- AON (Los Angeles, CA)
- …including technical writing and verbal presentation skills. + Establish understanding of claims administration process and utilize the claims and legal advocacy ... programs, and/or leading collaboration across offices and/or geographies to support multinational risk management/finance practices on behalf of insureds, brokers,… more
- TEKsystems (Chino, CA)
- …professional growth. . Handle settlement calls with utmost professionalism. . Provide comprehensive support and details on claims . . Utilize call center software ... to efficiently manage interactions and data. . Achieve performance targets in call handling, customer satisfaction, and resolution rates. . Navigate multiple screens and software systems to assist customers effectively. Your availability is required… more
- Humana (Sacramento, CA)
- …community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to ... support modeling, reporting, and decision-making. Requires strong project management...transformations, automation, and enhancements. Conduct in-depth analysis of healthcare claims to identify data issues and optimization opportunities. Work… more
- HUB International (Santa Barbara, CA)
- …decision-making. The Account Manager II also supports Producers and other support staff in obtaining, maintaining, and expanding business. **DUTIES & ... internal processing for assigned accounts. Includes acting as Back-up for other support staff members. + Acquires understanding of clients' insurance objectives and… more
- Robert Half Accountemps (Lynwood, CA)
- …play a crucial role in managing billing operations, ensuring accuracy in claims processing, and maintaining compliance with organizational standards. This is a fully ... the success of a non-profit organization. Responsibilities: * Process billing claims accurately and efficiently, adhering to organizational policies and procedures.… more
- Sharp HealthCare (San Diego, CA)
- …and responding to internal and external benefit inquiries, and supporting claims testing activities. Provides training to new and less experienced Benefit ... insurance product implementation, benefit/coverage policy development, benefit configuration, or claims role. **Other Qualification Requirements** + Bachelor's degree in… more
- Evolent (Sacramento, CA)
- …accuracy, collaboration, and innovation, ensuring that all team members receive the support , tools, and skills to positively contribute to Evolent's broader mission. ... finance, product and account management. **What You Will Be Doing:** + Support Business Development & Product teams in developing the strategic approach for… more
- Robert Half Legal (Oakland, CA)
- …in employment law cases, with a focus on plaintiff-side matters and disability claims . * Conduct thorough legal research and draft compelling briefs to support ... hearings, motions, and trials. * Collaborate with clients to assess their claims and provide strategic legal guidance. * Utilize case management software to… more
- LA Care Health Plan (Los Angeles, CA)
- …for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Care ... or any additional service needs according to specific program guidelines. Uses claims processing and care management software to look up member information, document… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …all sites of care, ensuring every patient receives seamless, compassionate, and expert support . Founded in 2015, Polaris is proud to be locally and independently ... is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial… more