• Sr. Claims Specialist - Complex…

    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 ... is essential in managing complex, high-exposure construction, and litigation claims , while supporting the New York Labor team to...while supporting the New York Labor team to ensure claims are handled efficiently and effectively, with a focus… more
    Zurich NA (08/08/25)
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  • Claims Specialist Sr - Commercial…

    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
    Sedgwick (07/10/25)
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  • Claims Specialist - Auto

    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 ... and third party commercial auto insurance claims . A typical day will include the following: Thoroughly...investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Travel is… more
    Philadelphia Insurance Companies (07/26/25)
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  • Claims Specialist 1

    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 Stage 1 Child Care Payment Services operation. The clerks will be responsible for accurately distributing child care payments to child care providers and working with CalWORKs families to access child care. These staff… more
    Public Consulting Group (08/30/25)
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  • Claims Research Specialist

    Dignity Health (Bakersfield, CA)
    **Responsibilities** The Claims Research Specialist will oversee and manage research efforts related to claims overpayments, underpayments, and billing ... and working collaboratively with providers and internal departments to enhance claims processes and improve financial outcomes. **Essential Functions:** - To… more
    Dignity Health (08/28/25)
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  • Senior Claims Benefit Specialist

    CVS Health (Sacramento, CA)
    …And we do it all with heart, each and every day. **Position Summary** The **Senior Claims Benefit Specialist ** will review and adjust SF ( _self-funded_ ), FI ( ... _fully insured_ ), Reinsurance, and/or RX claims . They will adjudicate complex, sensitive, and/or specialized claims in accordance with claim processing… more
    CVS Health (08/31/25)
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  • Sr. Corporate Claims Specialist

    Golden State Foods (Irvine, CA)
    …can advance, innovate, and contribute to our ongoing success. TheSr. Corporate Claims Specialistanalyzes, coordinates, and manages all aspects of GSF's insurance ... claims (workers compensation, auto, and general liability) process to...from initial filing to eventual closure. The Sr. Corporate Claims champions internal GSF initiatives to better educate leadership… more
    Golden State Foods (06/07/25)
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  • Claims Processor (with Facets) - Healthcare…

    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...utilizing payer specific policies and procedures. Provide support to claims and client for issues related to claims… more
    Cognizant (08/26/25)
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  • Credit Balance Specialist - Hospital…

    Guidehouse (San Marcos, CA)
    …Required** **:** None **What You Will Do** **:** The **Credit Balance Specialist ** will manage credit balance workloads and respond and follow-up on external ... service. + Working knowledge can be of the following: insurance claims , billing, coding, follow-up, finance, accounting or customer service related responsibilities.… more
    Guidehouse (06/23/25)
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  • Senior Claim Benefit Specialist

    CVS Health (Sacramento, CA)
    …handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
    CVS Health (08/01/25)
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