- Humana (Sacramento, CA)
- …frame. + CAS, MedHOK experience strongly preferred + Previous experience processing medical claims **Required Work Schedule** **This is a remote role and will ... community and help us put health first** The Grievances & Appeals Representative 4 Investigates and resolves member and practitioner issues. manages client denials… more
- Molina Healthcare (San Francisco, CA)
- **_ Remote and must live in California _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to… more
- Ross Stores, Inc. (Dublin, CA)
- …of the Employment Law team primarily assessing, handling, and managing employment claims including defending Ross in agency hearings and in arbitrations\. This ... primarily working on optimal litigation results \(agency, individual, and representative actions\) with the potential for future work on...other employment law team members on the handling of claims and other tasks as assigned\. The base salary… more
- Zurich NA (Los Angeles, CA)
- …of moderately complex accounts, as assigned. + Act as an account representative by responding to customers service issues and coordinating with the appropriate ... business partner for resolution (ie claims adjusters, underwriters). + For new and existing customers,...submission. Location(s): AM - Los Angeles, AM - Chicago Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered:… more
- Medtronic (Irvine, CA)
- …digital health solutions, complex surgical robotic platforms, smart medical devices, remote service systems and other data-enabled healthcare technology and service ... and compliantly. + Advise on federal healthcare laws, antikickback, antitrust, False Claims Act, HIPAA, state data privacy and security laws, software licensing, FDA… more
- Apple American Group (Menifee, CA)
- …videos and all facts * Assists with unemployment documentation and hearings via remote calls/videos or in person as needed * Collects statistics and documentation ... for EEO claims **Training** * Conducts in person and on camera...each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. *… more
- Subaru of America (Sacramento, CA)
- …delight our customers. SUMMARY Serves as Subaru of America's (SOA's) Service and Quality representative in the SOA Field. Travels to retailers on a regular basis to ... wide-ranging technical vehicle issues. + Reviews retailer pre-authorization requests for warranty claims over ten thousand dollars, or straight time or extra time… more