- Elevance Health (Walnut Creek, CA)
- …make an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for ... field preferred. + For URAC accredited areas, the following professional competencies apply: Associates in this role are expected...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
- Sharp HealthCare (San Diego, CA)
- …non-clinical appeals and grievances. **Required Qualifications** + 3 years' experience in claims , utilization review, appeals or member services in a managed care ... appeals/grievance process.Communicates both in written and oral form in a professional manner with members, providers, other health plan departments, and… more
- Atlas (San Diego, CA)
- …Engineering, Construction Management, or a related field. + Relevant Professional Licensure/Certifications strongly preferred (eg, PMP, CCM). + **Experience:** + ... Microsoft Project, and other related software tools such as Schedule Analyzer, Claims Digger, etc. + Strong understanding of scheduling principles and experience in… more
- The Hartford (Walnut Creek, CA)
- …of The Hartford Risk Engineering services with the client. .Review all claims and losses prior to visiting clients and provide appropriate information sharing ... any risk or exposure reductions or elimination. .Maintain a strong professional relationship w/brokers and communicate effectively on shared business. .Participate… more
- ASRC Industrial Services (Sacramento, CA)
- …Corporation (ASRC), an Alaska Native Corporation (ANC) established under the Alaska Native Claims Settlement Act of 1971. As part of an ANC all our operating ... Thomas believes our most valuable resource is our family of skilled, loyal, and professional employees. Our formula for success is easy, we believe Great People +… more
- Mendocino County Sheriff's Office (Willits, CA)
- …orders. + Makes journal entries to support financial record-keeping. + Reviews claims and invoices for accuracy and compliance with County policies and identifies ... cash transactions accurately. + Types correspondence and reports, maintaining professional communication standards. + Opens, stamps, sorts, and distributes mail.… more
- Colliers Engineering & Design (Los Angeles, CA)
- …scheduling, logistics, sequencing, cost, quality, and progress as well as negotiating claims and change orders. + Review and evaluate project related materials such ... paid time off that includes parental and military leave; employee referral and professional license bonuses. We have also created an internal culture that provides… more
- Girl Scouts San Diego (San Diego, CA)
- …+ Assist with administering the workers compensation program by filing claims and coordinating distribution of required notifications and paperwork. + Support ... and maintain priorities and meet deadlines. + Ability to establish professional rapport with employees, managers, executives, and others and foster positive… more
- Interior, Bureau of Indian Affairs (Sacramento, CA)
- …AND EDUCATION REQUIREMENTS: (OPM Operating Manual, Qualification Standards for Professional and Scientific Positions and Individual Occupational Requirements for ... least the GS-9 grade level in the Federal service which involved applying professional knowledge of the principles and practices of social work; providing direct… more
- Interior, Bureau of Indian Affairs (Sacramento, CA)
- …AND EDUCATION REQUIREMENTS: (OPM Operating Manual, Qualification Standards for Professional and Scientific Positions and Individual Occupational Requirements for ... least the GS-7 grade level in the Federal service which involved applying professional knowledge of the principles and practices of social work; providing direct… more