- Sedgwick (San Diego, CA)
- …for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With… more
- Prime Healthcare (Redding, CA)
- …in risk-related activities in this area. Provides assistance with claims investigation, management and litigation. Facilitates reporting of safety data/events. ... experience preferred + Experience in risk management and/or professional liability claims management preferred + Should be knowledgeable about current State Laws… more
- Walgreens (San Francisco, CA)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Prime Healthcare (Ontario, CA)
- …documents from internal or external entities, resolving claim rejections, packaging claims , including global billing with attachments of professional fee claims ... , performing proactive follow up with payers and other entities and securing payment of accounts. The senior biller/collector is accountable and responsible for billing through account closure. * This role is based full time in office. LI-VR2 #Onsite… more
- UCLA Health (Los Angeles, CA)
- …compliance with government regulations, reimbursement issues, etc. + Analyze hospital billing claims within the EHR and claim scrubber system + Resolve claim errors, ... + Knowledge of Tableau Reporting dashboards + Understanding of Medicare/Medi-Cal claims processing guidelines + Experience with EPIC EHR, Cirius Claim Scrubber,… more
- WTW (Los Angeles, CA)
- …of contact for your clients in all aspects of their insurance program, any claims , wording, coverage or industry news related queries are directed to you, so these ... Submission' document, containing in-depth information about a client's business including claims information, the classes of business needing renewal and any other… more
- Prime Healthcare (Chino, CA)
- …in risk-related activities in this area. Provides assistance with claims investigation, management and litigation. Facilitates reporting of safety data/events. ... care setting preferred. + Experience in risk management and/or professional liability claims management preferred. + Should be knowledgeable about current State Laws… more
- Robert Half Legal (Sacramento, CA)
- …will bring deep expertise in employment litigation, including class actions, PAGA claims , wage and hour matters, discrimination/harassment claims , and wrongful ... termination defense. This role is suited for a seasoned litigator who values autonomy, collaborative culture, and the ability to shape the direction of a growing practice group. Responsibilities: + Lead and manage a docket of complex labor & employment… more
- Evolent (Sacramento, CA)
- …You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, and population ... with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including prior authorization data… more
- The County of Los Angeles (Los Angeles, CA)
- …applicant's responsibility to take steps to view correspondence, andwe will not consider claims of missing notices to be a valid reason for re-scheduling an exam ... take the above steps to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be a valid reason for late… more