- Elevance Health (Los Angeles, CA)
- …in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health insurance policies, ... health insurance claims handling and provider network contracting. **How will you...network contracting. **How will you make an impact:** + Claim reviews for appropriate coding, data mining, entity review,… more
- Six Flags (Buena Park, CA)
- …the efforts of the company's legal defense attorneys and insurance claims ' representatives concerning personal injury actions against the company. + Develop, ... establish, and implement associate safety training programs. + Recommend and implement regular safety and health inspections of all areas that affect the safety of guests and associates. + Develop, maintain, and implement company and departmental safety… more
- GE Aerospace (San Francisco, CA)
- …terms and conditions and transmit information to Procurement. + Manage claims . + Includes commercial sourcing management such as data analysis, negotiations ... support, etc., this may also include purchasing activities. + Expected to participate and or lead Lean process improvement projects using Flight Deck tools. + May lead functional teams or projects with minimal resource requirements, risk, and/or complexity. +… more
- BrightSpring Health Services (Arroyo Grande, CA)
- …timely reporting of all service site injuries and assist with the management of claims + Monitors service site expenses relative to budgets + Trains staff on ... financial and administrative controls Qualifications + One year of supervisory experience required + Previous experience providing services and supports to individuals with acquired brain injuries preferred + Ability to communicate (verbal and written) with… more
- Sysco (Union City, CA)
- …delivery impacts. + Communicate daily with Director of Transportation, Claims Coordinator, and Transportation Supervisors, Transportation Leads, and Transportation ... Operations Associates (TOAs) concerning shipping activities. + Communicate daily with warehouse operations teams and RDC carriers to facilitate efficient production levels and yard operations. + Oversee, hire, train, develop, evaluate and maintain discipline… more
- Highmark Health (Sacramento, CA)
- …for non-payment, Completing write-offs as appropriate, Coordinating AR issues affecting claims or inquiry processing with Membership and Billing personnel.Lead or ... participate in higher level AR tasks and projects, typically related to: Analysis and reconciliation of cash in transit discrepancies, Streamlining, development and documentation of AR policies or procedures, Reduction of AR balances and coordination of… more
- CVS Health (Sacramento, CA)
- …compliance impacting plan sponsors. + Collaborate with internal departments-including claims , customer service, and client management-to ensure effective issue ... resolution and maintain strong working relationships. + Stay informed about industry trends, regulatory changes, and best practices related to self-funded plans. **Required Qualifications** + A minimum of 7 years of relevant experience in a TPA (Third Party… more
- SanDisk (Milpitas, CA)
- …and Reporting teams and business partners from BU Finance, Sales Operations, Claims Settlement and IT teams. ESSENTIAL DUTIES AND RESPONSIBILITIES: + Manage the ... calculation and review of program reserves and oversight over the month end close process. + Analyze monthly and quarterly results of earned rebates for accuracy and completeness and be able to effectively communicate the results to the executive leadership… more
- Walmart (Yuba City, CA)
- …quarterly budget reports; working with contractors and estimators to resolve claims ; reviewing and approving contractor payments, change orders, and invoices; and ... managing project scope and contingency. + Drives the execution of multiple business plans and projects by identifying customer and operational needs; developing and communicating business plans and priorities; removing barriers and obstacles that impact… more
- Essel (Burbank, CA)
- …pay applications, Requests for Information, Purchase Orders, Submittals, Change Orders, Claims , Request for Proposals, Request for Qualifications, and any other ... required project-related communication. + Coordinate with Project Engineers and Superintendents in the allocation of shared resources such as personnel and equipment. + Serve as company representative at required project meetings or hearings and prepare… more