- Molina Healthcare (Long Beach, CA)
- …caseload of claims . Procures all medical records and statements that support the claim. + Makes recommendations for further investigation or resolution. + ... **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
- ICW Group (San Diego, CA)
- …pertinent regulations. This job investigates, reserves, and assesses Workers' Compensation claims within the Company standards and best practices guidelines. This ... + Communicates with insureds to obtain information necessary for processing claims . + Contacts and/or interviews injured workers, doctors, medical specialists,… more
- Robert Half Legal (Los Angeles, CA)
- Description We are looking for a Licensed Insurance Claims Investigator/Adjuster to join our team on a remote contract basis. In this role, you will leverage your ... to assess and manage risks, analyze complex insurance and/or litigation claims , and provide strategic recommendations. This position offers an opportunity to… more
- Sedgwick (Long Beach, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Manager | Long Beach, CA | SIP Required Are you looking for an ... 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)
- …& Insurance (Remote) Manager Global Service Delivery Operations - Casualty Claims **PRIMARY PURPOSE** **:** Manages the global service delivery partnership, which ... business needs evolve. + Prioritizes operational requests for global service delivery support by assessing urgency, impact, and alignment with business goals. **A**… more
- Conduent (Los Angeles, CA)
- …part of a culture where individuality is noticed and valued every day. **Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification?** **Would you like to ... audit pharmacy claims for accuracy?** **About the Role** Conduent Payment Integrity...first day of employment. + Retirement Savings: We will support you as you save for your future. +… more
- Providence (CA)
- **Description** **Senior Claims Manager - Employment Practice Liability \*Remote * Candidates residing in Alaska, Washington, Montana, Oregon, California, Texas or ... New Mexico are encouraged to apply.** The Senior Claims Manager- Employment Practice Liability ("EPL") is responsible for...Join Providence?** Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing… more
- Sedgwick (Orange, CA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Assistant | Orange, CA (In-Office) Are you looking for an impactful job ... THE ROLE:** To provide excellent customer service and internal support to an assigned team. **ARE YOU AN IDEAL...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Humana (Sacramento, CA)
- …your opportunity to lead cross-functional initiatives, apply your expertise in healthcare claims , and shape the future of operational excellence in a dynamic, ... + 2+ years of demonstrated expertise in end-to-end healthcare claims operations, including claim ingestion, processing, system navigation, payment workflows,… more
- Zurich NA (Irvine, CA)
- …Insurance industryOR + Bachelors Degree with 20 or more years of experience in Claims or Underwriting Support area within the Commercial Insurance industryAND + ... in tool & product innovation efforts. This position will support Energy's efforts in customer service and profitable growth,...high level of authority on technically complex risks to support the energy underwriting community, acting as a referral… more