- Cognizant (Sacramento, CA)
- …satisfaction. **Responsibilities:** Reviewing available Appeals & Grievances for the pending claims to verify due process was followed. Determine if the appeal ... or Grievance is legitimate. A strong understanding of Claims , Appeals and Medical Benefits. Referring suspicious or complicated Claims to investigators.… more
- AAA Northern California, Nevada & Utah (Walnut Creek, CA)
- …track and log all documentation received from vendors for Leave, ADA & WC Claims . Provide Team Members with necessary communication to explain the process under the ... Partners with the third party administrators, to ensure that all leaves/WC claims are accurately administered, coordinates the ADA process; verifies eligibility and… more
- J&J Family of Companies (Irvine, CA)
- …for executing product positioning, product management, and utilizing clinical data and claims to support marketing efforts for all US Surgical Vision product ... with Med Affairs, R&D and Professional Engagement to implement clinical data and claims to support product positioning and marketing efforts, ensuring that claims… more
- TEKsystems (Mission Hills, CA)
- …accurate information and resolution support related to RMG services, including claims processing and eligibility verification. Key Responsibilities: + Respond to a ... and processes, particularly those related to eligibility, provider availability, and claims . + Provide claim status updates and basic information for externally… more
- The County of Los Angeles (Los Angeles, CA)
- …operating statements, final accounting for construction and other projects, and claims for reimbursement from other government agencies or private contractors. + ... Evaluates and reconciles complex operating systems for cost reporting and claims processing reimbursements from other government agencies. + Prepares balance sheets,… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- Sharecare (Sacramento, CA)
- …eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, ... resolution with providers, payers or 3rd parties for: + Claims adjustments + Grievances and appeals submissions + Utilization...experience in healthcare, preferably helping members navigate benefits and claims , OR held one or more of the following… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- The County of Los Angeles (Los Angeles, CA)
- …inbox, which saves a copy of MOST notices. Los Angeles County will not consider claims of not viewing or receiving notification to be a valid reason for late test ... as spam/junk/clutter mail. Los Angeles County will not consider claims of not viewing or receiving notifications to be...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be… more