- Sedgwick (Concord, 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
- Kelly Services (Brea, CA)
- … Examiner? You'll be:** **Essential Duties and Responsibilities** + Analyzing and processing complex or litigated **California workers' compensation claims ** + ... isn't always easy. That's where we come in.** We're seeking a ** Claims Examiner - Workers' Compensation** to support a leading provider of technology-enabled… more
- TEKsystems (Fresno, CA)
- …their growing team. This role is ideal for someone with a strong background in claims processing , attention to detail, and a commitment to quality assurance. The ... position involves adjudicating a variety of claim types, ensuring compliance with regulatory standards, and supporting...10-key data entry (40 WPM). + Knowledge of ERISA claims processing guidelines. Preferred Skills + Basic… more
- Sedgwick (Concord, CA)
- …**ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes complex commercial auto tractor trailer claims , including bodily injury and ensures claim files are ... and risk transfer opportunities; secures and disposes of salvage. + Communicates claim action/ processing with insured, client, and agent or broker when… more
- Golden State Foods (Irvine, CA)
- … claims handling procedures and program enhancements to streamline claims processing and mitigate loss + Manage quarterly claim review with Third Party ... can advance, innovate, and contribute to our ongoing success. TheSr. Corporate Claims Specialistanalyzes, coordinates, and manages all aspects of GSF's insurance … more
- Cognizant (Sacramento, CA)
- …duties as assigned by management. **Qualifications:** + A minimum of 2 years' claims processing experience is required. + Knowledge of physician practice and ... stakeholders and other teams. **Primary Responsibilities** : + Review claim system data and verify against UB or HCFA...of Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/quality… more
- Sedgwick (Sacramento, CA)
- …FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim files are ... and pursues subrogation opportunities; secures and disposes of salvage. + Communicates claim action/ processing with insured, client, and agent or broker when… more
- TEKsystems (Fresno, CA)
- …* Working knowledge of Employee Retirement Income Security Act of 1974 (ERISA) claims processing /adjudication guidelines.* Examine a problem, set of data or text ... Claims Examiner I is responsible for reviewing and processing medical, dental, vision and electronic claims ...Summary Plan Descriptions (SPD) for the purpose of accurate claim adjudication and/or benefit determination * Basic knowledge of… more
- Molina Healthcare (Long Beach, CA)
- **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of ... to identify incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims . + Manages a caseload of claims… more
- Providence (CA)
- … issues. + 7 years of relevant general and professional liability claims processing or management experience **Preferred qualifications for this position ... them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional,...for each matter:** + Develop and document for each claim or lawsuit a plan of action for resolution… more