager- Employment Practice Liability ("EPL") is responsible for managing and mitigating risks associated… more
- Sedgwick (Orange, CA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Assistant | Orange, CA (In-Office) Are you looking for an impactful job ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Lincoln Financial (Sacramento, CA)
- …Security application process. You will work together with several partners, such as Claims and Vendors, to successfully apply for and secure SSDI benefits. If you ... Bachelor's) in Insurance (Minimum Required) + 4+ Years of experience in claims that directly aligns with the specific responsibilities for this position, including… more
- Command Investigations (San Diego, CA)
- CLAIMS INVESTIGATOR Seeking an experienced investigator with multi-lines investigations to include W/C and P&C experience. SIU experience is also highly desired, but ... for hire. Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + W/C and P&C… more
- Public Consulting Group (Chula Vista, CA)
- …Assessments and Feasibility Studies PCG is seeking highly motivated and dependable Claims Specialist payment processing clerk with an interest in public service who ... can work in our San Diego, CA Stage 1 Child Care Payment Services operation. The clerks will be responsible for accurately distributing child care payments to child care providers and working with CalWORKs families to access child care. These staff will be… more
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