- Sedgwick (West Hills, 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
- Sedgwick (Roseville, 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
- 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 ... 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
- Sedgwick (West Hills, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim recoveries, including but… more
- Cedars-Sinai (Los Angeles, CA)
- …arise. **Department specific responsibilities include:** Analyzes, trends, reports out, and resolves pended claims in PB Claim Edit WQs and PB Payer Rejection ... may act in the absence of the lead and/or supervisor . This position may be cross trained in other...claim submissions and timely reimbursement. Completes special PB claims related projects as assigned. These projects could include… more
- Sedgwick (Sacramento, CA)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - General Liability | Remote (Evergreen)...claim status; and provides written resumes of specific claims as requested by client. + Assures that direct… more
- Sedgwick (Sacramento, CA)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. + High School Diploma or GED required. ... claim activities. Offers technical and jurisdictional guidance on claims adjudication and maintains regular diaries, especially for complex or high-exposure… more
- Guidehouse (San Marcos, CA)
- …+ Transmits or releases claims at a minimum daily. + Works all assigned claims daily by resolving edits, validating claim , or placing on departmental hold by ... billing, and payer audit follow-up for government and non-government claims . Must work with other departments to facilitate the...denials for trends and issues and reports finding to supervisor . + Bills or re-bills as necessary. + Ensures… more
- Carrington (Anaheim, CA)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses ... advances once the GSE or Government Mortgage Insured "expense" claim has been paid. + Confirm all prior tasking...manual processes and activities. + Keep Team Lead and Supervisor informed of all trends and problems including, but… more
- US Tech Solutions (Whittier, CA)
- …**Next Start date: Immediately** **Contract length: 3 months** **POSITION SUMMARY** The Claims Auditor assists in the Claims Department by analyzing procedures, ... policies and reports; ensures appropriate payment of claims and maintenance of the claims system...with anyone other than the person involved or the supervisor . Customer issues and ideas are listened to and… more