- USAA (San Diego, CA)
- …and appraise low complexity (drivable, material loss, auto physical damage) auto claims in accordance with the terms and conditions of the contract, corporate ... Maintains accurate and current claim file documentation throughout the claims process for low complexity claims . +...(now or in the future) you will need immigration support (ie, H-1B, TN, STEM OPT Training Plans, etc.).**… more
- Amazon (CA)
- …people committed to driving financial improvement, scalability, and process excellence. To support the growth of Amazon Health Services, this candidate must possess ... processes in collaboration with Management. Key job responsibilities Responsible for claims management and ensures successful and timely submission of all insurance… more
- Marriott (Anaheim, CA)
- …and monitoring performance. * Provides personal assistance, medical attention, emotional support , or other personal care to others such as coworkers, customers, ... **Conducting Human Resources Activities** * Assists in minimizing cost of accident claims through aggressive claims management. * Brings issues to the… more
- Robert Half Legal (Encino, CA)
- …multiple pre-litigation cases, ensuring prompt and effective resolution while providing exceptional support to clients. This is an onsite position that offers a ... case managers in their daily tasks and responsibilities. * Facilitate claims processing with insurance carriers, including health insurance, Medicare, and Medi-Cal.… more
- Insight Global (San Diego, CA)
- …Run and manage weekly PDE cycle submissions (previously 3-week cycles). o Convert claims data into CMS-compliant PDE files using internal systems. o Prepare files ... PDE Analysts and Supervisors (no direct client or IT interaction). o Support narrative reviews and statistical summaries for compliance reporting. * Volume… more
- Humana (Sacramento, CA)
- …certification from the AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement methodologies, ICD, CPT, and HCPCS + ... or business-related field + Knowledge of internal Medical Coverage Policies and Claims Payment Policies + CAS claims processing experience + Experience… more
- Insight Global (Irvine, CA)
- …with federal and state regulations * Accurately prepare, review, and submit claims to maximize reimbursement and minimize denials * Utilize Paragon EHR and ... efficiency * Collaborate with internal teams to resolve billing discrepancies and support revenue cycle goals Maintain up-to-date knowledge of payer guidelines and… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …execute the global training operations strategy within the Learning CoE to support quality and compliance objectives. + Establish governance frameworks for training ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- ICW Group (San Diego, CA)
- …+ Directs questions to the appropriate contact in the department. Inputs new claims into enterprise resource planning (ERP) system as well as creates written ... + Processes incoming mail and other administrative duties relating to claims . **SUPERVISORY RESPONSIBILITIES** This role does not have supervisory responsibilities.… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …of technological trends and passion to develop innovative solutions that support and enhance medicine, science, and research to increase Otsuka's competitive ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more