- Travelers Insurance Company (Diamond Bar, CA)
- …appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims ... expertise to assist in the resolution of highly complex claims . Mentor other Claim Professionals + Participate...Respond to inquiries - verbal and written. Keep injured worker apprised of claim status + Act… more
- Sutter Health (Burlingame, CA)
- …care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and… more
- Sutter Health (Modesto, CA)
- …care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and… more
- Sutter Health (Modesto, CA)
- …care patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and… more
- The County of Los Angeles (Los Angeles, CA)
- YOUTH WORKER , CHILDREN'S SERVICES Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4652450) Apply YOUTH WORKER , CHILDREN'S SERVICES Salary ... all desk/cabinet keys, sorts and provides them to the manager . + Generates cubicle labels with numbers and directional...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
- Dignity Health (San Bernardino, CA)
- …administrator. + Initiate and oversee timely investigations for all work-related injury claims , including Root Cause Analysis. + Monitor claim progress, ensuring ... providers, and our third-party administrator. You will guide the claims process from start to finish-investigating work-related injuries, managing...+ Two (2) years of recent experience as a Worker 's Compensation Case Manager in a healthcare… more
- City and County of San Francisco (San Francisco, CA)
- …and notifications to staff with high volume calls, increased wait times, and worker phone assignments. + Works with manager and/or Benefits Center Coordinator ... to the general duties above: + Detects, investigates, and prevents fraudulent claims for public assistance to avoid welfare fraud and other financial crimes.… more
- Towne Park (Los Angeles, CA)
- …(http://www.townepark.com/wp-content/uploads/2023/06/CCPA-CPRA-Notice-at-Collection-Applicants\_Towne-Park-Careers.pdf) . The Account Manager directly oversees one ... may be subject to a specific plan or program terms. **JOB SUMMARY** The Account Manager directly oversees one Tier 1 or 2 Towne Park account and is responsible for… more
- The County of Los Angeles (Los Angeles, CA)
- MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659662) Apply MENTAL ... HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Salary $132,439.68 -...valid, current license to practice as a clinical social worker , marriage and family therapist, psychologist, or registered nurse… 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...history, and/or referrals, and submit recommended audit plan to manager for approval; finalize onsite audit plans and schedule… more