- Sedgwick (West Hills, CA)
- …and/or adjustments for client paid leave plans ensuring that on-going claim management is within company service standards and industry best practices. **ARE YOU ... and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Establishes FMLA claims ; tracks and codes documentation in accordance with internal workflow… more
- Sedgwick (Los Angeles, CA)
- …Adjuster - Pacific Region **PRIMARY PURPOSE** **:** To investigate losses or claims internationally on any size National Account (Maintaining a minimum of five ... 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
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …empathy, expertise in enabling pathways for disease education and awareness of management options, and our unwavering commitment to supporting access to treatment. ... and key opinion leaders (KOLs). **Job Expectations/Responsibilities:** **Data Integration & Management ** + Explore and analyze common pharmaceuticals data (eg, … 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
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …of high impact evidence. Responsibilities: + Support the creation and management ofIEPprogramwith a focus on operational efficiency by building out ... continuous improvement forIEPplanning and generation + Lead enterprise training,change management , and capability building forsystems, process, and governance +… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …Operations will lead initiatives that drive operational excellence, enhance risk management practices, and optimize global quality system processes across a global ... as enhance overall operational alignment. + Ensure effective change management strategies are applied to drive successful implementation and...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …on human health. OPDC develops promising drug candidates, starting with clinical trial management , and then planning the strategy for drug approval, and life cycle ... management to maximize a product's full potential. There are...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Elevance Health (Walnut Creek, CA)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... + Maintains accuracy and quality standards as established by audit management . + Identifies potential documentation and coding errors by recognizing aberrant… more
- Zurich NA (San Francisco, CA)
- …Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 8 or more years of experience in the Claims or Underwriting Support area AND + Knowledge of...insurance. Zurich North America is a leader in risk management , with over 150 years of expertise and coverage… more
- Zurich NA (Los Angeles, CA)
- …Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 8 or more years of experience in the Claims or Underwriting Support area AND + Knowledge of...insurance. Zurich North America is a leader in risk management , with over 150 years of expertise and coverage… more