- The Hartford (Irvine, CA)
- …efficiency. + Collaborative Environment: Work alongside experienced Attorneys and Claims professionals in a matrixed business setting that encourages ... legal solutions that protect insureds and support our mission of exceptional customers service . + Flexible Work Model: Enjoy the benefits of remote work with… more
- Kemper (Whittier, CA)
- …You will investigate, evaluate, and appraise damaged automobiles and settle claims within an authorized dollar limit. **Position Responsibilities:** + Participates ... in the field, at drive in locations, or at service centers as assigned. Follows the company photograph guidelines...be completed per company guidelines. + Ensures adherence to claims procedures and guidelines prescribed by the company to… more
- LA Care Health Plan (Los Angeles, CA)
- …Collaborates with internal departments (Member Services, Provider Network Operations, Claims , Utilization Management, Pharmacy, and Quality Management) to ensure the ... of care issues and work collaboratively with multiple departments ( Claims , Provider Network Operations, Utilization Management, Quality Management, Pharmacy) to… more
- Sharp HealthCare (San Diego, CA)
- …strong relationships with Plan providers, and ensures that a high level of service and interaction is provided, including accurate and timely claims processing, ... a) Plan policies and procedures including authorizations and referrals, claims /encounters, provider utilization reports and grievance procedures; b) Rules,… more
- Dignity Health (San Bernardino, CA)
- …providers, and our third-party administrator. You will guide the claims process from start to finish-investigating work-related injuries, managing documentation, ... monitoring claims , and coordinating transitional duty plans. Your efforts will...safety regulations, and hospital policies. + Provide training and in- service education on injury prevention and workplace safety. +… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …environment + Superior organizational and time management skills + Customer service focus and professionalism **Physical Requirements** This role requires the ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- CVS Health (Sacramento, CA)
- …Senior Claim Benefit Specialist reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. They will act as ... coaching, or responding to complex issues. May also handle customer service inquiries and problems. **Key Responsibilities** + Reviews pre-specified claims… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …pharmaceutical and medical device industry. + Experience working with external service providers. + Working knowledge of current Good Manufacturing Practice (cGMP) ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …growing team and lead the development and strategy for our Digital Medicine Platform's service layer. As the ideal candidate, you have the ability to lead teams ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Zurich NA (Irvine, CA)
- …+ Work to have a timely resolution to matters by collaborating with the claims adjuster, developing a case strategy and escalating issues as appropriate + Ensure ... customer service to clients by proactively communicating information; responding to...laws and regulations + Protect Zurich's reputation by keeping claims information confidential Basic Qualifications: + Juris Doctor and… more