- CVS Health (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
- HUB International (Sacramento, CA)
- …carrier claims department within 24 hours of reporting of all new claims to identify claim number and ensure adjuster assigned to loss. * Regular contact ... incoming and outgoing claims documentation. * Assisting Claims Team members in preparation of claim ...Assisting Claims Team members in preparation of claim review requests. * Proactive communication with clients, carriers… more
- Actalent (Long Beach, CA)
- …selling vehicles and purchasing vehicles. Prior experience with a vehicle insurance claim company or submitting vehicle insurance claims is required. ... Job Description We are seeking an Insurance Claim Specialist to support the vehicle fleet for...the organization. This role will focus in filing insurance claims for vehicles that have been damaged. Also will… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor, Claims Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 12722 ... and to support the safety net required to achieve that purpose. Job Summary The Claims Supervisor works with the Claims Manager to oversee the daily operations… more
- ICW Group (San Diego, 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
- Humana (Sacramento, CA)
- …to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours ** 40 **Pay Range** The compensation range below reflects a good faith estimate ... of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and… more
- Humana (Sacramento, CA)
- …to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours ** 40 **Pay Range** The compensation range below reflects a good faith estimate ... of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and… more
- Sedgwick (Sacramento, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigated Claims Manager | Staff Attorney | Public Entity Pooling | Hybrid Are you ... **?** Do you bring 8+ years of experience collaborating with outside counsel and claims examiners to oversee litigated claims ? If you're an experienced litigator… more
- Allied Universal (Orange, CA)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim … more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …to prevent fraud and ensure compliance with policy terms. + Resolve Rejected Claims : + Calculate benefit payments and approve claim settlements based on ... SUMMARY: The Adjudication Specialist manages a portfolio of rejected pharmacy claims , ensuring timely billing and maximum payer reimbursement. They prioritize… more