- 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 ... or GED + Minimum 5 years of progressive experience in healthcare claims recovery, payment integrity, or post-payment audit functions, preferably within a multi-plan… more
- Travelers Insurance Company (Sacramento, CA)
- …practices. + Extensive experience handling large exposure and/or complex liability claims . + Familiarity with commercial lines products, policy language, ... reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality… more
- Command Investigations (Walnut Creek, CA)
- Seeking experienced investigators with commercial or personal lines experience, with multi-lines preferred to include AOE/COE, Auto, and Homeowners. SIU experience ... hire. Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, Auto, or… more
- Humana (Sacramento, CA)
- …managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other medical management organizations, hospitals/ Integrated ... management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines such as MCG(R)… more
- Humana (Sacramento, CA)
- …managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated ... management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines such as MCG(R)… more
- Guidehouse (San Marcos, CA)
- …mail when needed. + Maintain and shred lockbox statements, Viva remits and commercial remittance backup after six months. + Perform other duties as requested by ... Supervisor or Manager. **What You Will Need** **:** + High School Diploma / GED or 3 years of Relevant Equivalent Experience in Lieu of Diploma / GED. + 0-2+ year's experience in office, business, operations, customer service or healthcare field. **What Would… more
- Travelers Insurance Company (Diamond Bar, CA)
- …and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... not manage staff. **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality and timely coverage… more
- PCL Construction (Glendale, CA)
- Assistant Manager, Finance & Commercial Risk **The future you want is within reach.** At PCL, we build the places where life happens and find camaraderie in the ... in search of a professional to serve as the Assistant Manager Finance and Commercial Risk for our California Buildings district office located in Glendale, CA, to… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... not manage staff. **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures file quality and timely coverage… more
- Travelers Insurance Company (Diamond Bar, CA)
- …beacon of hope that guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating heart of our promise to ... most. As a Technical Specialist, you are responsible for handling complex, high-exposure claims . In this technical role, you will leverage your background in … more