- 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 (Roseville, 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 (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
- 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
- Interior, Bureau of Indian Affairs (Sacramento, CA)
- …skill of the Social Services Program to beneficiaries; serve as a case manager of assigned cases; maintains a formalized case management system which documents the ... MUST provide transcripts or other documentation to support your educational claims . Unless otherwise stated: (1) official or unofficial transcripts are acceptable,… 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
- Sedgwick (Sacramento, CA)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker , attorney and supervisor. + Identifies ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured … more
- Towne Park (San Jose, 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
- 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