• Senior Claim Benefit Specialist

    CVS Health (Sacramento, CA)
    …Senior Claim Benefit Specialist reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. They will act as ... customer service inquiries and problems. **Key Responsibilities** + Reviews pre-specified claims or claims that exceed specialist adjudication authority or… more
    CVS Health (08/15/25)
    - Related Jobs

  • Senior Medical Billing Specialist

    Robert Half Accountemps (San Diego, CA)
    …full cycle of medical billing processes, ensuring timely and accurate submission of claims for Medicare and Medicaid programs. + Review claims and documentation ... to management to support financial planning and decision-making. Requirements + Associate 's degree in Healthcare Administration, Accounting, or a related field… more
    Robert Half Accountemps (08/14/25)
    - Related Jobs

  • Credit Analyst

    Robert Half Accountemps (Brea, CA)
    …of construction-related credit practices, legal tools such as lien and bond claims , and the ability to work effectively in a fast-paced, project-driven environment. ... * Prepare and file Stop Payment Notices and Bond Claims in compliance with California construction laws. * Maintain...Finance, Business Administration, or a related field, or an Associate 's Degree with 7+ years of credit and collections… more
    Robert Half Accountemps (08/14/25)
    - Related Jobs

  • Principal Software Engineer - Cloud

    Otsuka America Pharmaceutical Inc. (Sacramento, CA)
    …creating event-driven architectures + AWS Certified Solution Architect - Associate or higher **Bonus Qualifications/Experience** + AWS Certified Solutions Architect ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
    Otsuka America Pharmaceutical Inc. (08/08/25)
    - Related Jobs

  • Staff Legal Liability Trial Attorney

    Zurich NA (Irvine, CA)
    …+ Work to have a timely resolution to matters by collaborating with the claims adjuster, developing a case strategy and escalating issues as appropriate + Ensure ... state and federal laws and regulations + Protect Zurich's reputation by keeping claims information confidential Basic Qualifications: + Juris Doctor and 5 or more… more
    Zurich NA (08/08/25)
    - Related Jobs

  • Senior Marine Underwriter

    Zurich NA (San Francisco, CA)
    …School Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an ... Associate Degree and 3 or more years of experience...and 8 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of Microsoft… more
    Zurich NA (08/09/25)
    - Related Jobs

  • Utilization Management Coordinator I - Utilization…

    Rady Children's Hospital San Diego (San Diego, CA)
    …offices), answering the phone (including all provider calls regarding authorization processing, claims related phone calls, and any other calls received via the ... of Experience Strong critical thinking skills Excellent communication and interpersonal skills Associate 's Degree or Bachelor's Degree can be accepted in lieu of… more
    Rady Children's Hospital San Diego (08/20/25)
    - Related Jobs

  • Encounter Data Management Professional

    Humana (Sacramento, CA)
    …achieving operational and compliance key performance indicators. In addition, the associate will participate in cross functional teams and support analyzing business ... an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing and… more
    Humana (08/16/25)
    - Related Jobs

  • Medicaid Provider Hospital Reimbursement…

    Humana (Sacramento, CA)
    …responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and expansion into new ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
    Humana (08/14/25)
    - Related Jobs

  • EH & S Manager

    Adecco US, Inc. (Vallejo, CA)
    …leadership-in continuous ESG improvement initiatives. **Workers' Compensation & Claims Management** + Administer workers' compensation program: incident reporting, ... claims coordination, and return-to-work planning. + Analyze injury trends...Certifications: OSHA 30-hour required; Certified Safety Professional (CSP) or Associate Safety Professional (ASP) preferred. + Experience: 5-7 years… more
    Adecco US, Inc. (08/02/25)
    - Related Jobs