- Sharp HealthCare (San Diego, CA)
- …operational support to respond to contract informational needs; analyzes contractual claims processing and compensation terms of Primary Care, Specialty, and ... for accuracy; etc. **Required Qualifications** + 3 Years experience with healthcare claims , reimbursements, and/or contracts. + 2 Years experience in a Managed Care… more
- Travelers Insurance Company (Irvine, CA)
- …and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures file...facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed.… more
- Travelers Insurance Company (San Diego, CA)
- …and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality...facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed.… more
- Travelers Insurance Company (Sacramento, CA)
- …reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims by completing essential… more
- Sedgwick (West Hills, CA)
- …from some of the world's most reputable brands + An assigned mentor and manager who will guide you on your career journey + Career development and promotional ... and making timely payments/approvals and adjustments, medically managing disability claims ; coordinates investigative efforts, thoroughly reviewing contested claims… more
- Travelers Insurance Company (Riverside, CA)
- …Identifies and refers claims with Major Case Unit exposure to the manager . + Performs administrative functions such as expense accounts, time off reporting, etc. ... this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim… more
- The County of Los Angeles (Los Angeles, CA)
- …five (5) years, administering or adjusting California workers' compensation indemnity claims , -AND- possession of a valid California Self Insurance Certification of ... steps to view correspondence, and we will not consider claims of missing notices to be a valid reason...on the job, with close supervision from a supervisor, manager , or senior employee. + I have performed this… more
- University of Southern California (Alhambra, CA)
- …Collector Appeal Specialist is responsible for accurately processing inpatient and out-patient claims to third party payers and private pays, following all mandated ... guidelines are met; provided quality control checks on paper and electronic claims ; process tracers, denial and related correspondence; initiate appeals; compose and… more
- Elevance Health (Los Angeles, CA)
- …Coding Auditor Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case ... and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Medtronic (Los Angeles, CA)
- …connected, compassionate world. **A Day in the Life** The Principal Insurance and Claims Management role is a newly created expert and highly specialized position ... at all levels to gather information for insurance placement, facilitates claims resolution between internal and external stakeholders, provides transparency and… more