- 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
- Dignity Health (San Bernardino, CA)
- …administrator. + Initiate and oversee timely investigations for all work-related injury claims , including Root Cause Analysis. + Monitor claim progress, ensuring ... providers, and our third-party administrator. You will guide the claims process from start to finish-investigating work-related injuries, managing documentation,… more
- Towne Park (Los Angeles, CA)
- …standards are met or exceeded. Under the direction of the Account Manager , the Guest Service Captain has additional duties involving coordination and administration, ... as well as providing troubleshooting and/or guidance when the manager is not on-site. The Guest Service Captain is...dictate, using an approved method. - 15% + Issues claim checks to guests only after receiving vehicle keys… more
- Cedars-Sinai (Los Angeles, CA)
- …underpayments from insurance carriers. + Analyzes and validates reimbursement for denied claims . Accurately and consistently document the results of all audits and ... work queues accounts and completes account follow-up activities including: obtaining claim status, responds to insurance company and other authorized third-party… more
- City and County of San Francisco (San Francisco, CA)
- …to the general duties above: + Detects, investigates, and prevents fraudulent claims for public assistance to avoid welfare fraud and other financial crimes. ... matches and overpayment referrals, determines overpayment amounts or investigates paid claim matches, if applicable, and prepares related documentation by citing… more
- Elevance Health (Los Angeles, CA)
- …changes. + Provide assistance regarding education, contract questions and non-routine claim issues. + Coordinates communications process on such issues as ... medical policy, reimbursement and provider utilization patterns. + Coordinates prompt claims resolution through direct contact with providers, claims , pricing… more
- Stanford University (Stanford, CA)
- …with third-party administrators, vendors, and consultants to investigate discrepancies, claim issues, and provide information in non-routine situations. + Review ... and performance, and ensure accurate and timely plan administration, claims payment, manage escalated issues, etc. + Manage monthly...posted on the Global HR website, within the HR Manager Toolkit and the Stanford Admin Guide. + Reporting,… more
- Robert Half Finance & Accounting (San Ramon, CA)
- …Worker's Compensation to include claims management; reporting, follow up with employees/ claim rep/nurse case manager with follow through to closure. * ... payment. * Timely responses to VOE's verbal or written, levies, EDD claims /benefit statements, UI Filing responses, EDD new hire registry. * Administer judgements,… more
- CDM Smith (Rancho Cucamonga, CA)
- …expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs ... by providing updates on work status and may evaluate claims and make recommendations to FEMA as to whether...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more
- Elevance Health (Walnut Creek, CA)
- …to determine root cause and appropriate resolution. + Must work with Claims Operations to remediate impacted claims . **Minimum Requirements:** + Requires ... or GED and a minimum of 3 years of claims research and/or issue resolution or analysis of reimbursement...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more