- UNUM (Sacramento, CA)
- …Rehabilitation. This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The ... and internal workflow standards as set forth in the Benefits Center Claims Manual, underwriting manual, and associated documentation. The incumbent adheres to… more
- Sedgwick (San Francisco, 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
- TevisHR (CA)
- …home office in Sacramento, CA. Job Summary: A Loss Consultant for insurance claims is responsible for evaluating the extent of damage to residential properties ... informed about relevant laws, regulations, and industry standards governing insurance claims and property damage assessment, ensuring compliance with legal and… more
- Gilead Sciences, Inc. (Foster City, CA)
- …training programs support compliance with applicable laws (eg, Anti-Kickback Statute, False Claims Act), industry codes (eg, PhRMA), and internal policies. + Lead ... international healthcare compliance laws and standards (eg, Anti-Kickback Statute, False Claims Act, Sunshine Act, GDPR) and other applicable standards. +… more
- Norstella (Sacramento, CA)
- …to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records (EHRs). You ... field. + Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory data, in an academic or industry setting. +… more
- Zurich NA (Sacramento, CA)
- …Diploma or Equivalent and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... including an Associate Degree and 12 or more years of experience in the Claims or Underwriting Support area Preferred Qualifications: + Bachelors degree and 8 or… more
- Centene Corporation (Sacramento, CA)
- …fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare ... party + Perform data mining and analysis to detect aberrancies and outliers in claims + Develop new queries and reports to detect potential waste, abuse, and fraud… more
- Walgreens (San Bruno, 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
- HUB International (Encino, CA)
- …play a vital role in supporting our clients with day-to-day account management, claims management, and underwriting services that ensure they have what they need to ... including stewardship reports, delivery of risk control services, carrier meetings, claims reviews, preparation of coverage outlines, and marketing of emergent and… more
- The County of Los Angeles (Los Angeles, CA)
- …from being filtered as spam/junk/clutter mail. Los Angeles County will not consider claims of not viewing or receiving notification to be a valid reason for ... for which you apply with Los Angeles County. Los Angeles County will not consider claims of not viewing or receiving notification to be a valid reason for late test… more