- Sedgwick (Rancho Cordova, CA)
- …the client program. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Sets up and enters new claims into claims management system . + Inputs and reviews ... Best Workplaces in Financial Services & Insurance Workers Compensation Claim Assistant | Rancho Cordova (Entry Level) **ARE YOU...notes/diaries in claims management system as instructed. + Processes payments. + Processes mail;… more
- HUB International (Sacramento, CA)
- …with carrier claims department within 24 hours of reporting of all new claims to identify claim number and ensure adjuster assigned to loss. * Regular ... incoming and outgoing claims documentation. * Assisting Claims Team members in preparation of claim ...and organized claim files by appropriately documenting claim statuses; updates all HUB computer systems … more
- Dignity Health (Bakersfield, CA)
- …for all claim types - Perform an analysis of the claims processing by reviewing contract, system configuration, benefits, financial risk (DOFRs), ... manual adjudication to identify the cause of the erroneous claim payment - Responsible to ask clarifying questions from...issues. - Participate in the development and enhancement of claims processing systems and tools. - Recommend… 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 ... clean claim submissions and timely reimbursement. Completes special PB claims related projects as assigned. These projects could include trending issues to… more
- University of Southern California (Los Angeles, CA)
- … Claims Examiner to join our team! The Opportunity: The Senior Claims Examiner conducts, documents, and/or coordinates insurance claim management to the ... + Conducts financial lines, automotive, general liability, and other lines of insurance claims management, and performs claim research as assigned. Engages with… more
- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** Under the direction of the Director, Claims & Litigation Strategy, the Claims Manager is primarily responsible for ... handling Employment Practices Liability (EPL) claims for Stanford Health Care, Stanford Health Care Tri-Valley, and Stanford Children's Health. Claims include… more
- Stanford Health Care (Palo Alto, CA)
- …procedures and the applicable service agreement. Review reserves, settlement activity, and claims costs. Participate in periodic claim reviews and provide ... Health Care job.** **A Brief Overview** Under the direction of the Director, Claims & Litigation Strategy, the Claims Manager oversees the workers' compensation… more
- HUB International (Sacramento, CA)
- …working knowledge of policy coverage in its application to property & casualty claims . + Maintains accurate and organized claim files by appropriately ... and the carrier regarding property & casualty issues including claim reviews and ongoing claim issues. Monitors...courses. + Responsible for accessing and utilization of all claims related carrier on- line systems . +… 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
- ICW Group (Sacramento, CA)
- …technical claims management, and support functions with organizational goals for claims performance. + Drive initiatives that improve claim outcomes through ... trends related to legal/medical providers or other external constituencies. + Analyze operational/ system issues and claims exposures, as applicable, to submit to… more