- CRC Insurance Services, Inc. (Napa, CA)
- …requests and certificates. 3. Underwrite CRC products and services to clients. 4. Audit , correct, and verify all necessary information prior to policy issuance. 5. ... and follow-up for receipt of policies, endorsement information, inspections, correspondence, claims , etc. from outside sources. 15. Conduct ratings as necessary to… more
- Warner Music Group (Los Angeles, CA)
- …and other business activities. + You will investigate, analyze and respond to claims and disputes, including copyright, audit , breach of contract, publicity and ... trademark, and coordinate with corporate legal department regarding dispute resolution strategies. **About you:** + You have at least 3-5 years of post-bar experience in the corporate, M&A, intellectual property and/or litigation departments of a multinational… more
- UCLA Health (Los Angeles, CA)
- …thinking and problem solving. You will assist with AR reconciliation, insurance contracting, audit of weekly claims exceptions etc. In a fast-paced and high ... intensity environment, you must be able to complete work independently on problems that may not have precedent and/or structure. At UCLA Health, our passion for leveraging state-of-the-art technology to support world-class patient care has enabled us to become… more
- Elevance Health (Costa Mesa, CA)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of… more
- The County of Los Angeles (Los Angeles, CA)
- …records, and other related areas, and prepares comprehensive reports on audit findings. CLASSIFICATION STANDARDS Positions allocable to this class are located ... professional standards. Incumbents must have extensive knowledge of performance audit standards, including Generally Accepted Auditing Standards and have familiarity… more
- Walmart (Chino, CA)
- …safety regulatory agencies Assists with thirdparty audits Develops and presents audit findings to facility management Responds to inquiries by regulatory authorities ... Consults on complex claims and settlements Designs preventative claims management...management benchmarks Designs crossfunctional risk management processes tools and audit mechanisms Reviews and assesses risk management policies and… more
- Philadelphia Insurance Companies (Pasadena, CA)
- Description Marketing Statement: TM Claims Service (TMCS) is an independent global claims management firm established in 1987 to provide clients with a broad ... range of claims related services in the areas of transportation, product...processes. Handle mail processes. Participate in the annual accounting audit preparation. Participate in accounting's disaster recovery plan. Participate… more
- Highmark Health (Sacramento, CA)
- …responsible for assisting in the processing and investigation of non-complex health care claims to determine the legitimacy of claim charges. The incumbent will also ... services and charges; will monitor internal referrals from sources such as claims , customer service, Medicare C&D Compliance, and Fraud Hotlines; will alert… more
- Sedgwick (Sacramento, CA)
- …United States. **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims that require additional review based on medical condition, client requirement, ... FUNCTIONS and RESPONSIBILITIES** + Consults on and evaluates complex claims to determine objective, quantifiable, medically supported work restrictions/accommodations.… more
- Ventura County (Ventura, CA)
- …general direction, the incumbent is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, ... analyzes credits, payments, and over adjustments; + Analyzes and updates claims generated prior to transmitting to the appropriate intermediary/payor within billing… more