- The Hartford (CA)
- …within a matrixed business environment where you will have direct interaction with Claims Partners and insureds, we want to speak with you! RESPONSIBILITIES: * ... of defense strategies with autonomy. * Partner with our Claims Partners to achieve the best results for our...with the court, witnesses, opposing counsel and co-counsel with professional diplomacy and discretion. * Facilitate prompt, efficient and… more
- The Hartford (Walnut Creek, CA)
- …within a matrixed business environment where you will have direct interaction with Claims Partners and insureds, we want to speak with you! RESPONSIBILITIES: * ... of defense strategies with autonomy. * Partner with our Claims Partners to achieve the best results for our...with the court, witnesses, opposing counsel and co-counsel with professional diplomacy and discretion. * Facilitate prompt, efficient and… more
- TEKsystems (Roseville, CA)
- …person and written correspondence, answers questions regarding the Plans' Benefits, eligibility, claims processing and claims appeal * Obtains all pertinent ... & walk-ins. * Handles walk-ins in a courteous and professional manner. * Discerns needs and verifies forms from...member and provider to communicate plan benefits and facilitate claims processing. * Calculates sick leave banks. * Refers… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial ... DUTIES/RESPONSIBILITIES: * Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate… more
- Sedgwick (Sacramento, CA)
- …casualty workers compensation industry background and skill set. Managing and understanding claims data & casualty claims data.** **PRIMARY PURPOSE** **:** To ... promotes critical thinking and problem solving. + Providing on-going learning and professional growth opportunities. + Promoting a strong team environment and a… more
- USAA (Irvine, CA)
- …trials, and mediations. + Provides legal advice to clients and P&C Claims team members. Develops, and implements legal strategy and ongoing budget projections ... to Claims Litigation, and clients, as appropriate on assigned cases....path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits,… more
- Sedgwick (San Francisco, CA)
- …Adjuster - Pacific Region **PRIMARY PURPOSE** **:** To investigate losses or claims internationally on any size National Account (Maintaining a minimum of five ... be negotiated. + Attends litigation hearings. + Revises case reserves in assigned claims files to cover probably costs. + Prepares loss experience reports to help… more
- Wounded Warrior Project (San Diego, CA)
- …(NSO) educates and advocates for warriors and their families as they pursue claims for injuries sustained during active duty military service. The NSO guides and ... manages the preparation and processing of all claims and subsequent appeals through the Department of Defense...with DoD & DVA leadership to ensure timely and professional care and treatment of warriors and their families.… more
- Sharp HealthCare (San Diego, CA)
- …with medical management such as provider relations, member services, benefits and claims management, IT management, etc. + Plans, organizes, and directs the ... professional medical services program, consisting of all primary and...analysis of Plan performance from summary data of paid claims , encounters, authorization logs, complaint and grievance logs and… more
- Sedgwick (Sacramento, CA)
- …+ Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and ... benefits to take care of your mental, physical, financial and professional needs. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Performs initial and ongoing… more