- Sedgwick (Sacramento, CA)
- …hospital visit for the claim. + Maintains communication with the customer, Client Service Director, and Claims Examiner providing timely updates on changes in ... guidelines. + Maintains ongoing communication with the client, Client Service Director, and Claims Examiner until the assigned Field Case Manager arrives onsite.… more
- Sedgwick (West Hills, CA)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor… more
- Elevance Health (Walnut Creek, CA)
- …agencies. + Research and coordinates responses to inquiries. + Works with FEP Customer Service and Claims to resolve member issues. + Remains informed of the ... or experience in a related field and a minimum of 2 years of sales/ service experience; or any combination of education and experience which would provide an… more
- CVS Health (Sacramento, CA)
- …for complaints and appeals received by the organization. This includes denied claims , coverage issues, medical necessity, service quality, or other concerns ... Excel, PowerPoint, Outlook). **Preferred Qualifications** + Prior experience working with claims . + Prior experience in health insurance. + Prior experience in… more
- City of Stockton, CA (Stockton, CA)
- …resolves difficult and sensitive customer inquiries and complaints; resolves contractor claims ; ensures improvements to customer service are carried throughout ... Incumbents in this position are included in the Civil Service system, in a "for-cause" employment status, and are...pre-employment screening. Public Records + Review reports, calls for service and other data to determine releasable information to… more
- The County of Los Angeles (Los Angeles, CA)
- …ANY TIME WITHOUT PRIOR NOTICE. THIS EXAMINATION MAY REOPEN AS THE NEEDS OF THE SERVICE REQUIRE. WHO WE ARE: The County of Los Angeles (County) is the largest ... a fair outcome through our consumer protection programs, including Small Claims Advisor, dispute resolution and mediation programs, immigration legal services,… more
- USAA (Los Angeles, CA)
- …to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the ... where our core values - honesty, integrity, loyalty and service - define how we treat each other and...framework, investigate, evaluate, negotiate and settle complex property insurance claims presented by or against our members. You will… more
- USAA (Los Angeles, CA)
- …to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the ... where our core values - honesty, integrity, loyalty and service - define how we treat each other and...to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will… more
- Banner Health (CA)
- …Banner Health the best place to work and receive care. The PFS Customer Service Rep role coordinates and facilitates patient billing and collection activities in one ... or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. We work as a team to ensure reimbursement… more
- Nestle (Los Angeles, CA)
- …compliance as pertains to ingredient and product composition, labeling, product claims , and associated communications. This position is expected to master the ... guiding cross-functional stakeholders in areas like recipe compliance, labeling, claims substantiation, ingredient qualification (eg GRAS, NDI), and nutrition… more