- Elevance Health (Los Angeles, CA)
- …via telephone regarding insurance benefits, provider contracts, eligibility and claims . + Analyzes problems and provides information/solutions. + Operates a ... limited knowledge of company services, products, insurance benefits, provider contracts and claims . Seeks, understands and responds to the needs and expectations of… more
- LA Care Health Plan (Los Angeles, CA)
- …collects information required by clinical staff to render decisions, assists the Manager and Director of the Utilization Management department in meeting regulatory ... within 2 hours of receipt; identify duplicate requests using the claims and verify existing authorization. Independently identifying and appropriately returning to… more
- Travelers Insurance Company (San Jose, CA)
- …1 **What Is the Opportunity?** Reports to Boiler and Machinery Field Manager . Conduct boiler and pressure vessel inspections in accordance with jurisdictional rules ... on all accounts. Under close supervision, performs risk evaluations and claims investigations on less complex accounts as assigned. Participates in individual… more
- TEKsystems (Martinez, CA)
- …lead for a major complex project or direct experience as a project manager for smaller projects. Substitution for Education: One (1) additional year of qualifying ... direction to subordinate personnel Skills Epic, Epic certified, Build, claims processing, Support, Implementation Top Skills Details Epic,Epic certified,Build,… more
- HUB International (Encino, CA)
- …play a vital role in supporting our clients with day-to-day account management, claims management, and underwriting services that ensure they have what they need to ... highest degree of professionalism, discretion, autonomy, and decision-making. The Account Manager II promotes positive and effective relationships between the sales… more
- WTW (Los Angeles, CA)
- …of contact for your clients in all aspects of their insurance program, any claims , wording, coverage or industry news related queries are directed to you, so these ... Submission' document, containing in-depth information about a client's business including claims information, the classes of business needing renewal and any other… more
- Stanford University (Stanford, CA)
- …cost and performance, and ensure accurate and timely plan administration, claims payment, manage escalated issues, etc. + Manage monthly billings, enrollments, ... posted on the Global HR website, within the HR Manager Toolkit and the Stanford Admin Guide. + Reporting,...coordinate data gathering for audits; oversight of benefit plan claims , funding, and premium payments. Assist in preparing financial… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …offices), answering the phone (including all provider calls regarding authorization processing, claims related phone calls, and any other calls received via the ... codes, CPT Codes, HCPC Codes, Health Plan benefits, or claims **The current salary range for this position is...remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool… more
- UIC Government Services and the Bowhead Family of Companies (San Diego, CA)
- …+ Lab Management Specialist + Automated Cloud Services Specialist + Project Manager Bowhead seeks to network with qualified individuals relative to a potential ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- Financial Partners Credit Union (Downey, CA)
- …and/or collateral. + Recommend accounts for legal action or repossession to the manager for approval. + Assign accounts for field chase when necessary. + ... Documentation and Claims : + Review and follow up on letters of...letters of guarantee with insurance companies. + File GAP claims and process cancellations of warranties when applicable. Education… more