- Sedgwick (Roseville, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Liability Claims Examiner | Must Reside in CA Must Reside in California **PRIMARY ... resolution to appropriate parties. + Responsible for litigation process on litigated claims and follow defense counsel guidelines and service expectations + Responds… more
- Cognizant (Sacramento, CA)
- …claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist, you will be responsible for timely and accurate ... adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support...utilizing payer specific policies and procedures. Provide support to claims and client for issues related to claims… more
- US Tech Solutions (Whittier, CA)
- …3+ months contract** **Responsibilities:** + Review, adjudicate, and process medical claims for HMO patients + Work closely with affiliated medical groups ... Evaluate provider reimbursement terms and flag non-contracted providers + Ensure claims are processed accurately and timely per policy guidelines **Experience:** 2+… more
- Sedgwick (Long Beach, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Manager | Long Beach, CA | SIP Required Are you looking for an ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Fluor (Fresno, CA)
- …direction of the Director and Deputy Director of the PMO/forensics & Claims , this role is responsible for developing forensic analyses and providing oversight ... also responsible for reviewing and analyzing Contractors' Time Impact Analyses and claims and assisting with the rebuttal responses. In addition to forensic analysis… more
- Sedgwick (Sacramento, CA)
- …& Insurance (Remote) Manager Global Service Delivery Operations - Casualty Claims **PRIMARY PURPOSE** **:** Manages the global service delivery partnership, which ... university preferred. Preferred certifications include Six Sigma, Associate in Claims (AIC), and/or Chartered Property Casualty Underwriter (CPCU). **Experience**… more
- Kemper (Chatsworth, CA)
- …Adjuster, is responsible for the investigation, evaluation, and handling of complex to claims to conclusion. This role will have advanced claim handling skills and ... and as part of a cohesive team. **Position Responsibilities** : + Primarily handles claims with a high complexity and large injury severity. + Review each claim to… more
- UCLA Health (Los Angeles, CA)
- …to the next level. You can do all this and more at UCLA Health. The Claims Quality Auditor will be responsible for the daily audit of all examiners assigned to the ... auditor. You will review claims (paid, pending, and denied) for accuracy, appropriate application...or equivalent + Four or more years of medical claims payment experience in an HMO environment + Experience… more
- Insight Global (Irvine, CA)
- Job Description An employer in the Irvine area is seeking a Claims Examiner II. This is a hybrid position, working 1-2 days on site. The training for this role will ... will be responsible for the investigation, determination, and reporting of claims processing through auditing billing processes, including pre and post-billing… more
- Lincoln Financial (Sacramento, CA)
- …#:** 74647 **The Role at a Glance** We are excited to bring on a Claims Customer Care Associate to join our claimant excellence team supporting Group Protection in a ... development to perform in this fast-paced environment. As a Claims Customer Care Associate, you will be responsible for...as a liaison between the employee (member) and the claims examiner to provide a positive customer experience during… more