- Inland Empire Health Plan (Vallejo, CA)
- …human spirit" and to pivot from a "job" opportunity to an authentic experience!The Supervisor , Claims Processing - Medi-Cal provides daily oversight of claims ... the entire claim life cycle to ensure timely processing of claims based on regulatory and contractual compliance requirements.3. Oversight of all aspects of… more
- Inland Empire Health Plan (Rancho Cucamonga, CA)
- …pivot from a "job" opportunity to an authentic experience!Under the direction of the Claims Oversight Supervisor , the Internal Claims Oversight Auditor is ... responsible for ensuring the compliance of IEHP's claims payment system and processes by auditing ... claims payment system and processes by auditing claim payments using standard principles and State and Federal… more
- Sedgwick (Brea, CA)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead ( Supervisor ) - Workers Compensation...claim status; and provides written resumes of specific claims as requested by client. + Assures that direct… more
- Sedgwick (Concord, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...coding is correct. + Refers cases as appropriate to supervisor and management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- Crawford & Company (Brea, CA)
- …FROM HOME CAREER OPPORTUNITY! + Seeking candidates with experience managing CA WC claims ! + SIP is a requirement! + Bonus Opportunities! + Multiple Employee ... Discounts! Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established authority on… more
- Sedgwick (Los Angeles, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors others.… more
- Sedgwick (Sacramento, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Vontier (Sacramento, CA)
- Leading the Claims team the Supervisor , Claims is responsible for managing a team of Service Account Managers, overseeing the relationships with service ... ensuring the efficient and effective management of service requests. The Supervisor , Claims will play a critical role in driving operational excellence,… more
- Sedgwick (Long Beach, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...coding is correct. + Refers cases as appropriate to supervisor and management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- Crawford & Company (Brea, CA)
- Excellence In Everything We Touch We are always searching for Workers Compensation Claim Examiners in the California region to join our awesome team! The purpose of ... is not a job post. Position Summary Administers and resolves non-complex short term claims of low monetary amounts, including medical only claims . Documents and… more
