- Carrington (Anaheim, CA)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses ... elements in order to confirm the proper decision rationale and approve evidentiary support is included and written summaries are accurate. + Validate research on… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Recovery Manager is responsible for leading the recovery operations within the MSO Claims department. This role ... and finance to maximize cost recovery, reduce payment errors, and support contractual compliance. **Job Requirements** **Minimum Qualifications:** + High School… more
- Carrington (Anaheim, CA)
- …losses in order to dispute financial impact + Review and procure additional support upon receipt of rebutted responses from external partners / investors + Analyze ... in order to apply the proper decision rationale and provide evidentiary support to complete accurate written summaries. + Research incurred losses, using analytical… more
- CDM Smith (Carlsbad, CA)
- …team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. Identify contractual ... Pacific region, primarily projects in California. The role will support negotiation, setup, and implementation of all contracts necessary...requirements to maintain and prosecute claims , and assist project team in managing to those… more
- Manulife (CA)
- Day-to-day management of one or more customer support / operations teams. Work on and lead departmental and enterprise-level initiatives and projects. **Position ... procedures and industry regulations + Day to day management of customer support /operations teams + Develop business metrics to focus staff efforts and measure… more
- Humana (Sacramento, CA)
- …contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana ... value-based care, population health, or disease or care management. Medical Directors support Humana values throughout all activities. **Use your skills to make an… more
- Humana (Sacramento, CA)
- …contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana ... its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage… more
- Samsung SDS America (Cerritos, CA)
- …potential risks, recommend mitigation strategies, and provide legal advice on logistics claims , disputes, and complaints + Support claim processes, assessing ... Legal Counsel on the Legal & Compliance team, you'll deliver strategic legal support to our Smart Logistics (SL) business, driving growth in 3PL/4PL services,… more
- Sumitomo Pharma (Sacramento, CA)
- …a detailed review and evaluation of the adequacy of clinical evidence provided to support proposed claims and assess consistency of proposed claims with ... and objectives, regulations, guidelines, and company policy. + Manage and/or support the development and implementation of policies, procedures and tools related… more
- ICW Group (CA)
- …present large account service proposals. + Performs accident investigations as needed in support of claims and underwriting. Delivers risk management services to ... stakeholders in conducting research or accident investigations to sustain claims and underwriting initiatives. + Identifies and quantifies Workers' Compensation… more