- Zurich NA (Los Angeles, CA)
- …Experience working with Lexis or Westlaw + Knowledge of the insurance industry, claims , and the insurance defense litigation legal environment + Knowledge of the law ... will become the property of Zurich American Insurance. If you are a preferred vendor, please use our Recruiting Agency Portal for resume submission. Location(s): AM… more
- Humana (Sacramento, CA)
- …to an organization focused on growing and developing best practices ** Preferred Qualifications** + Knowledge of Medicaid regulations, programs, and state plan ... either the state agency or payer perspective + Detailed understanding of healthcare claims Travel: While this is a remote position, occasional travel to Humana's… more
- Humana (Sacramento, CA)
- …on beneficiary needs; assists with beneficiary related issues which may include claims inquiries, enrollment issues, travel attestations, access to care, wait lists, ... 8-hour shift Mon-Fri between the hours of 8 am to 7 pm EST. ** Preferred Qualifications** + Masters' degree in social work, psychology, or related health discipline… more
- Deloitte (Los Angeles, CA)
- …by reviewing services, contracts, performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against strategy. + ... industries/sectors you serve. + Limited immigration sponsorship may be available. Preferred Qualifications: + Master's degree in mathematics, statistics, or a… more
- Humana (Sacramento, CA)
- …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... to an organization focused on continuously improving consumer experiences ** Preferred Qualifications** + Medical utilization management experience, + working with… more
- Humana (Sacramento, CA)
- …cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must ... and regulations governed by the Department of Insurance and CMS ** Preferred Qualifications** + Compliance regulations knowledge and compliance auditing experience +… more
- Subaru of America (Los Angeles, CA)
- …wide-ranging technical vehicle issues. + Reviews retailer pre-authorization requests for warranty claims over ten thousand dollars, or straight time or extra time ... technical operating characteristics of all Subaru vehicles. EDUCATION/EXPERIENCE REQUIREMENTS: Associate degree from an accredited college/university in automotive/technical field… more
- Providence (Irvine, CA)
- …compliance with key healthcare regulations, including Stark Law, Anti-Kickback Statute, False Claims Act, Medicare and Medicaid billing rules, HIPAA and EMTALA. + ... agreements, and professional services agreements. + Prepare and review business associate agreements, guiding clients on HIPAA compliance and navigating state and… more
- Humana (Sacramento, CA)
- …The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on problems of ... to an organization focused on continuously improving consumer experiences ** Preferred Qualifications** + Medical utilization management experience + Working with… more
- Robert Half Finance & Accounting (Woodland Hills, CA)
- …significant transactions, such as purchasing homes or vehicles, and handle insurance claims and renewals. * Provide prompt and thorough responses to client ... ideally working with high-net-worth individuals or in a business management setting. * Associate 's or Bachelor's degree in Accounting, Finance, or a related field is… more