- Allied Universal (Stockton, CA)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic...life, AD&D, and disability insurance + Enrollment in our company 's 401(k)plan, subject to eligibility requirements + Seven paid… more
- Philadelphia Insurance Companies (Pasadena, CA)
- …of our business operations while gaining exposure to several departments within the Company such as Underwriting, Claims and other Corporate Functions. This role ... staff of account executives, underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team of claim professionals. We work… more
- BrightSpring Health Services (Union City, CA)
- …of claims , by maintaining current knowledge of Medicaid claim regulations and processes + Participates in orientation, training, competency assessment, and ... Our Company PharMerica Overview PharMerica is seeking a highly...Skilled in performing detailed work + Knowledge of Medicaid claims regulations and processes + As required by state,… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …Accurately document benefit verification results in pharmacy systems. . Troubleshoot rejected claims and perform necessary claim adjustments. . Assist in ... of prior authorization routing and third-party review processes. . Experience with claim troubleshooting and payer override procedures. . Strong verbal and written… more
- Robert Half Legal (San Francisco, CA)
- …compliance and mitigate potential risks. * Handle documentation and resolution of claims related to delays, equitable adjustments, design defects, and change orders. ... and construction defects. * Manage legal strategies for dispute avoidance and claim preparation to protect client interests. * Conduct legal research and analysis… more
- Robert Half Legal (Walnut Creek, CA)
- …calendars and schedule meetings, court dates, and other important events. * Administer claims and handle all aspects of complaint resolution. * Utilize Adobe Acrobat ... with Calendar Management for scheduling appointments and deadlines. * Skilled in Claim Administration, including claim filing and follow-up. * Strong ability… more
- Highmark Health (Sacramento, CA)
- ** Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job supports the Underwriting department and applies actuarial techniques and statistical ... to several functions, including insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability analysis,… more
- Prime Healthcare (Redding, CA)
- …used to obtain missing documents from internal or external entities, resolving claim rejections, packaging claims , including global billing with attachments of ... professional fee claims , performing proactive follow up with payers and other...Employment Status Full Time Shift Days Equal Employment Opportunity Company is an equal employment opportunity employer. Company… more
- Prime Healthcare (Inglewood, CA)
- …used to obtain missing documents from internal or external entities, resolving claim rejections, packaging claims , including global billing with attachments of ... professional fee claims , performing proactive follow up with payers and other...Employment Status Full Time Shift Days Equal Employment Opportunity Company is an equal employment opportunity employer. Company… more
- Sedgwick (Sacramento, CA)
- …to manage a team of adjusters and surveyors and to produce quality claim handling and services. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Builds and maintains ... quality program(s). + Travels as required. **SUPERVISORY RESPONSIBILITIES** + Administers company personnel policies in all areas and follows company … more