- Travelers Insurance Company (Sacramento, CA)
- …Provide quality claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims ... of some of the Company's severe and complex liability claims by providing claim handling guidance, recommendations...make independent decisions up to $1,000,000 without involvement of supervisor . + Competencies: + Leading the Business - Drive… more
- Sedgwick (Los Angeles, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Medical Malpractice | Professional Liability | California **PRIMARY ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… 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 ... claim submissions and timely reimbursement. Completes special PB claims related projects as assigned. These projects could include...**Req ID** : 13216 **Working Title** : Revenue Cycle Specialist III (PB Claims ) **Department** : CSRC… 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...during the Quality Review Process, communicating findings to Loss Specialist for remediation. Ensure Loss Specialist provides… more
- Sedgwick (West Hills, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance LTD Case Specialist (Hourly) **PRIMARY PURPOSE** **:** To analyze claims and determine ... Supervisor , LTD Manager, or Project Manager. + Negotiates settlement of appropriate claims within designated authority level. + Makes claim payments and… more
- The County of Los Angeles (Los Angeles, CA)
- Program Specialist III, CEO - Workers' Compensation Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/5097980) Apply Program Specialist III, ... The Opportunity We are pursuing qualified candidates to fill Program Specialist III, CEO positions within the Chief Executive Office's Workers' Compensation… more
- Guidehouse (San Marcos, CA)
- …Required** **:** None **What You Will Do** **:** The **Cash Applications Specialist ** - Under general supervision and according to established policies and ... two business days it should be given to the Supervisor for follow up. + Research payments posted to...location to refund. + Verify with the Lead or Supervisor before putting payments on an unapplied invoice. +… more
- Cedars-Sinai (Los Angeles, CA)
- …in other revenue cycle functions and provide back-up coverage. This Revenue Cycle Specialist II is responsible for Medicare Claim Edits and employee work ... Financial Services, performing duties which may include reviewing and resubmitting claims to third party payors, performing account follow-up activities, updating… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, ... purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider complaints and… more
- Cedars-Sinai (Torrance, CA)
- …collections support, performing duties which may include reviewing and submitting claims to third party payors, performing account follow-up activities, updating ... may act in the absence of the lead and/or supervisor . This position may be cross-trained in other revenue...aids and processes for unit. Applies "TCR" Touch It, Claim It, Resolve It. + Adheres to documentation standards… more