- Dignity Health (Rancho Cordova, CA)
- …Office. + Requires: + Knowledge of physician billing regulations + Understanding of professional claims and billing procedures + Knowledge of Federal and State ... Administration or related field. + Knowledge of: physician billing regulationsm professional claims and billing procedures, and Google Suite **Overview**… more
- Kemper (Cerritos, CA)
- …believe a high-performing culture, valuable opportunities for personal development and professional challenge, and a healthy work-life balance can be highly ... to our stakeholders that delivers on our promises. Kemper is seeking a Complex Claims Expert. In this position you will supervise and directs the handling of… more
- Sedgwick (Long Beach, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Liability Claims Examiner | Must Reside in CA Must Reside in California **PRIMARY ... resolution to appropriate parties. + Responsible for litigation process on litigated claims and follow defense counsel guidelines and service expectations + Responds… more
- Fluor (Fresno, CA)
- …direction of the Director and Deputy Director of the PMO/forensics & Claims , this role is responsible for developing forensic analyses and providing oversight ... also responsible for reviewing and analyzing Contractors' Time Impact Analyses and claims and assisting with the rebuttal responses. In addition to forensic analysis… more
- Kemper (Chatsworth, CA)
- …believe a high-performing culture, valuable opportunities for personal development and professional challenge, and a healthy work-life balance can be highly ... for the investigation, evaluation, and handling of complex to claims to conclusion. This role will have advanced claim...a cohesive team. **Position Responsibilities** : + Primarily handles claims with a high complexity and large injury severity.… more
- UCLA Health (Los Angeles, CA)
- …to the next level. You can do all this and more at UCLA Health. The Claims Quality Auditor will be responsible for the daily audit of all examiners assigned to the ... auditor. You will review claims (paid, pending, and denied) for accuracy, appropriate application...6,000-8,000 keystrokes or type 40-50 WPM + Understanding of professional and facility reimbursement methodologies + Strong organizational skills… more
- Philadelphia Insurance Companies (Roseville, CA)
- …Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been ... A++ by AM Best. We are looking for a Claims Specialist - Commercial Property to join our team!...more complex first and third party commercial property insurance claims . JOB RESPONSIBILITIES: Evaluates each claim in light of… more
- Conduent (Los Angeles, CA)
- …part of a culture where individuality is noticed and valued every day. **Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification?** **Would you like to ... audit pharmacy claims for accuracy?** **About the Role** Conduent Payment Integrity...Conducting Onsite and Desktop and Credentialing Audits in a professional and respectful manner. + Using prescription knowledge to… more
- Zurich NA (Sacramento, CA)
- Inbound, Claims Call Center Representative 126049 Zurich is a leading multi-line insurer that serves its customers in global and local markets. Zurich's customers ... seeking confident, outgoing, and self-motivated Customer Care Professionals to join our dedicated Claims Call Center team in (enter month and date). If you are… more
- Command Investigations (San Diego, CA)
- CLAIMS INVESTIGATOR Seeking an experienced investigator with multi-lines investigations to include W/C and P&C experience. SIU experience is also highly desired, but ... you have the desire to operate at your highest professional level within an organization that values and rewards...website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas:… more