- Prime Healthcare (Sherman Oaks, CA)
- …missing documents from internal or external entities, resolving claim rejections, packaging claims , including global billing with attachments of professional fee ... claims , performing proactive follow up with payers and other entities and securing payment of accounts. The senior biller/collector is accountable and responsible for billing through account closure. Qualifications EDUCATION, EXPERIENCE, TRAINING 1.… more
- Allied Universal (Fresno, CA)
- …Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection Professional (CPP) + Associate in Claims (AIC) + Chartered Property Casualty ... Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and… more
- Highmark Health (Sacramento, CA)
- …SUMMARY** This job requires the ability to identify issues related to professional and facility provider claims data including determining appropriateness of ... of effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review of medical documentation,… more
- Humana (Sacramento, CA)
- …help us put health first** The Senior Medical/Financial Risk Evaluation Professional is responsible for supporting the development, implementation and monitoring of ... medical/financial risk. The Senior Medical/Financial Risk Evaluation Professional work assignments involve moderately complex to complex issues where the analysis of… more
- The County of Los Angeles (Los Angeles, CA)
- STUDENT PROFESSIONAL WORKER, INFORMATION TECHNOLOGY Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/5085402) Apply STUDENT PROFESSIONAL ... relax, and rejuvenate to reach your fullest personal and professional potential. What The Student Professional worker...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- The County of Los Angeles (Los Angeles, CA)
- STUDENT PROFESSIONAL WORKER II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2754962) Apply STUDENT PROFESSIONAL WORKER II Salary $24.00 ... you to gain experience in building employment skills and establishing a professional network while continuing your education. This is temporary, part-time position,… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …of Travelers systems and protocols. + Exposure to Personal and Business Insurance claims of basic to moderate complexity. + Learn and understand effective strategies ... for investigating, negotiating and resolving claims thoroughly, accurately and efficiently. + Develop knowledge of...the process. + Observe the work of the Claim Professional through desk and ride alongs with experienced employees.… more
- The County of Los Angeles (Los Angeles, CA)
- STUDENT PROFESSIONAL WORKER I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3129834) Apply STUDENT PROFESSIONAL WORKER I Salary $24.00 ... you to gain experience in building employment skills and establishing a professional network while continuing your education. This is temporary, part-time position,… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures file...that should be transferred to another level of claim professional and refers on a timely basis. + Appropriately… more
- Sedgwick (Sacramento, CA)
- …**PRIMARY PURPOSE** : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims ... involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service… more