- Cedars-Sinai (CA)
- … claims required. Three (3) years of experience on an automated claims processing system (Epic Tapestry preferred) preferred. **About Us** Cedars-Sinai is ... **Job Description** The Claims Examiner is responsible for accurately and consistently...scanned, EDI, or manual documents for pertinent data on claim for complete and accurate information. + Acquires daily… more
- Guidehouse (San Marcos, CA)
- …Reconciliation **Duties and Responsibilities** + Performs daily download and reconciliation of claims from patient accounting system to electronic billing ... system . + Transmits or releases claims at a minimum daily. + Works all assigned claims daily by resolving edits, validating claim , or placing on… more
- ADP (San Dimas, CA)
- …state-of--the art predictive modeling, and metrics, data analytic tools and HRIS and claims systems . + Requires comprehensive knowledge of CA and western region ... ADP is hiring a ** Claims Lead Examiner** . **_RESPONSIBILITIES:_** + Assist ...department and company goals. + Monitor and ensure qualitative claim handling through TPA and other vendor partners. +… more
- Humana (Sacramento, CA)
- …part of our caring community and help us put health first** The Bilingual Claims Research & Resolution Representative 2 manages claims operations that involve ... customer contact, investigation, and resolution of claims or claims -related financial issues. The position...skills with the ability to work across multiple software systems + Self-reliance with the ability to resolve issues… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Quality Specialist is responsible for ensuring the accuracy and quality of claims processing within a managed ... care service organization. This role involves auditing claims , identifying errors, and implementing corrective actions to improve overall claims accuracy and… more
- ICW Group (CA)
- …and adopting the industry's best practices. + Ensures accuracy of data in claims system for compliance with applicable regulatory reporting. + Provides knowledge ... to be here! **PURPOSE OF THE JOB** The Senior Claims Examiner handles moderate to complex claims ...urgency, understands insurance coverage concepts, and navigates the legal system with the support of counsel to drive strategic… more
- Philadelphia Insurance Companies (Roseville, CA)
- …member of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Supervisor II - Commercial Auto - BI to join our team. Summary: + Supervises claims ... technical support staff to manage the day-to-day handling and settlement of claims , the processing and tracking of documents, making payments, tracking trends and… more
- Sedgwick (El Dorado Hills, CA)
- …Dorado Hills office. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Sets up and enters new claims into claims management system . + Inputs and reviews ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Assistant - El Dorado Hills, CA On-Site Are...notes/diaries in claims management system as instructed. + Processes payments. + Processes mail;… more
- Sedgwick (El Dorado Hills, CA)
- …Dorado Hills office. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE:** + Sets up and enters new claims into claims management system . + Inputs and reviews ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Assistant - El Dorado Hills, CA On-Site Are...notes/diaries in claims management system as instructed. + Processes payments. + Processes mail;… more
- Elevance Health (Los Angeles, CA)
- **Director II, Digital Claims Operations (Dir II Digital Ops)** Location: This role requires associates to be in-office **3 days per week** , fostering collaboration ... within a commutable distance from an office._ The **Director II, Digital Claims Operations** oversees a combined digital and operations unit(s); executes strategies… more