- Highmark Health (Sacramento, CA)
- …communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong education/training background ... and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting… more
- Sacramento Credit Union (Sacramento, CA)
- …AND DUTIES: + Provide timely and accurate responses to employee and manager inquiries related to HR policies, procedures, and systems. + Manage, document, ... support employee self-service. + Manage workers' compensation insurance program. Files claims with carrier, maintains accident information and monitors progress of … more
- Zurich NA (San Diego, CA)
- …talent at any Zurich office location. We may, at the sole discretion of the Hiring Manager , be open to hiring remote talent. This role will be filled at either the ... or Sr. Construction Property Underwriter (Leve III). The hiring manager will determine the appropriate level based upon the...and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Elevance Health (Walnut Creek, CA)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- Sharp HealthCare (San Diego, CA)
- …**What You Will Do** Working under the direction of the Manager of Benefits Administration, the Benefits Administration Analyst provides operational support ... investigating and responding to internal and external benefit inquiries, and supporting claims testing activities. **Required Qualifications** + 3 Years in HMO or… more
- Elevance Health (Costa Mesa, CA)
- …with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable ... conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to nursing… more
- Sedgwick (Sacramento, CA)
- …of accounting department or special projects as assigned by the Finance Manager or Director. + Process account collections/receivables. + Reconcile claims ... Associate degree in Accounting/Finance from an accredited college or university preferred . **Experience** Three to four (3-4) years of related experience to… more
- Zurich NA (Pasadena, CA)
- …challenging and varied caseload. Responsibilities will include working directly with claims professionals providing legal analysis and advice, preparing and filing ... theWorkers' Compensation Defense Attorney I OR II role.The hiring manager will determine the appropriate level based upon the...Lexis or Westlaw + Knowledge of the insurance industry, claims and the insurance defense litigation legal environment +… more
- Zurich NA (San Francisco, CA)
- …role will be filled at either the Senior or AVP Level. The hiring manager will determine the appropriate level based upon the selected applicant's experience and ... and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...Underwriting Support area AND + Experience with Microsoft Office Preferred Qualifications: + Bachelor's Degree + Strong verbal and… more
- Allied Universal (San Francisco, CA)
- …where flexibility meets opportunity. As a Part-Time Security Officer, you'll use our exclusive Claim a Shift platform to view and Pick up open shifts based on your ... You'll Do:** + Use our proprietary scheduling platform to claim open shifts at client sites + Support operations...enforcement experience, or 2 years of security supervisor or manager experience, or 3 years of security-related experience. +… more