- Travelers Insurance Company (Sacramento, CA)
- … Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and ... to optimize claim results. Travelers' Cyber Claim Team is responsible for handling claims focusing on cyber privacy and security breach incident response,… more
- CVS Health (Sacramento, CA)
- …funded medical claim processing experience. + DG system knowledge. + Associate 's Degree. **Education** + High School Diploma or GED. **Anticipated Weekly Hours** ... all with heart, each and every day. **Position Summary** The Senior Claim Benefit Specialist reviews and adjudicates complex, sensitive, and/or specialized claims… more
- CVS Health (Sacramento, CA)
- …Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. Process provider ... amount level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine coverage, complete… 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 ... and professional needs **PRIMARY PURPOSE OF THE ROLE:** The Claims Services Associate is an important part...gathers data for submittal to management. + Communicates with claim examiners to correct identified deficiencies by provides corrected… more
- Illumination Foundation (Riverside, CA)
- …on outstanding unpaid claims * Review any rejected or denied claims and conduct proper follow up procedures (Escalations/Appeals/ Claim corrections) * Monitor ... EOB's and Remittance Advice * Posting payment accurately to claims and continuing with the claim close...+ Proficiency in Microsoft (Outlook, Word, Excel, Teams). + Associate 's Degree or higher + Experience in Medical Billing… more
- Zurich NA (Sacramento, CA)
- Marine Claims Specialist II 126114 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and Liability experience ... With moderate direction, handles single and multi-party commercial Marine and Liability claims of low to moderate exposure and complexity within specific limits of… more
- Sedgwick (Roseville, CA)
- … claims of minimal disability duration under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim ... in Financial Services & Insurance Industry Advancement Program | Workers Compensation Claims Representative Trainee | San Diego, CA or Roseville, CA (In-Office) Are… more
- Sedgwick (Concord, CA)
- … claims of minimal disability duration under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim ... Services & Insurance Industry Advancement Program | Workers Compensation Claims Representative Trainee | Concord, CA (In-office) Industry Advancement Program… more
- Golden State Foods (Irvine, CA)
- …to streamline claims processing and mitigate loss + Manage quarterly claim review with Third Party Administrators (TPA) through selection of claims ... and best practices. Responsibilities + Oversees new and existing claim filings across all divisions in workers compensation, auto...with a high acuity for workers compensation and/or auto claims processes + Associate of Risk Management… more
- 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