- Zurich NA (Irvine, CA)
- Sr . Workers' Compensation Defense Attorney 128249 Zurich is seeking a successful Sr . Workers' Compensation Defense Trial Attorney to work out of our Pasadena, CA ... challenging and varied caseload. Responsibilities will include working directly with claims professionals providing legal analysis and advice, preparing and filing… more
- Travelers Insurance Company (Diamond Bar, CA)
- …As a Technical Specialist , you are responsible for handling complex, high-exposure claims . In this technical role, you will leverage your background in claims ... guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating...negotiation to ensure timely, fair, and cost-effective resolution of claims . You will serve as a technical resource to… more
- University of Southern California (Alhambra, CA)
- … Specialist " analyze, investigate, mitigate, and resolve all coding-related ' claims denials' and ' claims rejections,' specific to ICD-10-CM, ICD-10-PCS, ... the denial management process for coding-related denials, triage denied claims to distinguish coding-related denials versus clinical-related denials, evaluating … more
- CVS Health (Sacramento, CA)
- …following: + Executes both routine and non-routine business support tasks for the Sr Quality Specialist area under limited supervision, referring deviations from ... and timely support. + Acts as a subject matter expert on Quality Specialist workflows, policies, systems requirements, and enhancements as well as daily operations… more
- Sedgwick (Sacramento, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Estimate Review Specialist **PRIMARY PURPOSE** **:** To review all ... services. + Monitors, assists, tracks, and provides approval for all claims that are re-inspected by the Carrier. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES**… more
- J&J Family of Companies (Irvine, CA)
- …Learn more at https://www.jnj.com/medtech We are searching for the best talent for a ** Senior Regulatory Affairs Specialist ** . This role will work a Hybrid/Flex ... a commutable distance of Irvine, CA or Milpitas, CA. **Purpose** : The Senior Regulatory Affairs Specialist provides regulatory support for product lifecycle… more
- Allied Universal (Irvine, CA)
- …positively impacts the communities and customers we serve. Allied Universal(R) is hiring a Senior Benefits Specialist . The Senior Benefits Specialist ... qualifying life event changes, beneficiaries, disability, accident and death claims , and National Support Orders, Employee and Wage verifications, maintain… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Examiner III is an advanced-level role responsible for the detailed and accurate processing, review, and adjudication ... of complex healthcare claims . This position requires expert knowledge of ... processing, with at least 2 years in a senior or advanced role + Expert knowledge of CPT,… more
- Southland Industries (Garden Grove, CA)
- **Position Summary** The Senior Benefits Specialist supports the design, administration, and continuous improvement of employee benefits programs, with an ... while maintaining responsibility for day-to-day operations and employee engagement. The Specialist partners with Finance and HR leadership to ensure programs remain… more
- CVS Health (Sacramento, CA)
- …do it all with heart, each and every day. **Position Summary** The ** Senior Accounts Receivable Specialist ** prepares accounting and financial records and ... monthly invoices in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required Qualifications** + 2+… more