- Philadelphia Insurance Companies (Roseville, CA)
- …engaging training to Claim Division staff on best practices, good faith claims handling, and relevant developments in the law to promote effective and compliant ... 50 and rated A++ by AM Best. Position Overview Claim Counsel will provide legal counsel and strategic guidance...and strategic guidance regarding commercial property and casualty insurance claims . Reporting to VP of Claims &… more
- Providence (CA)
- …Review and approve statements for services and take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims and claims with ... 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
- Zurich NA (Sacramento, CA)
- …- Complex Construction 126105 Zurich North America is seeking a skilled and experienced Senior Claims Specialist to join our Complex Liability Claims team. ... outcomes. + Ensure regular communication with clients, brokers, business units, and senior claims management. + Proactively manage and resolve high-severity… more
- Kemper (Chatsworth, CA)
- …complex to claims to conclusion. This role will have advanced claim handling skills and demonstrate high quality results. This position necessitates strong ... a cohesive team. **Position Responsibilities** : + Primarily handles claims with a high complexity and large injury severity....high complexity and large injury severity. + Review each claim to ensure that all coverage and exposures issues… more
- Sedgwick (Roseville, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Liability Claims Examiner | Must Reside in CA Must Reside in ... resolution to appropriate parties. + Responsible for litigation process on litigated claims and follow defense counsel guidelines and service expectations + Responds… more
- US Tech Solutions (Whittier, CA)
- …UB-92 and HCFA-1500 forms + Understanding of provider contracts, Medi-Cal, commercial, and senior plan claims + Strong knowledge of timeliness, payment accuracy, ... 3+ months contract** **Responsibilities:** + Review, adjudicate, and process medical claims for HMO patients + Work closely with affiliated medical groups… more
- AON (San Francisco, CA)
- …United fashion to cross-sell Cyber Solutions products and services + Optimally use the claims and legal advocacy group for claim administration and counsel to ... Senior Vice President/Broker III, Cyber Broking Are you...Cyber Solutions products and services + Optimally use the claims and legal advocacy group for claim … more
- Insight Global (Burbank, CA)
- … Senior Participant Service Specialist/Analyst will process health insurance claims and answers calls from the customer (participant, providers, physicians, ... hospitals etc.) Adhere to eligibility, claims and call policies and procedures... and call policies and procedures while making sound claim /call decisions. Foster strong relationships through the resolution of… more
- Movn Health (CA)
- Role Summary Movn Health is seeking a highly experienced Senior Medical Biller & A/R Specialist to take full ownership of claims processing and accounts ... receivable recovery. This is a hands-on, senior -level role focused on accelerating cash flow, reducing outstanding...self-starter with a proven track record in A/R recovery, claim appeals, and payer follow-ups. Experience in startup environments… more
- Elevance Health (Los Angeles, CA)
- **Investigator Senior ** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days per week, ... recover, eliminate and prevent unnecessary medical-expense spending. The **Investigator Senior ** is responsible for the independent identification, investigation and… more