- Travelers Insurance Company (West Hollywood, CA)
- …is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim ... and execution of the following core assignments: + Handles 1st party property claims of moderate severity and complexity as assigned. + Establishes accurate scope of… more
- The County of Los Angeles (Los Angeles, CA)
- …the County of Los Angeles in the defense of workers' compensation claims before the California Workers' Compensation Board, the California Court of Appeals ... firms that represent County of Los Angeles in defense of workers' compensation claims . Approves contract law firms request for payment of attorney fees. Drafts… more
- Towne Park (Los Angeles, CA)
- …the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover + Manages scheduling, overtime for associates ... have been adequately trained in safety and loss prevention procedures + Ensures claims are reported timely and accurately and cooperates with the Risk Management… more
- Ventura County (Ventura, CA)
- …(III, IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, ... incumbents perform program administrative duties to assure that all claims are billed timely. WHAT WE OFFER The County...denial codes transmitted to providers for potential reimbursement on claims ; + Provides information to payors and ensures that… more
- Robert Half Accountemps (Lynwood, CA)
- …may be available. Key Responsibilities: + Submit and process medical claims accurately to Medi-Cal, commercial insurance, government payers, and other third-party ... Manage denials and appeals, researching root causes, documenting issues, and resubmitting claims as needed. + Collaborate with payers and providers to resolve… more
- Walmart (Yuba City, CA)
- …Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures ... Determines training needs Develops and delivers training as needed Manages claims and receiving operations by ensuring proper policies and procedures are… more
- Zurich NA (Los Angeles, CA)
- …work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...and 4 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of line/s… more
- Sedgwick (Rancho Cucamonga, CA)
- …+ This role will be primarily responsible for **_Large Complex Property_** claims . **PRIMARY PURPOSE** **:** To investigate losses or claims internationally ... be negotiated. + Attends litigation hearings. + Revises case reserves in assigned claims files to cover probably costs. + Prepares loss experience reports to help… more
- NTT DATA North America (San Francisco, CA)
- …benefits, provider contracts, pricing, accumulators, authorization rules, and claims processing. -Collaborate with configuration analysts, business analysts, and ... test scripts for functional, regression, and integration testing. -Create test data using Claims test Pro, testing tool created by Cognizant. -Identify test data and… more
- Molina Healthcare (San Diego, CA)
- …Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of ... healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and action plans. + Translates strategic needs into… more