- Travelers Insurance Company (Diamond Bar, CA)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site… more
- Travelers Insurance Company (Sacramento, CA)
- …experience. + 5-10 years experience handling serious injury and complex liability claims preferred (casualty claim operations environment determining ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly...of some of the Company's severe and complex liability claims by providing claim handling guidance, recommendations… more
- Prime Healthcare (Ontario, CA)
- … and Claims is responsible for the development and execution of Claim Operations strategies, end-to-end Claim process automation, optimization and ... and Operating Models, Long Term Business Objectives, Healthcare Payers, Claim Operations Strategies, Claim Process...(7) to ten (10) years prior work experience in Claims Operations and Health Plan Strategy, in… more
- LA Care Health Plan (Los Angeles, CA)
- …reliability, accuracy, and efficiency of all electronic data processes that support claims operations , ensuring data flows through systems as intended, issues ... Senior Manager, Electronic Data Interchange and Claims Data Operations Job Category: Management/Executive Department: Claims Data and Support Services… more
- Highmark Health (Sacramento, CA)
- …to assess the accuracy of client reports submitted to the organization, efficiency of claim operations , and adequacy of systems and procedures. + Approves ... and adjudicates claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim information to TPAs,… more
- LA Care Health Plan (Los Angeles, CA)
- …and building upstream partnerships that drive long-term operational maturity. Ensures claims operations are stable, predictable, and aligned to organizational ... Field Experience Required: At least 6 years of experience working in claims operations , provider disputes, adjustments, or related operational functions. At… more
- Ryder System (Sacramento, CA)
- …+ Primary backup for the Senior Director assisting with all aspects of the operations + Leads and directs claims managers, office manager, and supervisors as ... here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Director Claims directs activities within the General and Auto Liability… more
- LA Care Health Plan (Los Angeles, CA)
- …to maximize operating efficiency and achieve strategic priorities. Manages daily operations for all non-routine claim adjustments, including escalated cases, ... Senior Manager, Claims Adjustments Job Category: Management/Executive Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time… more
- Elevance Health (Los Angeles, CA)
- **Director II, Digital Claims Operations (Dir II Digital Ops)** Location: This role requires associates to be in-office **3 days per week** , fostering ... within a commutable distance from an office._ The **Director II, Digital Claims Operations ** oversees a combined digital and operations unit(s); executes… more
- LA Care Health Plan (Los Angeles, CA)
- Manager, Claims Research and Remediation Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 Position ... the safety net required to achieve that purpose. Job Summary The Manager, Claims Research and Remediation manages LA Care's specialized "Tiger Team" responsible for… more
Recent Jobs
-
Developer (Java, C#, or Full Stack)
- Capgemini (Cincinnati, IN)
-
Sr. Applied Scientist, Amazon Business Ads
- Amazon (New York, NY)
-
Intercompany Liquidity & Collateral Management, Associate
- JPMorgan Chase (New York, NY)