- Tutor Perini (Sylmar, CA)
- …This individual will be engaged in the ongoing review of complex projects, claims , disputed change orders and identifying early warning signs of problem projects. ... be responsible for providing accurate and timely analysis as needed by Executive Management , and will be active in the identification and mitigation of risks… more
- Sedgwick (West Hills, CA)
- …on client plans, state and federal regulations. Ensures that on-going claim management is within company service standards and industry best practices. **ESSENTIAL ... Establishes FMLA and other unpaid state, military, and/or company-specific leave claims ; tracks and codes documentation in accordance with internal workflow… more
- Ventura County (Ventura, CA)
- …(III, IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, ... incumbents perform program administrative duties to assure that all claims are billed timely. WHAT WE OFFER The County...IV may also include: + Advises and consults with management on how to reduce the days in accounts… more
- Cardinal Health (Sacramento, CA)
- …ensure that day-to-day service and production goals are met. + Assists management in monitoring associates' goals and objectives daily; motivates and encourages ... appropriate. + Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance...on paper and online. + Oversees appeals and denials management to maximize revenue recovery and minimize financial leakage,… more
- Sedgwick (West Hills, CA)
- …+ This role will be primarily responsible for **_Large Complex Property_** claims . **PRIMARY PURPOSE** **:** To investigate losses or claims internationally ... Attends litigation hearings. + Revises case reserves in assigned claims files to cover probably costs. + Prepares loss...+ Attention to detail and accuracy + Good time management and organizational skills + Ability to work independently… more
- Travelers Insurance Company (Walnut Creek, CA)
- …is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim ... and execution of the following core assignments: + Handles 1st party property claims of moderate severity and complexity as assigned. + Establishes accurate scope of… more
- Renewable Properties (CA)
- …divestitures, joint ventures, and partnership arrangements. + Identify and counsel management about potential risks, claims and disputes potentially arising ... connection with potential transactions. + Provide legal assistance and advice to management . + Remain current on constant changes within legal and regulatory… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …focuses on developing your skills and knowledge to successfully manage workers compensation claims . This program can typically last up to 12 months and upon ... program you will have the skills needed to handle claims independently and progress toward full claims ...+ Maintain accurate records of claim activity in claim management systems. + Achieve a positive result by returning… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …SUMMARY: The Adjudication Specialist manages a portfolio of rejected pharmacy claims , ensuring timely billing and maximum payer reimbursement. They prioritize ... customer trust and enhance our services. DUTIES/RESPONSIBILITIES: + Manage and Identify Claims Portfolio: + Review and evaluate insurance claims to determine… more
- Zurich NA (Sacramento, CA)
- …work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...insurance. Zurich North America is a leader in risk management , with over 150 years of expertise and coverage… more