- Essel (Fairfield, CA)
- …employee record management , worker's comp and unemployment insurance management and claims processing Development, Implementation and oversight of ... HR initiatives, processes and systems Assists with asset management , background checks, drug screens, medical exams and logistics for employees Ensures candidates… more
- BrightSpring Health Services (Arroyo Grande, CA)
- …Responsible for timely reporting of all service site injuries and assist with the management of claims + Monitors service site expenses relative to budgets + ... Our Company ResCare Community Living Overview Operations Management focuses on efficiently meeting the needs of our clients across various lines of business. If your… more
- Robert Half Legal (Walnut Creek, CA)
- …* Oversee the preparation and organization of case files using document and case management systems. * Analyze claims and complaints to identify legal risks and ... manage high-stakes litigation cases, focusing on defending trucking companies in accident claims from pre-suit investigation through trial and appeal. This is an… more
- EFI Global (Los Angeles, CA)
- …manner; documents all relevant facts pertaining to files in the appropriate claims handling system(s) and keeps management informed of developments that ... buildings or residences. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Investigates assigned claims suspected of insurance fraud, this includes large loss, large… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …* Coordinate renewal documentation and applications in collaboration with the Risk Management team. * Assist with claims documentation and reporting ... administrative, analytical, and operational support for the organization's risk management program, including coordination of insurance administration, committee operations,… more
- LA Care Health Plan (Los Angeles, CA)
- …relevant coding elements. Audits can include inpatient, outpatient, and professional claims . Serves cross functionally with Utilization Management , Medical ... terminology. Solid understanding of standard claims processing systems and claims data analysis. Strong project leadership and management skills required;… more
- HCA Healthcare (Campbell, CA)
- …the lead on implementation of such contracts to ensure functions such as Claims System Configuration, Customer Service, Utilization Management and Compliance are ... Team include the CEO, CFO, President of SCCIPA, AVP Claims and Manager of Network Operations. We want you...May do analysis in conjunction with Finance or the Claims team to ensure claims payments are… more
- Towne Park (San Jose, CA)
- …claims are reported timely and accurately and cooperates with the Risk Management department to resolve claims + Consistently follows the progressive ... the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover + Manages scheduling, overtime for associates… more
- NBC Universal (Universal City, CA)
- …briefs, declarations, discovery demands and responses + Advise business clients and senior management on strength of claims and defenses, dispute avoidance and ... matters, including general commercial disputes, media litigation (including defamation claims and journalist privilege issues), employment litigation, privacy … more
- BrightSpring Health Services (Union City, CA)
- …knowledge of Medicaid claim regulations and processes. + Produces reports and keeps management informed of unpaid claims and claims pending follow-up. ... Prior supervisory experience. Skills/Knowledge: + Required: Knowledge of Medicaid claims regulations and processes. Basic understanding of drugs, medication… more