• Claims Examiner | General Liability…

    Sedgwick (Sacramento, CA)
    …Insurance Claims Examiner | General Liability Property Damage | Remote As a Claims Examiner at Sedgwick, you'll have the opportunity to take on new ... work and your career path. This is a remote, work- at - home , telecommuter position. + Be a part...and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans… more
    Sedgwick (08/27/25)
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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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  • Claims Examiner

    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
    Kelly Services (08/08/25)
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  • Process Improvement Lead, Healthcare Claims

    Humana (Sacramento, CA)
    …healthcare industry + 2+ years of demonstrated expertise in end-to-end healthcare claims operations, including claim ingestion, processing , system ... to lead cross-functional initiatives, apply your expertise in healthcare claims , and shape the future of operational excellence in...Home /Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and… more
    Humana (08/29/25)
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  • Work at Home Contact Center Agent

    Mass Markets (CA)
    POSITION OVERVIEW WE'RE HIRING 1,000 WORK AT HOME STAFF TO SUPPORT FEDERAL, STATE, AND COMMERCIAL CLIENTS MCI is looking for nationwide work at home ... a home broadband connection. POSITION RESPONSIBILITIES WHAT DOES A WORK AT HOME CONTACT CENTER REPRESENTATIVE DO? This position supports customer service,… more
    Mass Markets (07/16/25)
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  • Onsite Pharmacy Auditor (based in California)

    Prime Therapeutics (San Diego, CA)
    …skill and understanding of the point of sale and on-line pharmacy claims processing environment + Excellent oral, written and interpersonal communication ... and schedule trips in accordance to Prime's travel and expense policy + Analyze pharmacy claims to identify those at the highest risk for error; leverage audit… more
    Prime Therapeutics (06/28/25)
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  • Bi-lingual Pharmacy Tech Support Call Center Rep…

    IQVIA (San Francisco, CA)
    …+ Call center experience required (3+ years preferred) + Experience in medical claim processing is a plus + Bi-lingual (English/Spanish) **The pay range ... we are looking for a 100% remote (work from home -WFH) contract **Pharmacy Support Call Center Representative** to join...improve patient outcomes and population health worldwide. Learn more at https://jobs.iqvia.com IQVIA is proud to be an equal… more
    IQVIA (06/19/25)
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  • National Service Officer

    Wounded Warrior Project (San Diego, CA)
    …during active duty military service. The NSO guides and manages the preparation and processing of all claims and subsequent appeals through the Department of ... and embark on a career with meaning and purpose. At WWP (TM) , we recognize our mission cannot...(three days in the office, two days' work from home ) . Full medical, dental, and vision coverage for… more
    Wounded Warrior Project (08/08/25)
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  • Exempt to Permanent - Program Specialist…

    City and County of San Francisco (San Francisco, CA)
    …looks like in action. The 2913 Program Specialist is used by In- Home Supportive Services (IHSS), County Adult Assistance Program (CAAP), CalWORKs, Workforce ... to the general duties above: + Detects, investigates, and prevents fraudulent claims for public assistance to avoid welfare fraud and other financial crimes.… more
    City and County of San Francisco (08/26/25)
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  • Senior Process Improvement Professional

    Humana (Sacramento, CA)
    …Qualifications** + Minimum 1 year of experience medical claims payment and processing in a medical claim 's environment + Experience creating pivot tables and ... governing health care industries or related adjacent industries **Additional Information** **Work- At - Home Requirements:** + WAH requirements: Must have the… more
    Humana (08/27/25)
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