- US Tech Solutions (Whittier, CA)
- …UB-92 and HCFA-1500 forms + Understanding of provider contracts, Medi-Cal, commercial, and senior plan claims + Strong knowledge of timeliness, payment accuracy, ... 3+ months contract** **Responsibilities:** + Review, adjudicate, and process medical claims for HMO patients + Work closely with affiliated medical groups… more
- Humana (Sacramento, CA)
- … Senior Encounter Data Management Professional ensures data integrity for claims errors. The Senior Encounter Data Management Professional work assignments ... of our caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission… more
- Providence (CA)
- …inspire and retain the best people, we must empower them._** **Providence is calling a Senior Business Analyst - Risk, Liability & Claims who will:** + Be ... reports and analysis to stakeholders on scheduled basis. + Serve as risk/ claims data consultant/subject matter expert. + Be an excellent communicator + Synthesize… more
- Providence (CA)
- …Review and approve statements for services and take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims and claims with ... empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional, general,… more
- Philadelphia Insurance Companies (Roseville, CA)
- …will provide legal counsel and strategic guidance regarding commercial property and casualty insurance claims . Reporting to VP of Claims & Claims Counsel, ... management. The successful candidate will serve as a key resource for claims professionals, underwriters, and company leadership, ensuring claims are… more
- Kemper (Chatsworth, CA)
- …Adjuster, is responsible for the investigation, evaluation, and handling of complex to claims to conclusion. This role will have advanced claim handling skills and ... a cohesive team. **Position Responsibilities** : + Primarily handles claims with a high complexity and large injury severity....a plus. + The ability to work closely with senior management. + Follow detailed and specific directions on… more
- USAA (Los Angeles, CA)
- …truly makes us special and impactful. **The Opportunity** As a dedicated Senior Property Adjuster, you will work within defined guidelines and framework, ... investigate, evaluate, negotiate and settle complex property insurance claims presented by or against our members. You will confirm/analyze coverage, recognize… more
- Ventura County (Ventura, CA)
- Accountant I/II/ Senior Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4690309) Apply Accountant I/II/ Senior Salary $61,637.06 - ... or under direction, performs full range (II) to complex ( Senior ) accounting duties in assigned fiscal program areas; functional...and analyzes (Accountant II) Incurred but not Reported medical claims based on system generated claim lag reports to… more
- Robert Half Accountemps (San Diego, CA)
- …knowledge of Medicaid and Medicare processes? Our client is currently seeking a Senior Medical Billing Specialist to lead their billing team and ensure the accuracy ... and compliance of claims submissions. This role is ideal for someone with...a positive impact in the communities they serve. The Senior Medical Billing Specialist will play a vital role… more
- Zurich NA (San Francisco, CA)
- Senior Management Liability Underwriter 125890 Zurich is currently looking for a Management Liability Underwriter, D&O ( Senior or AVP). As we are expanding we ... members. This role will be filled at either the Senior or AVP Level. The hiring manager will determine...and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more