• Senior Operations Manager, Plan Document Services…

    CVS Health (Sacramento, CA)
    …regulatory compliance impacting plan sponsors. + Collaborate with internal departments-including claims , customer service , and client management-to ensure ... external stakeholders, understanding their needs, addressing inquiries, and providing exceptional customer service . + Collaborate to understand plan sponsors'… more
    CVS Health (07/28/25)
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  • Process Expert II - Prior Authorization…

    Elevance Health (Los Angeles, CA)
    …analysis, process improvement, project coordination in a high-volume managed care operation ( claims , customer service , enrollment and billing); or any ... combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:** + Ability to analyze workflows, processes, supporting systems and procedures and identifying improvements strongly… more
    Elevance Health (08/30/25)
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  • Process Expert I

    Elevance Health (Costa Mesa, CA)
    …process improvement, project coordination), experience in high-volume managed care operations ( claims , customer service , enrollment and billing); or ... any combination of education and experience, which would provide an equivalent background. For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal… more
    Elevance Health (08/30/25)
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  • Financial Operations Recovery Process Specialist

    Elevance Health (Los Angeles, CA)
    …and adjustment experience strongly preferred. + Previous experience in high-volume operations ( claims , customer service , enrollment and billing) strongly ... preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $64,001.60 to $115,215.36 Locations: California In addition to your salary, Elevance Health offers benefits such as, a… more
    Elevance Health (08/28/25)
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  • Workers Compensation Claims Examiner | CA…

    Sedgwick (Roseville, CA)
    …the world's best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative ... of a rapidly growing, industry-leading global company known for its excellence and customer service . + Leverage Sedgwick's broad, global network of experts to… more
    Sedgwick (08/08/25)
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  • Claims Examiner - Workers Compensation…

    Sedgwick (Sacramento, CA)
    …the world's best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative ... of a rapidly growing, industry-leading global company known for its excellence and customer service . + Leverage Sedgwick's broad, global network of experts to… more
    Sedgwick (08/23/25)
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  • Workers Compensation | Claims Examiner…

    Sedgwick (Long Beach, CA)
    …the world's best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative ... of a rapidly growing, industry-leading global company known for its excellence and customer service . + Leverage Sedgwick's broad, global network of experts to… more
    Sedgwick (08/14/25)
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  • Workers Compensation Claims Team Lead |

    Sedgwick (West Hills, CA)
    …the world's best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative ... growing, industry-leading global company known for its excellence and customer service . + Leverage Sedgwick's broad, global...and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service more
    Sedgwick (08/26/25)
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  • Medical Biller - Healthcare Claims

    Guidehouse (San Marcos, CA)
    …the following: insurance claims , billing, coding, follow-up, finance, accounting or customer service related responsibilities. **What Would Be Nice To Have** ... of diploma / GED. + 1-3+ years working within the following sectors: healthcare, insurance, business, finance or customer service . + Working knowledge can be of… more
    Guidehouse (08/24/25)
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  • Claims Research Specialist

    Dignity Health (Bakersfield, CA)
    customer resolution is complete - Lead investigations into claims overpayments, underpayments, and billing issues, ensuring accurate identification and ... **Responsibilities** The Claims Research Specialist will oversee and manage research...overpayments, underpayments, and billing issues within a managed care service organization. This role involves review/ensuring accurate and timely… more
    Dignity Health (08/28/25)
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