- CVS Health (CA)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... all with heart, each and every day. **Position Summary** The **Senior Claim Benefit Specialist** reviews and adjudicates complex, sensitive, and/or specialized … more
- CVS Health (CA)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Sedgwick (Sacramento, CA)
- …FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim files are ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Commercial Auto Claim Representative **PRIMARY PURPOSE** : To analyze and process low to mid-level… more
- Highmark Health (Sacramento, CA)
- …and adjudicates claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim information to TPAs, ... ** Company :** Highmark Inc. **Job Description :** **JOB...and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards.… more
- Sedgwick (Sacramento, CA)
- …and fair resolution of mid and higher-level complex nature and/or severe injury claims ; to coordinate case management within Company standards, industry best ... by limited investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate… more
- CVS Health (CA)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... is an important, strategic part of a Fortune 5 company in one of the fastest growing fields in...role provides exposure to virtually all aspects of healthcare claims administration, from reinsurance/stop loss, data analytics, provider and… more
- Insight Global (Sacramento, CA)
- …response. - Responsible for managing the Catastrophe Response and Resiliency Analyst and Claims Training Consultant. We are a company committed to creating ... Job Description Insight Global is seeking a Claims Manager for one of our nonprofit clients...distribution, and promotion of our clients' training materials for claim adjusters, engineers and other supporting personnel of our… more
- Sedgwick (Brea, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. +...including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim … more
- Kelly Services (Roseville, CA)
- …compensation claims by investigating and gathering information to determine claim exposure; managing claims through well-developed action plans to timely ... life. + Calculating and paying benefits due; approving and making timely claim payments and adjustments; settling claims within authority. + Preparing necessary… more
- Sedgwick (Sacramento, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. **ARE...including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim … more