- CDM Smith (San Diego, CA)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...potential fraud, and ensure the integrity and fairness of claim settlements. By applying advanced accounting, auditing, and investigative… more
- Highmark Health (Sacramento, CA)
- …inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly ... ** Company :** Highmark Inc. **Job Description :** **JOB...and/or assist in addressing denied point of sale prescription claim transitions and coordination of benefits practices/procedures. **ESSENTIAL RESPONSIBILITIES**… more
- Sedgwick (San Francisco, CA)
- …Homeowner and Excess Liability policies. + Develops exposures and evaluates injury claims based on damages, the insurance contract, company policies, and ... managing defense counsel in litigation of serious and complex claim , litigated claims as well as complex...which helps clients thrive by navigating the unexpected. The company 's expertise, combined with the most advanced AI-enabled technology… more
- Crown Equipment Corporation (Long Beach, CA)
- …+ Review monthly A/R reports on all vendor warranty accounts. + Process all warranty claim paperwork and track claims from the time they are submitted to the ... Warranty Coordinator Branch Location: Long Beach, CA, US, 90801 ** Company Description:** Crown Equipment Corporation, one of the world's largest lift truck… more
- Unilever (El Segundo, CA)
- …and marketing of SmartyPants products. The RA Manager will serve as the Company 's operational expert on claims review, providing direction and insights to ... knowledge of regulatory requirements to make substantiated label and marketing claims , is extremely detail- and solution oriented, has excellent communication skills… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …through local expertise and outstanding client service. We handle litigation arising from claims asserted against policyholders or the company and take cases ... you do and where you do it. **Job Category** Claim , Legal **Compensation Overview** The annual base salary range...20 days Paid Time Off annually, plus nine paid company Holidays. + **Wellness Program:** The Travelers wellness program… more
- Travelers Insurance Company (Sacramento, CA)
- …through local expertise and outstanding client service. We handle litigation arising from claims asserted against policyholders or the company and take cases ... you do and where you do it. **Job Category** Claim , Legal **Compensation Overview** The annual base salary range...20 days Paid Time Off annually, plus nine paid company Holidays. + **Wellness Program:** The Travelers wellness program… more
- Robert Half Accountemps (Los Angeles, CA)
- …process within the healthcare industry. Your expertise will help ensure claims are processed efficiently and payments are collected accurately. Responsibilities: * ... Review submitted claims to verify accuracy and completeness before forwarding them...* Verify that required authorizations, TARs/SARs, are included in claim submissions, and take steps to secure missing authorizations… more
- Lincoln Financial (Sacramento, CA)
- …be responsible for reviewing, analyzing, and interpreting medical information available for disability claims . In this role you will act as a clinical resource for ... Group Protection benefit specialists and claim professionals. You will evaluate medical information to clarify...this role you will provide coaching and guidance to claims regarding medical management. **What you'll be doing** *… more
- Travelers Insurance Company (Milpitas, CA)
- …equipment breakdown, and overall insurability. Investigate less complex Equipment Breakdown claims as requested by the claim department. Evaluate elements ... recommending corrective actions. Work cooperatively with Boiler and Machinery underwriting and claim groups, in support of helping them make informed decisions to… more