- Sedgwick (Rancho Cordova, CA)
- …only claims . + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability claims of minimal ... + Communicating claim action/ processing with claimant and client. + Supporting other claims examiners and claims supervisors with larger or more complex … more
- Sedgwick (Concord, CA)
- …only claims . + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability claims of minimal ... + Communicating claim action/ processing with claimant and client. + Supporting other claims examiners and claims supervisors with larger or more complex … more
- Sedgwick (Orange, CA)
- …only claims . + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability claims of minimal ... Workplaces in Financial Services & Insurance Hiring Event | Claims Representative Trainee | Orange, CA Are you a...processing with claimant and client. + Supporting other claims examiners and claims supervisors with larger… more
- US Tech Solutions (Whittier, CA)
- …+ Experience working with DOFR (Division of Financial Responsibility) + Hands-on experience processing lab claims + Familiar with UB-92 and HCFA-1500 forms + ... 3+ months contract** **Responsibilities:** + Review, adjudicate, and process medical claims for HMO patients + Work closely with affiliated medical groups… more
- Cedars-Sinai (Torrance, CA)
- …-related issues. + Develop and implement policies and procedures to streamline claims processing that enhance reimbursement. Prepare and present regular reports ... + Ensure compliance with all relevant regulations, guidelines, and standards in claims processing . Stay updated on industry trends, changes in regulations,… more
- NTT DATA North America (Merced, CA)
- …and experienced DSNP Business Analyst with specialized knowledge in Medicare and D-SNP claims processing . The ideal candidate will bring a strong understanding ... + Develop and maintain test plans with a focus on D-SNP-related claims processing scenarios. + Assess downstream implications of changes across the claims… more
- Sedgwick (Sacramento, CA)
- …total loss evaluations, and related expenses to effectively negotiate first and third party claims . + Knowledge of total loss processing , State salvage forms and ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Commercial Auto Claims Rep **PRIMARY PURPOSE** : To analyze and process low to mid-level auto… more
- Insight Global (Burbank, CA)
- …to each claim by using the appropriate processes and procedures (eg claims processing policies and procedures, grievance procedures, federal mandates, ... related field, or equivalent work experience - Minimum of four (4) years of claims processing - Minimum of four (4) years in heavy call center required - Learn… more
- Cedars-Sinai (Los Angeles, CA)
- …solution definition, applications development and maintenance and enhancements for finance, claims processing , revenue management, and billing systems. Primary ... and payments for partners. + Address inquiries and provide support regarding claims processing and clearinghouse operations. + Implement corrective actions for… more
- Sedgwick (Sacramento, CA)
- …+ Strong utilization practice knowledge + Knowledge of the insurance industry and claims processing + Knowledge of current pharmacy trends and alternative ... conduct a peer review of medications used on specific claims and provides insight for drug interactions, health and...cases. + Consults with pharmacy UR team for difficult claims requiring weaning schedule. + Assesses needs, gives appropriate… more