- LA Care Health Plan (Los Angeles, CA)
- …or claims review. Applies subject expertise in evaluating business operations and processes. Identifies areas where technical solutions would improve business ... Nurse - Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time… more
- Sedgwick (Sacramento, CA)
- …PURPOSE OF THE ROLE** **:** To oversee higher complexity Sedgwick Pooling client operations for a given pool(s). Manages and coordinates all services, both internal ... for a self-insured public entity risk pool. Directs the totality of pool operations on behalf of the client including indirect oversight of loss control, accounting… more
- Actalent (Redlands, CA)
- …and collaborative Provider Data Analyst to support our credentialing and claims operations . This role involves converting and interpreting provider ... Job Title: Provider Data Analyst - Credentialing & Claims Support Position Overview: We are seeking a...benefits administration (ie configuration, set up, or implementation). + Associate 's Degree - Associate 's degree required, or… more
- Amazon (CA)
- …interactions to ensure a positive experience. Collaborate with providers and other operations team members to complete urgent tasks pertaining to patient billing ... needs via 1Life's tasking system to provide the best customer service. Investigating claims through insurance to ensure they were processed according to the patient… more
- Highmark Health (Sacramento, CA)
- …efficient working relationships with key internal areas, such as Customer Service Operations ( Claims , Dental Benefits, Customer Service, Membership & Billing), ... resolution of issues related to benefit interpretations, customer service inquiries, claims adjudication, benefits issues, membership and billing activity, etc. This… more
- Compass Group, North America (Los Altos, CA)
- …Manager, you will provide field and corporate support with an emphasis in associate relations, front line associate recruitment, training and diversity. You will ... notifying employees of approvals or denials. + Monitors of unemployment claims by reviewing claims ; substantiating documentation; requesting + Compass… more
- Humana (Sacramento, CA)
- …reports. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires cross ... opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent...Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of… more
- Ventura County (Ventura, CA)
- …+ Educational Incentive - An educational incentive of 2.5% for completion of an associate 's degree, 3.5% for completion of a bachelor's degree, OR 5% for completion ... finance program or function; and directing and supervising fiscal staff and operations within smaller department settings. Principal Accountant is the fourth and… more
- Zurich NA (San Francisco, CA)
- …utilize your marketing / analytical skills along with your knowledge of marine operations to analyze and underwrite new and renewal marine hull and liability ... and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...Support areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and 3 or more years of experience… more
- Adecco US, Inc. (Vallejo, CA)
- …of safety, regulatory compliance, and environmental stewardship across all operations . This role leads the development, implementation, and continuous improvement ... Development** + Champion a "Safety First" culture in manufacturing and field operations ; embed proactive safety behaviors at every organizational level. + Lead… more