- Allied Universal (Los Angeles, CA)
- **Company Overview:** Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim … more
- GuideOne Insurance (San Francisco, CA)
- …letters, disclaimers of coverage and reservation of rights letters. + Maintains effective claim file documentation and diary system . Monitor diary to achieve ... is responsible for managing moderate to complex workers' compensation claims from initial investigation through resolution. Key responsibilities include conducting… more
- Sedgwick (West Hills, CA)
- … claim status through phone calls, written correspondence, and system updates.** **Engages with healthcare providers to establish expectations for return-to-work ... consistent and transparent communication with claimants and clients throughout the claims process via phone, written updates, and system documentation.**… 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
- Ventura County (Ventura, CA)
- …extensive analysis and research through the use of multiple electronic health record (EHR) systems such as Cerner, HURON, and/or Claim Source to follow up on ... Care and Commercial Insurance billing + Experience with multiple electronic health record (EHR) systems , such as Cerner, HURON, and/or Claim Source to follow up… more
- Sedgwick (West Hills, CA)
- …payment information and claims status by phone, written correspondence and/or claims system . + Communicates with the claimants' providers to set expectations ... aspects of claims process by phone, written correspondence and/or claims system . + Coordinates investigative efforts ensuring appropriateness; provides… more
- Sedgwick (San Diego, CA)
- …+ Receive and review new claims and maintain data integrity in the claims system . + Conduct claim file activities including evaluations, investigations, ... your adjuster knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...+ Prepare settlement documents and requests payment for the claim and expenses. + Work with external vendors and… more
- Robert Half Office Team (Sacramento, CA)
- …images to the appropriate claim numbers by cross-referencing relevant details in the claims management system . * Input detailed summaries into the claims ... to detail and accuracy in handling sensitive information. * Proficiency in using claims management systems and document indexing tools. * Strong investigative… more
- Highmark Health (Sacramento, CA)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... performs business analysis tasks by supporting stakeholders of a specific system application(s), handling user inquiries/issues, and enhancements to the system… more
- Walmart (Perris, CA)
- …data on system and network related issues Respond to and resolve critical systems issues eg system or hardware down respond and follow up on urgent ... to internal and external customer calls related to orders claims damages billing issues etc by researching and resolving...pass down reports billing user access coding filing etc Systems OperationsData Processing Maintains operation of system … more