- Travelers Insurance Company (Irvine, CA)
- …of commercial lines products, policy language, exclusions, ISO forms, and effective claims handling practices. + Claim management experience preferred. **What is ... Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is… more
- Kemper (Cerritos, CA)
- …is responsible for performance, development, coaching and also provides guidance and support to ensure timely, accurate, efficient claim processing and ... and settling claims in compliance with Kemper Claims Standards. + Responsible for oversight of claim... Claims Standards. + Responsible for oversight of claim files (non-litigated or litigated) within aligned unit to… more
- Cedars-Sinai (CA)
- …arise. **Department specific responsibilities include:** Analyzes, trends, reports out, and resolves pended claims in PB Claim Edit WQs and PB Payer Rejection ... clean claim submissions and timely reimbursement. Completes special PB claims related projects as assigned. These projects could include trending issues to… more
- Cedars-Sinai (Los Angeles, CA)
- …+ Maintaining interim claim billing profile. + Generate regular reports on claims status, rejections, and payments for partners. + Address inquiries and provide ... sent to the clearinghouse, including resolution of discrepancies in claim submissions. + Ensure accurate data submission and resolve...support regarding claims processing and clearinghouse operations.… more
- Sedgwick (West Hills, CA)
- …as suggested by the claim status; and provides written resumes of specific claims as requested by client. + Assures that direct reports are properly licensed in ... operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor… more
- The Hartford (San Francisco, CA)
- …execute the investigation, valuation, disposition and settlement of large Commercial property claims in a manner consistent with corporate claim settlement ... value or 3+ years experience as a full file Claim Adjuster managing moderately severe commercial property claims...internet service is required, we do not recommend or support DSL, wireless, Wifi, Hotspots, Fiber without a modem… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …and risk partners to identify and recommend risk management approaches for CHLA Claims Management * Overseeing and optimizing claim investigation, reserving and ... is directly accountable for contributing to audit functions, business continuity, claims management, insurance, physical security, integrated risk management and all… more
- Sedgwick (Sacramento, CA)
- …and professional needs **PRIMARY PURPOSE OF THE ROLE:** To provide analysis and legal support to the litigation and claims management team. To be responsible for ... Fortune Best Workplaces in Financial Services & Insurance Legal Support Specialist | Hybrid | Sacramento, CA Are you...maintaining and updating client claim files, litigation management reports, client correspondence, client loss… more
- Prime Therapeutics (San Diego, CA)
- …pharmacy audits and is responsible for the selection and auditing of claims , educating Prime's network pharmacies and driving contract compliance, and supporting ... downstream claim corrections to eliminate potential waste. **Responsibilities** + Evaluate...to Prime's travel and expense policy + Analyze pharmacy claims to identify those at the highest risk for… more
- USAA (Los Angeles, CA)
- …accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge ... and framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will confirm and analyzes… more