- Elevait Solutions (Fountain Valley, CA)
- …and pre-authorization requests Support multiple service queues including Member Services, Claims , Provider Services, and Medical Management Accurately document ... via phone, email, and written correspondence Educate members on benefits, claims , appeals, grievances, and plan policies Process member grievances, appeals,… more
- Astiva Health, Inc (San Jose, CA)
- …service to Independent Practice Associations (IPAs), Medical Groups, Management Services Organizations (MSOs), providers, hospitals, and ancillary network ... meaningful with us. Your Impact and Core Responsibilities . Relationship Management : Foster strong, collaborative relationships with contracted Providers to ensure… more
- Veterans Health Administration (Chula Vista, CA)
- …care services in a team-based setting, including chronic disease management and preventive health. Common diagnoses encountered include diabetes, hypertension, ... CME: $1,000/year Malpractice: VHA physicians are covered under the Federal Tort Claims Act No employment contracts, noncompete clauses, or restrictive covenants 26… more
- Sedgwick (Sacramento, CA)
- … claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of claims management processes and procedures for multiple product lines + ... for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and analyzes management reports and… more
- Sedgwick (Los Angeles, CA)
- …as applicable to line of business preferred. **Experience** Six (6) years of claims management experience or equivalent combination of education and experience ... claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within Company standards, industry best… more
- Sedgwick (Sacramento, CA)
- …as applicable to line of business preferred. **Experience** Ten (10) years of claims management experience or equivalent combination of education and experience ... claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within company standards, industry best… more
- Sedgwick (West Hills, CA)
- …as applicable to line of business preferred. **Experience** Five (5) years of claims management experience or equivalent combination of education and experience ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | West Hills, CA (Remote 2 Days) Are you looking for… more
- Sedgwick (Roseville, CA)
- …as applicable to line of business preferred. **Experience** Five (5) years of claims management experience or equivalent combination of education and experience ... to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Workers Comp (Hybird Roseville, CA) **PRIMARY PURPOSE** : To… more
- Sedgwick (San Diego, CA)
- …State Workers' Compensation Board rules and procedures. + Experience with Public Entity claims management a plus + Jurisdiction: NY + Licensing: Not Required ... for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and analyzes management reports and… more
- Sedgwick (Sacramento, CA)
- …as applicable to line of business preferred. **Experience** Five (5) years of claims management experience or equivalent combination of education and experience ... as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a Claims … more
