- Sedgwick (West Hills, CA)
- … system. + Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims . + Evaluates and arranges appropriate ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Disability Representative **Our teams connect! We collaborate onsite and have a hybrid work… more
- Travelers Insurance Company (Diamond Bar, CA)
- …Will You Do?** + Independently manage a caseload of General Liability claims . + Conduct thorough investigations, including policy review , liability, damages, ... beacon of hope that guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating heart of our promise to… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …of the Manager Professional Billing & Coding, the Billing & Collections Representative II (BCII) is responsible for the resolution of all outstanding balances ... not limited to; Commercial, Medi-Cal and Managed Care professional claims . This position is responsible checking status of unpaid...and Remittance Advice (RA). As well, they are to review CCI or payor specific coding edits and take… more
- CDM Smith (Rancho Cucamonga, CA)
- …**Business Unit:** TSU **Job Description:** We are seeking a Construction Representative (CM/Inspector) to provide field oversight and inspection services, ensuring ... with contract documents and coordinate required special inspections. Prepare and review daily construction reports, track major deliveries, and maintain photographic… more
- The County of Los Angeles (Los Angeles, CA)
- …AND BUSINESS AFFAIRS REPRESENTATIVE I/EMERGENCY APPOINTMENT HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/5133631) Apply ... CONSUMER AND BUSINESS AFFAIRS REPRESENTATIVE I/EMERGENCY APPOINTMENT HOMELESSNESS Salary $52,664.88 - $70,977.84 Annually Location Los Angeles County, CA Job Type… more
- Guidehouse (San Marcos, CA)
- …San Marcos office and three days from home._** **Essential Job Functions** + Hospital Claims + Account Review + Appeals & Denials + Medicare/Medicaid + Insurance ... **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:**...with UB04, appeals & denials. + Hospital or EOB claims emphasis + PC skills in a Windows environment… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …can be frustrating and we are here to help. The Customer Service Representative 's primary role is to support relationships with members, providers and health plans. ... codes, CPT Codes, HCPC Codes, Health Plan benefits, or claims Positive, friendly demeanor Superb listening skills with natural...We would love you to join our team! Please review the requirements below and apply if qualified. Minimum… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …Compensation Claim Professional Trainee, you will handle all aspects of a workers compensation claims . In this role, you will learn how to help our customers and ... needed for quality claim handling including investigating, evaluating, negotiating, and resolving claims on losses of lesser value and complexity and provide claim… more
- Elevance Health (Costa Mesa, CA)
- **Utilization Management Representative I** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person ... an accommodation is granted as required by law. The **Utilization Management Representative I** is responsible for coordinating cases for precertification and prior… more
- Elevance Health (Los Angeles, CA)
- **Utilization Management Representative II** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person ... and 5:00 PM Pacific. The **Behavioral Health (BH) Utilization Management Representative II** is responsible for coordinating precertification and prior authorization… more