- Sedgwick (Sacramento, CA)
- …casualty workers compensation industry background and skill set. Managing and understanding claims data & casualty claims data.** **PRIMARY PURPOSE** **:** To ... and pipeline. + Responsible for developing and overseeing client relationship management enterprise solutions. + Responsible for providing strategic direction for… more
- AON (San Francisco, CA)
- …fashion to cross-sell Cyber Solutions products and services + Optimally use the claims and legal advocacy group for claim administration and counsel to assist with ... Our team at Aon focuses on comprehensive cyber risk management by helping clients assess, analyze, quantify, transfer and...10+ years of experience in insurance brokering, underwriting or claims experience in Cyber and E&O lines. + Proficiency… more
- LA Care Health Plan (Los Angeles, CA)
- …The Quality Configuration Assurance Analyst III collaborates closely with peers and management within the department as well as throughout the organization to ... root causes, etc. that impact member access to care, claims payments, etc.; and assessment and roll-out of key...of and experience with utilizing SDLC and related change management methodologies, standards and best practices. Preferred: At least… more
- Canon USA & Affiliates (Sacramento, CA)
- …activities, while serving as a champion for KOL activation and relationship management at strategic sites while serving the needs of patients. Participates as ... and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business,… more
- Robert Half Legal (Oakland, CA)
- …in employment law cases, with a focus on plaintiff-side matters and disability claims . * Conduct thorough legal research and draft compelling briefs to support case ... and trials. * Collaborate with clients to assess their claims and provide strategic legal guidance. * Utilize case... and provide strategic legal guidance. * Utilize case management software to efficiently organize case files and track… more
- Sharp HealthCare (San Diego, CA)
- …investigating and responding to internal and external benefit inquiries, and supporting claims testing activities. **Required Qualifications** + 3 Years in HMO or ... Health Insurance Management . + Experience working collaboratively across multiple functional areas (eg, operations, configuration, clinical, IT, plan design) and… more
- LA Care Health Plan (Los Angeles, CA)
- …reporting and corrective action plans monitoring of financial solvency and claims processing compliance for specialty health plans and vendors. These audits ... responsible for the Department of Managed Health Care (DMHC) claims data submissions for LA Care and its Plan...quarterly and annual basis Performs financial analyses or vendor's management for LA Care vendors on the quarterly and… more
- Sedgwick (Sacramento, CA)
- …To prepare the necessary reports and communicate the results to management . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Creates and maintains accurate and ... the Finance Manager or Director. + Process account collections/receivables. + Reconcile claims activity between general ledger and claims system and investigate… more
- Sharp HealthCare (San Diego, CA)
- …and responding to internal and external benefit inquiries, and supporting claims testing activities. Provides training to new and less experienced Benefit ... **Required Qualifications** + 5 Years in HMO or Health Insurance Management . + 2 Years leadership experience working collaboratively across multiple functional… more
- PCL Construction (San Diego, CA)
- …ensuring owners' and trade partners' ability to pay. + Responsible for insurance claims and support other legal claims to reduce exposure and maximize ... escalates disputes as required. + Provides monthly/quarterly reporting on all open claims . + Coordinates the SDI qualification process and ensures all standards and… more