• Senior Claim Benefit Specialist

    CVS Health (Sacramento, CA)
    …day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject ... customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority… more
    CVS Health (08/01/25)
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  • Claims Research Consultant

    CVS Health (Sacramento, CA)
    …regarding urgent processing, pricing disputes, and escalated issues. + Manage pending claims , claim follow-ups, and complex claim research scenarios, ... all with heart, each and every day. **A Brief Overview** The ** Claims Research** **Consultant** handles escalated customer service inquiries and issues for clients… more
    CVS Health (08/02/25)
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  • USDA Claims Recovery & Loss Analysis…

    Carrington (Anaheim, CA)
    **Come join our amazing team and work remote from home!** The Claims Recovery & Loss Analysis Specialist is responsible for performing financial reconciliation on ... advances once the GSE or Government Mortgage Insured "expense" claim has been paid. + Maintain updates in LoanServ...corrections identified during the Quality Review Process within 24 hours of receipt. + Responsible for learning new skills… more
    Carrington (07/23/25)
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  • Pharmacy Claims Auditor CPhT

    Conduent (Los Angeles, CA)
    …our client's pharmacy claim data. This is to ensure billed pharmacy claims are being accurately submitted. You will also be required to represent our clients ... part of a culture where individuality is noticed and valued every day. **Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification?** **Would you like to… more
    Conduent (06/21/25)
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  • Workers' Compensation Claims Specialist

    Adecco US, Inc. (Brea, CA)
    **Job Title: Workers' Compensation Claims Specialist (Remote - California)** **Location:** Remote (Must reside in California) ** Hours :** 8:00 AM - 4:30 PM We are ... seeking an experienced Workers' Compensation Claims Specialist to manage complex, high-exposure claims involving litigation and rehabilitation. This position… more
    Adecco US, Inc. (07/30/25)
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  • Senior Claims Examiner

    ICW Group (Sacramento, CA)
    …Learn more about why you want to be here! **PURPOSE OF THE JOB** The Senior Claims Examiner handles moderate to complex claims with a focus on providing the ... service for policyholders and ICW Group to independently bring claims to an equitable conclusion within Company standards and...Paid Time Off with an accrual rate of 5.23 hours per pay period (equal to 17 days per… more
    ICW Group (07/23/25)
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  • Inbound, Claims Call Center Representative

    Zurich NA (Sacramento, CA)
    Inbound, Claims Call Center Representative 126049 Zurich is a leading multi-line insurer that serves its customers in global and local markets. Zurich's customers ... seeking confident, outgoing, and self-motivated Customer Care Professionals to join our dedicated Claims Call Center team in (enter month and date). If you are… more
    Zurich NA (07/31/25)
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  • Manager, Billbacks and Trace Claims

    Cardinal Health (Sacramento, CA)
    …office. Candidates must be able to work within EST or CST business hours ._ **_What Sales Operations Management contributes to Cardinal Health_** The Manager of ... growth. This role supports trace sales and associated billback claims , which is a component of the **Channel Parter...component of the **Channel Parter Group (CPG) Trace & Claims Operations Team.** This team is an integral piece… more
    Cardinal Health (07/24/25)
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  • Patient Account Representative - Physician…

    Guidehouse (El Segundo, CA)
    …account balances on all assigned accounts. + Work all correspondence within 24 hours or receipt. Detail notes regarding correspondence must be entered into the ... denials for trends and issues and reports findings to supervisor + Bills or re-bills claims as necessary + Ensures the client follows all state and federal rules and… more
    Guidehouse (07/17/25)
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  • Sr. Auto Appraiser - San Diego Metro, CA - Field

    USAA (San Diego, CA)
    … claim damages including communicating with the insured, internal claims adjusters, and third parties/vendors. May require face-to-face interactions with members ... for handling, if applicable. + Maintains accurate and current claim file documentation throughout the claims process...potential evening, weekend, and/or holiday work outside normal work hours . + May be assigned CAT deployment travel with… more
    USAA (07/31/25)
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