- Axis (Los Angeles, CA)
- …upon request for candidates taking part in the selection process. **Senior Claims Specialist - Management Liability (Hybrid)** **About AXIS** This is your ... social and environmental causes **Job Description** AXIS is seeking a **_Senior Claims Specialist - Management Liability_** to join our North America Claims… more
- Highmark Health (Sacramento, CA)
- …errors and/or performing quality control review and final adjudication of paper/electronic claims . Determines whether to return, deny or pay claims following ... claims and inquiries to determine corrective action including adjusting claims as necessary and takes the corrective action steps using enrollment, benefit… more
- Adecco US, Inc. (San Diego, CA)
- **Adecco is currently assisting a Client in their search to fill Claims Examiner positions located in San Diego, CA (Remote)** **Description:** **Min 3 years of ... experience with CA claims mandatory.** **PRIMARY PURPOSE:** To analyze complex or technically...PURPOSE:** To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high… more
- Providence (CA)
- **Description** ** Claims Manager** **_Remote. Candidates residing in AK, WA, MT, OR, CA or TX are encouraged to apply._** The Claims Manager is responsible for ... day-to-day oversight of general and professional liability claims in accordance with the System's claims ...liability claims in accordance with the System's claims program policies and procedures and within an assigned… more
- Dignity Health (Bakersfield, CA)
- **Responsibilities** The Claims Research Specialist will oversee and manage research efforts related to claims overpayments, underpayments, and billing issues ... and working collaboratively with providers and internal departments to enhance claims processes and improve financial outcomes. **Essential Functions:** - To… more
- Providence (CA)
- …empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional, general, ... and other liability claims under the PSJH Insurance Program:** + Communicate with...review + Develop a plan of action for assigned claims and update the claims file following… more
- Adecco US, Inc. (Roseville, CA)
- Adecco is assisting a local client recruiting for Claims Examiner opportunities in Roseville, CA (ONSITE OR REMOTE) This is an excellent opportunity to join a ... that offers significant opportunity for learning, growth, and career advancement. If Claims Examiner sounds like something you would be interested in, and you… more
- Sedgwick (Sacramento, CA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Workers Compensation - Telecommute CA Are you looking for an ... PURPOSE OF THE ROLE** **:** To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims … more
- Molina Healthcare (Long Beach, CA)
- **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of claims ... **KNOWLEDGE/SKILLS/ABILITIES** + Meets and consistently maintains production standards for Claims Adjudication. + Supports all department initiatives in improving… more
- Molina Healthcare (Long Beach, CA)
- **Job Description** **Job Summary** The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims , coordinating, ... investigates and confirms the appropriate resolution of claims issues. This role will require actively researching issues to adjudicate claims Requires knowledge… more
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