- CVS Health (Sacramento, CA)
- …team by providing strategic leadership and overseeing the operations of the claims processing team(s). Directs workflow to ensure the efficient and accurate ... processing of medical claims by establishing and monitoring productivity and quality metrics, managing and developing a team of claims support individuals,… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …caring for children and their families? Consider joining the Rady Children's Customer Service Team! This position is full time with benefits and generous paid time ... process 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… more
- TP-Link North America, Inc. (Irvine, CA)
- …enjoy a seamless, effortless lifestyle. We're looking for a Customer Service Representative who thrives in fast-paced environments, loves problem-solving, and knows ... company policy. + File and track fraud and chargeback claims on Shopify and TikTok Shop. + Flag suspicious...related stuff. Requirements: + 1+ year in e-commerce customer service is preferred; + Strong written communication and problem-solving… more
- 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 (customer ... statements. + Identifies resources for specific activities required to properly investigate claims such as Subrogation, Risk Control, nurse consultants, and fire or… more
- Sedgwick (Sacramento, CA)
- …OF THE ROLE:** To provide analysis and legal support to the litigation and claims management team. To be responsible for maintaining and updating client claim files, ... loss runs, communication with clients, and communication with all other client service providers (eg, TPAs, auditors, etc.). May be responsible for adjusting and… more
- Cedars-Sinai (CA)
- …Professional Fee billing and collections. Duties include reviewing and submitting claims to payors, performing account follow-up activities, updating information on ... the department and properly uses activity codes. + Accurately bills multispecialty claims within established timelines and initiates dialog with payors, patients and… more
- Sedgwick (Sacramento, CA)
- …you have just started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your chance to showcase your ... of clients across the globe, handling complex cases and claims + Collaborate with a talented and supportive team...able to communicate accurately important. Providing an excellent customer service with our clients in mind. Able to approach… more
- Travelers Insurance Company (Irvine, CA)
- …claim team handling serious and complex commercial lines and personal liability claims . Provide direction and technical guidance through a continuous process of ... who are each responsible for handling severe and/or complex claims , with the full damage value (without regard to...protect the integrity of our brand and providing consistent service quality and streamlined processes to add value for… more
- EFI Global (Los Angeles, CA)
- …CARE, THERE'S A PLACE FOR YOU HERE EFI Global is a full- service engineering, fire investigation, environmental, health and safety, and specialty consulting services ... buildings or residences. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Investigates assigned claims suspected of insurance fraud, this includes large loss, large… more
- Insight Global (Burbank, CA)
- …customer service representative for the Health Fund. The Senior Participant Service Specialist/Analyst will process health insurance claims and answers calls ... the customer (participant, providers, physicians, hospitals etc.) Adhere to eligibility, claims and call policies and procedures while making sound claim/call… more