- Golden State Foods (Irvine, CA)
- …can advance, innovate, and contribute to our ongoing success. TheSr. Corporate Claims Specialistanalyzes, coordinates, and manages all aspects of GSF's insurance ... claims (workers compensation, auto, and general liability) process to...address losses and exposures; develops, implements, and monitors the adjustment of liability, subrogation, and property loss issues, and… more
- CVS Health (Sacramento, CA)
- …And we do it all with heart, each and every day. **Position Summary** The **Senior Claims Benefit Specialist ** will review and adjust SF ( _self-funded_ ), FI ( ... handle relevant correspondences assigned to the team that may result in adjustment to claims . + May provide job shadowing to less experienced staff members. +… more
- Evolent (Sacramento, CA)
- …**Manager, Coding Support Specialist ** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of the Risk Adjustment ... members with a passion for improving healthcare. **Collaboration Opportunities:** Our Risk Adjustment coding support team offers candidates the opportunity to make a… more
- Sedgwick (Sacramento, CA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Return-to-Work Specialist **PRIMARY PURPOSE** : To negotiate, facilitate and monitor successful ... Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) efforts through negotiation with… more
- Amazon (CA)
- …CI CARE framework that makes One Medical unique. As a Centralized Support Specialist II Billing Specialist , you'll execute our mission of delivering high-quality ... needs via 1Life's tasking system to provide the best customer service. Investigating claims through insurance to ensure they were processed according to the patient… more
- Elevance Health (Los Angeles, CA)
- **Financial Operations Recovery Process Specialist ** **Hybrid 1** : This role requires associates to be in-office **1 - 2** days per week, fostering collaboration ... is granted as required by law. The **Financial Operations Recovery Process Specialist ** is responsible for providing technical direction, guidance and resources to… more
- Aston Carter (Fresno, CA)
- Job Title: Logistics Specialist - Bilingual-Spanish Must be Bilingual Spanish!! Must have experience with processing Export Shipments preferably to other countries in ... North America!! Job Description The Logistics Specialist is responsible for leading and coordinating international trade...process to ensure timely submission and completion of all claims . + Prioritize and plan shipments to meet agreed-upon… more
- Molina Healthcare (San Diego, CA)
- …+ Leads efforts to improve claim payment accuracy, claim referrals, adjustment analysis and financial performance without needing extensive oversight. + Collaborates ... Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of… more