- Travelers Insurance Company (Gardena, CA)
- …claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim resolution for personal or business claims of moderate ... **What Will You Do?** + Handles 1st party property claims of moderate severity and complexity as assigned. +...in accordance with the Knowledge Guides. + Maintains diary system , capturing all required data and documents claim… more
- Travelers Insurance Company (Diamond Bar, CA)
- …negotiating and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...quality standards and trend analysis. + Utilizes diary management system to ensure that all claims are… more
- Travelers Insurance Company (Diamond Bar, CA)
- …negotiating and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim ... records and damages documentation. + Keeps effective diary management system to ensure that all claims are...and control legal expenses Assures appropriate resolution. + Maintains claim files, have an effective diary system ,… more
- Travelers Insurance Company (Alhambra, CA)
- …standards and expectations in accordance with the Knowledge Guides. + Maintains diary system , capturing all required data and documents claim file activities in ... 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
- Travelers Insurance Company (Diamond Bar, CA)
- …for quality claim handling including investigating, evaluating, negotiating, and resolving claims on losses of lesser value and complexity and provide claim ... if a claim is compensable under Workers Compensation including evaluating claims for potential fraud. + Achieve a positive result by returning an injured… more
- CVS Health (Sacramento, CA)
- …day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject ... customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority… more
- Travelers Insurance Company (Riverside, CA)
- … claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim resolution for personal or business claims of high severity ... **What Will You Do?** + Handles 1st party property claims of high severity and complexity as assigned. +...in accordance with the Knowledge Guides. + Maintains diary system , capturing all required data and documents claim… more
- Lincoln Financial (Sacramento, CA)
- …and applying knowledge. You will analyze and manage a caseload of appeals claims . You will review, investigate, and make claim determinations regarding coverage, ... to Claims management & teams regarding products, claims processes, regulations, and applicable systems for...& obtaining a wide range of complex information. Apply claim policies & procedures and engages intervention of internal/external… more
- Prime Healthcare (Ontario, CA)
- Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 ... annually. It is one of the nation's leading health systems with nearly 57,000 employees and physicians. Eighteen of...Ontario, California. TheVice President of Health Plan Operations and Claims is responsible for the development and execution of… more
- Cognizant (Sacramento, CA)
- …**In this role, you will:** * Be Responsible for reviewing the data in the claim processing system and comparing with corresponding UB or HCFA paper or EDI ... - 4:30pm ET **Experience:** A minimum of 1 years claims processing is required. **Travel:** None required **About the...and criteria have been met. * Responsible for reviewing claim and line-item edits and warning messages for determination… more
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