- Robert Half Legal (Novato, CA)
- …legal industry by representing injured workers in their workers' compensation claims . The firm offers remote flexibility throughout California. Responsibilities: * ... Advocate for injured workers in their compensation claims * Manage a full caseload of ...Adobe Acrobat for document management and organization * Handle claim administration and complaint handling with detail-oriented and empathetic… more
- USAA (San Diego, CA)
- …Investigation Unit (SIU) referrals, when appropriate. + Maintains accurate and current claim file documentation throughout the claims process for low complexity ... and appraise low complexity (drivable, material loss, auto physical damage) auto claims in accordance with the terms and conditions of the contract, corporate… more
- Sedgwick (Sacramento, CA)
- …Insurance Marine Adjuster **PRIMARY PURPOSE** **:** To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up ... documentation, and issues settlement. + Receives and reviews new claims and maintains data integrity in the claims...+ Prepares settlement documents and requests payment for the claim and expenses. + Assists in preparing loss experience… more
- Scripps Health (San Diego, CA)
- …thrives in a fast-paced environment and has a passion for insurance and medical claims . As a Patient Account Specialist, you will be responsible for the following: * ... guidelines. * Follows-up with insurance carriers timely on unpaid claims until claims are paid or only...carriers as required. * Working directly with the insurance company , healthcare provider, liable third parties, and patient to… more
- Walgreens (San Diego, CA)
- …all required documentation for billing is completed and accurate prior to claim submission (ie, medical claims billing). + Process reimbursement checks/payment ... + Process and file all SDL (submit direct link) claims in accordance with company policy. + Processing of prescription exceptions including prior authorizations,… more
- Marriott (Anaheim, CA)
- …by an independent franchisee, Wincome Hospitality. The franchisee is a separate company and a separate employer from Marriott International, Inc. The franchisee ... pre-employment screening, benefit and retirement plan administration, worker's compensation claim management, file management, New Hire Orientation, FMLA/CFRA leave… more
- Humana (Sacramento, CA)
- …community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to ... data transformations, automation, and enhancements. Conduct in-depth analysis of healthcare claims to identify data issues and optimization opportunities. Work with… more
- Gerber Collision & Glass (Hawthorne, CA)
- Company : Glass America CA Hawthorne - 300195 We put...respected leader in the auto glass industry. As a Claim Specialist, you are a key member of Glass America's ... Dental & Vision Insurance + 401(k) Retirement Plan with company match. + Employer Paid Short-Term Disability & Life...+ Have a sense of urgency when filing insurance claims with and/or without customers on the line. +… more
- CVS Health (Sacramento, CA)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... review a clinical determination and understand rationale for decision. Able to research claim processing logic and various systems to verify accuracy of claim … more
- CVS Health (Sacramento, CA)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and... processing changes + Ensure daily reconciliation of electronic claim files + Maintain productivity and quality standards of… more