- UIC Government Services and the Bowhead Family of Companies (El Centro, CA)
- …weekends, and holidays as required **Qualifications** Required Qualifications * Associate degree in electronics, electrical engineering, or a related technical ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- Humana (Sacramento, CA)
- …by addressing conditions identified during IHWA visits. + Analyze performance and claims data to monitor and inform strategic decisions. + Generate innovative ideas ... systems, or risk adjustment. + Proven ability to compare, read, and report on claims data. + Proven ability to conduct causal analysis and apply findings for program… more
- Humana (Sacramento, CA)
- …and auditing experience * Knowledge of healthcare payment methodologies, claims , submissions, and payments * Strong organizational, interpersonal, and communication ... AHFI) * Experience testifying in court * Understanding of healthcare industry, claims processing, and investigative process development * Experience in a corporate… more
- AeroVironment (Simi Valley, CA)
- …growing organization. Workers' Compensation Administration + Administer workers' compensation claims from initial incident through closure, ensuring compliance with ... carriers or TPAs within mandated timeframes. + Track all WC claims -medical-only and lost-time-and monitor ongoing treatment, restrictions, and follow-up visits… more
- Robert Half Office Team (Sacramento, CA)
- …* Resolve pre-bill edits and perform follow-up actions to ensure clean claims are filed promptly. * Stay informed about coding standards, guidelines, and ... * Utilize coding practices that improve cash flow and support efficient claims processing. * Work closely with departments to optimize reimbursement and reduce… more
- Stanford Health Care (Palo Alto, CA)
- …to individual patient health information for data retrieval, analysis and claims processing. Works closely with departments to optimize reimbursement, ensure charge ... services are submitted timely. + Utilizes correct coding practices to file clean claims aiding in improved cash flow. **Education Qualifications** + Associate 's… more
- Allied Universal (Monterey Park, CA)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... driving experience** **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage types, including workers'… more
- Zurich NA (Sacramento, CA)
- …to improve operational efficiencies, quality and/or timeliness. At Zurich North America Claims , we understand the importance of flexibility and work-life balance in ... Analyze operational data, identify trends, and collaborate with the Claims and Admin Support teams to optimize vendor performance...in line with key governance controls. Basic Qualifications: + Associate degree and 3 or more years of experience… more
- Elevance Health (Costa Mesa, CA)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to ... fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions as… more
- Kemper (Fresno, CA)
- …in insurance defense, this opportunity may be for you. We are seeking an Associate Legal Counsel to work in our **Freno, CA** office location. Our ideal candidate ... assigned cases. + Aggressively pursues files referred to Staff Counsel by the Claims Department. + Creates and maintains a documented strategy for case handling in… more