- Zurich NA (San Francisco, CA)
- …leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We ... Senior Management Liability Underwriter 125890 Zurich is currently looking...and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Sedgwick (West Hills, CA)
- … supervisory experience preferred. **Skills & Knowledge** + Thorough knowledge of claims management procedures and processes for disability + Excellent oral ... for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles, reviews, and analyzes management reports… more
- Wells Fargo (San Francisco, CA)
- …+ Make decisions in the development and maintenance of solution architecture + Understand compliance and risk management requirements for supported areas + ... Head of Architecture and Technology Strategy for Fraud & Claims Management . In this role, you will...on building strong customer relationships balanced with a strong risk mitigating and compliance -driven culture which firmly… more
- Sedgwick (West Hills, CA)
- …on state regulations. **Experience** Three (3) years of benefits or disability case/ claims management experience or equivalent combination of education and ... regarding return to work. + Medically manages complex disability claims ensuring compliance with duration control guidelines...this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps… more
- USAA (Los Angeles, CA)
- …activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures. **What you have:** + ... and framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will confirm and analyzes… more
- Travelers Insurance Company (Irvine, CA)
- …cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management , negotiation and resolution) including maintaining full compliance ... external resources for specific activities required to effectively evaluate claims , such as Subrogation, Risk Control, nurse...(CFA) by adhering to quality standards. + Utilizes diary management system to ensure that all claims … more
- Travelers Insurance Company (Diamond Bar, CA)
- …cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management , negotiation and resolution) including maintaining full compliance ... external resources for specific activities required to effectively evaluate claims , such as Subrogation, Risk Control, nurse...to quality standards and trend analysis. + Utilizes diary management system to ensure that all claims … more
- Cedars-Sinai (Beverly Hills, CA)
- …process. The coordinator works collaboratively with all team members of Utilization Management , Patient and Provider Services, Claims Department and other Care ... **Job Description** The Case Management Coordinator provides support to the utilization review...Inbox and appropriately distributes incoming faxes. Ensures that internal compliance security measures are met. + Verifies member eligibility… more
- Walmart (Chino, CA)
- …process design Interprets and evaluates compliance status reports and relevant risk management practices Assists in the development of company policies ... to support training initiatives Explains relevant processes and procedures to contractors Risk Management Possesses Knowledge of Risk management… more
- Towne Park (Los Angeles, CA)
- …+ Ensures claims are reported timely and accurately and cooperates with the Risk Management department to resolve claims + Consistently follows the ... metrics and performance measurements to ensure effectiveness, high performance and compliance . + Demonstrates the ability to improve the financial performance and… more