- Sedgwick (Sacramento, CA)
- …FUNCTIONS and RESPONSIBILITIES** + Proactively and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional ... Fortune Best Workplaces in Financial Services & Insurance Complex Claims Advisor | Commercial GL and Auto | Remote...Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. +… more
- Sedgwick (Orange, CA)
- …compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify ... claims ' action plans to resolution, coordinates return-to-work efforts, and approves claim payments. + Approves and processes assigned claims , determines… more
- ICW Group (San Diego, CA)
- …as pertinent regulations. This job investigates, reserves, and assesses Workers' Compensation claims within the Company standards and best practices guidelines. ... and providing benefits as prescribed by law. + Ensures claim files are properly documented and claims ...make us an employer of choice and the vibrant company we are today.** **Job Category:** ** Claims **… more
- Philadelphia Insurance Companies (Roseville, CA)
- …litigation management. The successful candidate will serve as a key resource for claims professionals, underwriters, and company leadership, ensuring claims ... Claim Division staff on best practices, good faith claims handling, and relevant developments in the law to...Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company … more
- Sedgwick (Orange, CA)
- …as suggested by the claim status; and provides written resumes of specific claims as requested by client. + Assures that direct reports are properly licensed in ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - Liability Are you looking for...Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. +… more
- Cognizant (Sacramento, CA)
- …a variety of business operations. We are seeking **Fully Remote US Based** Claims Processors to join our growing team. The **Medical** ** Claims Processor** ... responsible for the timely and accurate adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support to … more
- Sedgwick (San Diego, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation (REMOTE -California Exp Required) Are you looking… more
- Sedgwick (Brea, CA)
- …resolution by investigating and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within designated authority. + ... Best Workplaces in Financial Services & Insurance Workers Compensation, Claims Examiner | Hybrid - Brea, CA Are you...Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. +… more
- Prime Healthcare (Ontario, CA)
- …requires relocating to Ontario, California. TheVice President of Health Plan Operations and Claims is responsible for the development and execution of Claim ... technology and data to improve the quality and minimize process cost of Claims for all Prime Healthcare's self-insured Employee Health Plans. Through in-depth audit… more
- Guardian Life (Sacramento, CA)
- As the **Behavioral Health Clinical Consultant** resource in disability claims , you will be responsible for reviewing and analyzing a wide range of medical ... cases. You will conduct comprehensive medical assessments to support claim evaluations, identifying functional limitations, restrictions, and expected recovery… more