- ICW Group (Pleasanton, CA)
- … claims and influencing best practices in litigation management. The Major Claims Unit works collaboratively with and receives support from dedicated in-house ... why you want to be here! **PURPOSE OF THE JOB** The Senior Manager Major Claims Unit (MCU) leads a team of specialized complex claims professionals focused on… more
- Sedgwick (Roseville, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative Trainee | In-office (Roseville, CA) Are you looking for an ... trained as new industry professional with the ability to analyze workers compensation claims and determine benefits due. **ARE YOU AN IDEAL CANDIDATE?** We are… more
- Sedgwick (Roseville, CA)
- …in Financial Services & Insurance Industry Advancement Program | Workers Compensation Claims Representative Trainee | San Diego, CA or Roseville, CA (In-Office) Are ... trained as new industry professional with the ability to analyze workers compensation claims and determine benefits due. **ARE YOU AN IDEAL CANDIDATE?** We are… more
- ICW Group (Woodland Hills, CA)
- …Learn more about why you want to be here! **PURPOSE OF THE JOB** The Senior Claims Examiner handles moderate to complex claims with a focus on providing the ... level of service for policyholders and ICW Group to independently bring claims to an equitable conclusion within Company standards and best practice guidelines.… more
- Golden State Foods (Irvine, CA)
- …+ Support Assistant General Counsel on complex and litigated claims + Reviews potential causes of accidents, injuries, and/or loss; recommends preventive ... innovate, and contribute to our ongoing success. TheSr. Corporate Claims Specialistanalyzes, coordinates, and manages all aspects of GSF's...measures and plans to support GSF's safety culture and to prevent accidents and… more
- Highmark Health (Sacramento, CA)
- …errors and/or performing quality control review and final adjudication of paper/electronic claims . Determines whether to return, deny or pay claims following ... claims and inquiries to determine corrective action including adjusting claims as necessary and takes the corrective action steps using enrollment, benefit… more
- Molina Healthcare (Long Beach, CA)
- …types of complex claims . Procures all medical records and statements that support the claim. + Meets department quality and production standards. + Meet State ... **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls...claim records. Monitors and controls backlog and workflow of claims . Ensures that claims are settled in… more
- Molina Healthcare (Long Beach, CA)
- **Job Description** **Job Summary** The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims , coordinating, ... investigates and confirms the appropriate resolution of claims issues. This role will require actively researching issues...line of business or state **Job Function** Provides customer support and stellar service to assist Molina providers with… more
- Sedgwick (West Hills, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | West Hills, CA Are you looking for an opportunity ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Sedgwick (Sacramento, CA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead I Workers Comp (Calif Exp) **PRIMARY PURPOSE:** To supervise the ... individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in… more
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