- 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 of benefits, authorization for services, contract… more
- Cognizant (Sacramento, CA)
- …coverage guidelines and regulations + Experience in the analysis and processing of claims , utilization review/ quality assurance procedures + Must be able to work ... business operations. We are seeking **Fully Remote US Based** Claims Processors to join our growing team. The **Medical**... Processors to join our growing team. The **Medical** ** Claims Processor** is responsible for the timely and accurate… more
- Sedgwick (West Hills, CA)
- …Compiles reviews and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service ... Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | West Hills, CA Are you...contract requirements, and quality standards. + Acts as second level of appeal… more
- Sedgwick (Sacramento, CA)
- …Compiles reviews and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead I Workers Comp (Calif Exp) **PRIMARY...contract requirements, and quality standards. + Acts as second level of appeal… more
- Sedgwick (Sacramento, CA)
- …reviews and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead, General Liability **PRIMARY PURPOSE** : To...contract requirements and quality standards. + Reviews… more
- Cognizant (Sacramento, CA)
- …of Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/ quality assurance procedures. + Excellent ... and able to multi-task successfully? If so, please apply today! The Claims Processor, you will ensure accurate and timely adjudication of professional and… more
- Cognizant (Sacramento, CA)
- …1 year of Facets experience. * Experience in the analysis and processing of claims for payments, utilization review/ quality assurance procedures. * Must be able ... claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist, you will be responsible for timely and accurate… more
- Travelers Insurance Company (Irvine, CA)
- …negotiating and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle ... flexibility. **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality and timely coverage… more
- Travelers Insurance Company (Diamond Bar, CA)
- …and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle ... manage staff. **What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file quality and timely… more
- Travelers Insurance Company (Diamond Bar, CA)
- …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim life cycle ... and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. This job does not manage… more