- Allied Universal (Irvine, CA)
- …assistance programs, company discounts, perks, and more. Allied Universal(R) is hiring a Senior Benefits Specialist . The Senior Benefits Specialist ... for all insurance carriers and third-party administrators for employee eligibility, claim and plan coverage inquiries, providing accurate and timely responses.… more
- Herbalife (Torrance, CA)
- …with the vertical team leads and other Specialists in the department, the Senior Specialist will ensure measurable progress is made on products scheduled ... Senior Product Marketing Specialist Category: Marketing...with various team members contributing to line extensions, reformulations, claim updates, packaging upgrades, etc. * Gathers and synthesizes… more
- CVS Health (Sacramento, CA)
- …do it all with heart, each and every day. **Position Summary** The ** Senior Accounts Receivable Specialist ** prepares accounting and financial records and ... in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim ...fee claims for ancillary product offerings via claim system. **Required Qualifications** + 2+ years of experience… more
- Sedgwick (San Francisco, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Estimate Review Specialist **PRIMARY PURPOSE** **:** To review all ... services. + Monitors, assists, tracks, and provides approval for all claims that are re-inspected by the Carrier. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES**… more
- CVS Health (Sacramento, CA)
- …measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost ... both routine and non-routine business support tasks for the Sr Quality Specialist area under limited supervision, referring deviations from standard practices to… more
- Banc of California (Santa Ana, CA)
- …mechanisms comply with standard industry practices, regulatory guidelines, and senior management's recommendations and/or directions. Performs all duties in ... (ACH) transactions, Large on-us & Unusual items, Stop payment, ATM/Mobile/RDC Deposits, Check Claims , Fraud alerts for Wire, ACH & Debit Card, Wire Transfer. +… more
- CVS Health (Sacramento, CA)
- …handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- CVS Health (Sacramento, CA)
- …Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. Process provider ... amount level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine coverage, complete… more
- The County of Los Angeles (Los Angeles, CA)
- …Board Specialist Management Assistant Operation Assistant Personnel Assistant Senior Board Specialist Senior Departmental Personnel Assistant ... County's Class of Staff Assistant I**, Administrative Assistant I , or Senior Departmental Personnel Assistant analyzing and making recommendations for the solution… more
- Dignity Health (Bakersfield, CA)
- **Responsibilities** The Claims Research Specialist will oversee and manage research efforts related to claims overpayments, underpayments, and billing ... for all claim types - Perform an analysis of the claims processing by reviewing contract, system configuration, benefits, financial risk (DOFRs), and manual… more