- Sedgwick (San Francisco, CA)
- …Best Workplaces in Financial Services & Insurance Senior Estimate Review Specialist **PRIMARY PURPOSE** **:** To review all estimates and supporting documentation ... services. + Monitors, assists, tracks, and provides approval for all claims that are re-inspected by the Carrier. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES**… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, ... purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider complaints and… more
- CDM Smith (Rancho Cucamonga, CA)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs… more
- UIC Government Services and the Bowhead Family of Companies (Corona, CA)
- …AI/ML & LLM (AR/PA IT) Bowhead seeks a Sr. Data Scientist - AI/ML & LLM Specialist to join our team supporting the AR/PA IT Program at Naval Surface Warfare Center - ... California. The Sr. Data Scientist - AI/ML & LLM Specialist will work directly with the client analyzing complex...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- Adecco US, Inc. (Fountain Valley, CA)
- …is currently assisting one of its clients in their search for a **Benefits Specialist in Fountain Valley, CA!** Pay rate: $32.01 - $45/hr (dependent on experience) ... program, and flexible spending accounts. Our ideal candidate for this **Benefits Specialist ** must have/must be able to: * Administer healthcare programs including… more
- Robert Half Accountemps (Encino, CA)
- …have at least 3 years of experience in the healthcare industry. The Medical Billing Specialist must be able to submit claims to the insurance companies for ... services rendered. DUTIES AND RESPONSIBILITIES -Performs full cycle billing functions for Surgical detail-oriented fees. -Verify patient eligibility, authorization status and primary payer information via CareConnect and Insurance portals prior to claim… more
- Cedars-Sinai (CA)
- …care we strive for. **What will you be doing:** The Sales Outreach Specialist is responsible for successfully promoting the use of Cedars-Sinai specialty services to ... referring entities including physicians, physician groups, and IPAs. The Specialist leads and participates in sales activities and provides strong customer service… more
- Walgreens (San Bernardino, CA)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Veterans Affairs, Veterans Health Administration (San Francisco, CA)
- Summary The incumbent serves as a Medical Specialist Administrator on Duty (AOD) located in the Business Office (BO), San Francisco VA Medical Center. The position ... Virtual: This is not a virtual position. Position Description/PD#: Medical Admin Specialist /PD09025A Requirements Conditions of Employment You must be a US Citizen… more
- Sedgwick (San Diego, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Talent Acquisition Specialist | Contractor | Hybrid Are you looking for an opportunity to join ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more