• Senior Quality Analyst, Claims *Remote

    Providence (CA)
    …propose opportunity solutions and success replication. Propose monthly audit focus topics to claims leaders based on trending analysis. Review claim files from a ... must empower them.** **Providence St Joseph Health operates a self-administered claims program for General and Healthcare Professional Liability, Directors and… more
    Providence (08/01/25)
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  • Claims Examiner

    Kelly Services (Brea, CA)
    …your lifestyle isn't always easy. That's where we come in.** We're seeking a ** Claims Examiner - Workers' Compensation** to support a leading provider of ... your life. **Why you should apply to be a Claims Examiner - Workers' Compensation:** + Opportunity to work...benefits due + Assigning and adjusting reserves; authorizing timely claim payments + Negotiating settlements within designated authority +… more
    Kelly Services (08/08/25)
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  • Industry Advancement Program | Workers…

    Sedgwick (Roseville, CA)
    claims of minimal disability duration under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim ... in Financial Services & Insurance Industry Advancement Program | Workers Compensation Claims Representative Trainee | San Diego, CA or Roseville, CA (In-Office) Are… more
    Sedgwick (08/20/25)
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  • Industry Advancement Program | Workers…

    Sedgwick (Concord, CA)
    claims of minimal disability duration under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim ... Services & Insurance Industry Advancement Program | Workers Compensation Claims Representative Trainee | Concord, CA (In-office) Industry Advancement Program… more
    Sedgwick (08/13/25)
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  • Sr. Corporate Claims Specialist

    Golden State Foods (Irvine, CA)
    …+ Support Assistant General Counsel on complex and litigated claims + Reviews potential causes of accidents, injuries, and/or loss; recommends preventive ... measures and plans to support GSF's safety culture and to prevent accidents and...claims processing and mitigate loss + Manage quarterly claim review with Third Party Administrators (TPA) through selection… more
    Golden State Foods (06/07/25)
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  • Medical Claims Examiner (Fully Remote…

    TEKsystems (Fresno, CA)
    Job Title: Claims Examiner Location: Fresno, CA (On-site training required; 100% remote after training) Overview Our client is seeking a Claims Examiner to join ... growing team. This role is ideal for someone with a strong background in claims processing, attention to detail, and a commitment to quality assurance. The position… more
    TEKsystems (08/21/25)
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  • Medical Claims Adjudication - remote

    Cognizant (Sacramento, CA)
    …professional and hospital claims utilizing payer specific policies and procedures. Provide support to claims and client issues related to claims ... to multi-task successfully? If so, please apply today! The Claims Processor, you will ensure accurate and timely adjudication...stakeholders and other teams. **Primary Responsibilities** : + Review claim system data and verify against UB or HCFA… more
    Cognizant (08/01/25)
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  • Sr. Professional Liability Medical Claims

    Providence (CA)
    …empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional, general, ... and other liability claims under the PSJH Insurance Program:** + Communicate with...for each matter:** + Develop and document for each claim or lawsuit a plan of action for resolution… more
    Providence (07/15/25)
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  • Claims Substantiation Lead

    Unilever (El Segundo, CA)
    …Sales Teams. + Develop a partnership with Marketing and Sales teams to creatively design claims to support business needs while always being backed by science. + ... in a cross-functional teamenvironment, serving as a recognized technical expert. + Support QA team with ingredient claim substantiation reviews andcompetitive ad… more
    Unilever (08/01/25)
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  • Pharmacy Claims Auditor CPhT

    Conduent (Los Angeles, CA)
    …our client's pharmacy claim data. This is to ensure billed pharmacy claims are being accurately submitted. You will also be required to represent our clients ... part of a culture where individuality is noticed and valued every day. **Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification?** **Would you like to… more
    Conduent (06/21/25)
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