- Humana (Sacramento, CA)
- …looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and ... provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments. Analyzes, enters… more
- HUB International (Santa Barbara, CA)
- …including stewardship reports, delivery of risk control services, carrier meetings, claims reviews, preparation of coverage outlines, and marketing of emergent and ... HUB procedures and state/federal insurance regulations. + Interfaces with HUB and carrier's claims teams to monitor and manage significant claims to resolution.… more
- Zurich NA (Sacramento, CA)
- …Qualifications** * Bachelors Degree and 7 or more years of experience in the Claims , Consulting, Risk Engineering or Underwriting area OR * High School Diploma or ... and 9 or more years of experience in the Claims , Consulting, Risk Engineering or Underwriting area OR *...area OR * Zurich Certified Insurance Apprentice, including an Associate Degree and 7 or more years of experience… more
- 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
- Columbia Bank (Irvine, CA)
- …role in ensuring the effective administration, communication, compliance, and support of associate leave of absence programs within the bank. + Oversee all aspects ... Oversee and provide support for workers compensation plans and/or claims . + Serve as the primary point of contact...May perform other duties as assigned. **About** **You:** + Associate 's degree in business, human resources or a related… more
- Humana (Sacramento, CA)
- …offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & ... it takes to Succeed** + Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with Fraud, Waste, and… more
- 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
- The County of Los Angeles (Los Angeles, CA)
- …the uses and operations of Geographic Information Systems. Option 2 An Associate 's degree* from an accredited college or university in Geographic Information ... steps to view correspondence, and we will not consider claims of missing notices to be a valid reason...and operations of Geographic Information Systems. Option 2 An Associate 's degree from an accredited college or university in… more
- G4S (Ontario, CA)
- …process, personnel records, background screening, Workers' Compensation, unemployment claims , Affirmative Action planning and leave of absence. The ... disciplinary actions; Implementing Customer transitions; Workers Comp management; Unemployment claims management, and employee records changes in HRIS; benefits… more
- Zurich NA (San Francisco, CA)
- …School Diploma or Equivalent and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an ... Associate Degree and 5 or more years of experience...and 12 or more years of experience in the Claims or Underwriting Support area + Knowledge of Casualty… more