- Sedgwick (Sacramento, CA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY PURPOSE** ... **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to… more
- Zurich NA (Sacramento, CA)
- Sr. Claims Specialist - Complex Construction 126105 Zurich North America is seeking a skilled and experienced Senior Claims Specialist to join our ... team. This role is essential in managing complex, high-exposure construction, and litigation claims , while supporting the New York Labor team to ensure claims … more
- Lincoln Financial (Sacramento, CA)
- …at a Glance** We are excited to bring on a highly motivated Integrated Absence Claims Specialist to staff our ever-growing claims organization. As an ... Integrated Absence Claims Specialist , you will manage a workload...diploma or GED + 1-2 years of experience in claims , leaves, or customer service + Strong… more
- Dignity Health (Bakersfield, CA)
- **Responsibilities** The Claims Research Specialist will oversee and manage research efforts related to claims overpayments, underpayments, and billing ... issues within a managed care service organization. This role involves review/ensuring accurate and timely resolution of discrepancies, and working collaboratively… more
- Philadelphia Insurance Companies (Mission Viejo, CA)
- …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Specialist to join our team! Summary: Investigate, evaluate and settle more complex first ... Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service , Inc. and First Insurance Company of Hawaii, Ltd.) is an… more
- Public Consulting Group (Chula Vista, CA)
- …+ Assessments and Feasibility Studies PCG is seeking highly motivated and dependable Claims Specialist payment processing clerk with an interest in public ... service who can work in our San Diego, CA...union, or domestic partnership status, past or present military service , citizenship status, family medical history or genetic information,… more
- Guidehouse (San Marcos, CA)
- …insurance claims , billing, coding, follow-up, finance, accounting or customer service related responsibilities. **What Would Be Nice To Have** **:** + Credit ... Required** **:** None **What You Will Do** **:** The **Credit Balance Specialist ** will manage credit balance workloads and respond and follow-up on external… more
- Cognizant (Sacramento, CA)
- …of claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist , you will be responsible for timely and accurate ... adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support...for reviewing medical records when necessary to determine if service rendered was medically appropriate and criteria have been… more
- Ventura County (Ventura, CA)
- …Health Care Agency - Ventura County Behavioral Health (VCBH) Medical Billing Specialist III/IV are represented by the Service Employees' International Union ... Medical Billing Specialist III/IV - Behavioral Health Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5037514) Apply Medical Billing … more
- Amazon (CA)
- …member's billing needs via 1Life's tasking system to provide the best customer service . Investigating claims through insurance to ensure they were processed ... that makes One Medical unique. As a Centralized Support Specialist II Billing Specialist , you'll execute our...you'll execute our mission of delivering high-quality care and service . Specifically, you'll take patient phone calls and handle… more