- 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
- 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
- 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
- ICW Group (Pleasanton, CA)
- …why you want to be here! **PURPOSE OF THE JOB** The Senior Manager Major Claims Unit (MCU) leads a team of specialized complex claims professionals focused on ... managing and resolving catastrophic, high-dollar workers' compensation injury claims . This role is responsible for driving claims closure initiatives, ensuring… more
- Sedgwick (Sacramento, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability Property Damage | Remote As a Claims ... YOU AN IDEAL CANDIDATE?** If you have experience as a **General Liability Claims Examiner involving property damage in residential construction** and would like to… more
- Sedgwick (West Hills, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | West Hills, CA Are you looking for an opportunity ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on … more
- CVS Health (Sacramento, CA)
- …for successfully managing high exposure and complex druggist and professional Risk claims . The Senior Liability Claims Adjuster will be responsible to ... negotiations and resolution of mostly pre-suit druggist and professional liability claims against CVS throughout the United States. The Senior Liability … more
- Guidehouse (San Marcos, CA)
- …billing, secondary billing, and payer audit follow-up for government and non-government claims . Must work with other departments to facilitate the meeting of both ... Billing Emphasis + Correcting and billing electronic and hardcopy claims + Submits Adjusted claims + Provides...electronic and hardcopy claims + Submits Adjusted claims + Provides Follow-up Billing + Prepares Billing Reconciliation… more