- ICW Group (San Diego, CA)
- …Evaluate and refine pricing assumptions based on emerging loss trends, litigation climate, and competitive positioning. + Identify opportunities for model ... Collaboration** + Act as a trusted actuarial partner to Product, Underwriting, and Claims teams to shape strategies and ensure profitability targets are achieved. +… more
- Cedars-Sinai (Los Angeles, CA)
- …underpayments from insurance carriers. + Analyzes and validates reimbursement for denied claims . Accurately and consistently document the results of all audits and ... payer discrepancies analysis and prepare documentation for payer escalation or litigation as necessary. + Monitors assigned work queues and workload, ensures… more
- NBC Universal (Universal City, CA)
- …investigations of employment-related and other types of complaints, ensuring that claims are promptly and thoroughly investigated and documented appropriately + ... Represent the Company in the handling of all aspects of the pre- litigation process, including conducting internal investigations, drafting responses to federal and… more
- Subaru of America (Sacramento, CA)
- …the spokesperson/witness when needed on contested Lemon Law/warranty matters; prior litigation experience is a plus. Market Coverage: Sacramento area. MAJOR ... wide-ranging technical vehicle issues. + Reviews retailer pre-authorization requests for warranty claims over ten thousand dollars, or straight time or extra time… more
- City of Stockton, CA (Stockton, CA)
- …resolves difficult and sensitive customer inquiries and complaints; resolves contractor claims ; ensures improvements to customer service are carried throughout area ... public information requests and document production requests associated with department litigation . + Researches and assembles information from a variety of sources… more
- Abbott (Pleasanton, CA)
- …+ Resolving legal issues using negotiation skills and legal expertise, including pre- litigation dispute resolution and settlements. + Assisting in the creation of ... government programs, for example, fraud and abuse (Anti-Kickback Statute, False Claims Act, Civil Monetary Penalties Law, Stark, Beneficiary Inducement Statutes),… more
- Edwards Lifesciences (Irvine, CA)
- …complex agreements, review and interpretation of regulations, document review in litigation , and subject matter specific projects) + Close collaboration with various ... to medical device companies (eg, labeling regulations, anti-kickback laws, false claims laws, foreign corrupt practices laws, foreign laws and regulations) (2)… more
- The County of Los Angeles (Los Angeles, CA)
- …criteria such as CDPH Adverse Events and/or those that are at high risk for litigation . + Updates and revises program materials, such as the "Patient Safety & Risk ... to take the above steps to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be a valid reason for a late… more