- Sedgwick (West Hills, CA)
- …you looking for an impactful job that offers the opportunity to develop a professional career? Bring your 1-2 years' experience in an office setting and grow with ... benefits package to take care of your mental, physical, financial and professional needs. **PRIMARY PURPOSE** : Provides disability case management and routine claim… more
- Humana (Sacramento, CA)
- …of our caring community and help us put health first** The Subrogation Professional 2 iIdentifies, investigates, and collects recoveries from third parties who are ... expenditures for an organization that provides health insurance. The Subrogation Professional 2 work assignments are varied and frequently require interpretation and… more
- University of Southern California (Alhambra, CA)
- …Denials Management Specialist" analyze, investigate, mitigate, and resolve all coding-related ' claims denials' and ' claims rejections,' specific to ICD-10-CM, ... the denial management process for coding-related denials, triage denied claims to distinguish coding-related denials versus clinical-related denials, evaluating … more
- Travelers Insurance Company (Sacramento, CA)
- …reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims by completing essential… more
- BrightSpring Health Services (Yuba City, CA)
- …personnel costs, consultant services + Monitors worker's compensation and unemployment claims for assigned service site(s). Is proactive in efforts to reduce ... claims and minimize risk/exposure of agency in these areas + Other duties as assigned Qualifications + BA/BS in Business, Health Care Administration, or Social… more
- CenterWell (Sacramento, CA)
- …and help us put health first** The Senior Pharmacy Contracting Professional conducts all aspects of pharmaceutical contracting and pricing including development, ... implementation, and maintenance. The Senior Pharmacy Contracting Professional work assignments involve moderately complex to complex issues where the analysis of… more
- J&J Family of Companies (Irvine, CA)
- …portfolio strategy, positioning, channel, pricing and lifecycle management. + Lead clinical claims and evidence strategy and working professional education and ... Function:** Marketing **Job Sub** **Function:** Strategic Marketing **Job Category:** Professional **All Job Posting Locations:** Irvine, California, United States… more
- Travelers Insurance Company (Diamond Bar, CA)
- …and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... not manage staff. **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality and timely coverage… more
- USAA (Los Angeles, CA)
- …guidelines and framework responsible to investigate, evaluate and appraise vehicle damage claims for both repairable and total loss vehicles to ensure estimate ... use of digital tools, evaluates and appraises highly complex auto physical damage claims in accordance with the terms and conditions of the contract, corporate… more
- The County of Los Angeles (Los Angeles, CA)
- …a fair outcome through our consumer protection programs, including Small Claims Advisor, dispute resolution and mediation programs, immigration legal services, ... information and counseling to the public on consumer complaints or small claims court procedures. CLASSIFICATION STANDARDS: Positions allocable to this entry level… more