- Insight Global (Irvine, CA)
- …individual will be responsible for the investigation, determination, and reporting of claims processing through auditing billing processes, including pre and ... prevent recurrence. They will assist management with implementation of measures to ensure claim processing and payment accuracy. They will also help monitor and… more
- Kelly Services (San Diego, CA)
- …environment with growth potential **What's a typical day as a Workers' Compensation Claims Adjuster? You'll be:** + Analyzing and processing complex or ... where Kelly(R) comes in. We're seeking a **Workers' Compensation Claims Adjuster** to work with one of our top...managing reserves; ensuring adequacy throughout the life of the claim + Calculating and approving claim payments… more
- Cognizant (Sacramento, CA)
- …Plan Document. **Role Responsibilities** + Responsible for reviewing the data in the claim processing system (Facets) and comparing it with the corresponding UB, ... and criteria has been met. + Responsible for reviewing claim and line item edits and warning messages for...required + A minimum of 1 years of medical claims processing is required + Facets experience… more
- ICW Group (San Diego, CA)
- …injured workers. + Communicates with insureds to obtain information necessary for processing claims . + Contacts and/or interviews injured workers, doctors, ... attorneys, and employers to get additional information. + Communicates claim activity and processing with the injured...and providing benefits as prescribed by law. + Ensures claim files are properly documented and claims … more
- TEKsystems (Northridge, CA)
- …documentation and workflow meet regulatory and internal standards. + Must-Have Skills + HMO Claims Processing + Claim Denials and Resubmissions + EZCap ... team in Northridge, CA. This role focuses on auditing and compliance within claims processing , including benefit analysis, system design, and managing special… more
- Molina Healthcare (Long Beach, CA)
- …**Required Education** High School or GED **Required Experience** 3-5 years claims processing required **Preferred Education** Bachelor's Degree or equivalent ... combination of education and experience **Preferred Experience** 5-7 years claims processing preferred To all current Molina employees: If you are interested in… more
- Sedgwick (Long Beach, CA)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
- Sedgwick (Sacramento, CA)
- …FUNCTIONS and RESPONSIBILITIES** + Processes complex auto commercial and personal line claims , including bodily injury and ensures claim files are properly ... and risk transfer opportunities; secures and disposes of salvage. + Communicates claim action/ processing with insured, client, and agent or broker when… more
- Sedgwick (Sacramento, CA)
- …. + Negotiating settlement of claims within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting ... client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
- Sedgwick (Roseville, CA)
- …under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim action/ processing with claimant and ... + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability...physical damage claims under close supervision. + Processing disability claims of minimal disability duration… more