• Senior Claim Benefit Specialist

    CVS Health (Sacramento, CA)
    claim or reconsideration. **Required Qualifications** + 2+ years of medical claim processing experience. + Previous experience in a production environment. + ... competently, accurately and efficiently. **Preferred Qualifications** + Self funded medical claim processing experience. + DG system knowledge. + Associate's… more
    CVS Health (08/15/25)
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  • Claim Representative - IAP (On-Site San…

    Sedgwick (San Diego, CA)
    …under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim action/ processing with claimant and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claim Representative - IAP (On-Site San Diego, CA) THIS...+ Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability… more
    Sedgwick (08/13/25)
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  • Senior Claim Benefit Specialist

    CVS Health (Sacramento, CA)
    …competently, accurately and efficiently. **Preferred Qualifications** - 18+ months of medical claim processing experience - Self-Funding experience - DG system ... every day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a… more
    CVS Health (08/01/25)
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  • Claims Specialist Sr , Professional…

    Sedgwick (Sacramento, CA)
    … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...depositions, mediations, and trial monitoring as needed. + Communicates claim activity and processing with the client;… more
    Sedgwick (08/14/25)
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  • Claims Research Specialist

    Dignity Health (Bakersfield, CA)
    …for all claim types - Perform an analysis of the claims processing by reviewing contract, system configuration, benefits, financial risk (DOFRs), ... accurate records for audit purposes. - Collaborate with internal departments, including claims processing , UM, compliance, and provider relations, to develop and… more
    Dignity Health (08/28/25)
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  • Claims Examiner | General Liability…

    Sedgwick (Sacramento, CA)
    … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
    Sedgwick (08/27/25)
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  • Workers Compensation Claims Examiner | CA…

    Sedgwick (Roseville, CA)
    … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
    Sedgwick (08/08/25)
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  • Claims Examiner - Workers Comp (Hybird…

    Sedgwick (Roseville, CA)
    … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
    Sedgwick (06/29/25)
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  • Claims Examiner - Workers Compensation…

    Sedgwick (Roseville, CA)
    … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
    Sedgwick (06/29/25)
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  • Claims Processor (with Facets) - Healthcare…

    Cognizant (Sacramento, CA)
    …Monday to Friday 8am - 4:30pm ET **Experience:** A minimum of 2 years of claim processing is required. **Travel:** None required **About the role:** As Claims ... * Be Responsible for reviewing the data in the claim processing system and comparing with corresponding...of Facets experience. * Experience in the analysis and processing of claims for payments, utilization review/quality… more
    Cognizant (08/26/25)
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