• Claims Quality Auditor

    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
    UCLA Health (08/08/25)
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  • Medical Claims Processor - Remote

    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
    Cognizant (08/26/25)
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  • Workers Compensation Claims Team Lead |

    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 (08/26/25)
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  • Claims Team Lead I Workers Comp (Calif Exp)

    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 (08/23/25)
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  • Claims Team Lead, General Liability

    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
    Sedgwick (08/22/25)
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  • Medical Claims Adjudication - remote

    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 (08/01/25)
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  • Claims Processor (with Facets) - Healthcare…

    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
    Cognizant (08/26/25)
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  • Complex Claim Representative, Construction…

    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 (08/09/25)
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  • Sr. Claim Representative Construction Liability

    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 (06/03/25)
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  • General Liability Claim Representative

    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
    Travelers Insurance Company (07/10/25)
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