- University of Southern California (Alhambra, CA)
- …Collector Appeal Specialist is responsible for accurately processing inpatient and out-patient claims to third party payers and private pays, following all mandated ... guidelines are met; provided quality control checks on paper and electronic claims ; process tracers, denial and related correspondence; initiate appeals; compose and… more
- EFI Global (San Diego, CA)
- …involving structures and determining the cause of fires in commercial buildings or residences.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned ... claims suspected of insurance fraud, this includes large loss,...this includes large loss, large fire loss, and multiple claims .** **Ensures that assigned cases are investigated and reported… more
- LA Care Health Plan (Los Angeles, CA)
- …Care Health Plan Core Systems applications, and databases (eg, QNXT Migration Utility, Claims Workflow, Claims Test Pro, NetworX Pricer, etc.). This position ... Required: At least 5 years of experience in a Systems Configuration, Claims or other Operations department in a healthcare organization. Advanced knowledge of… more
- J&J Family of Companies (Irvine, CA)
- …of evidence generation and dissemination activities that support product approvals, claims development, and product adoption and lifecycle management, and work ... closely with the R&D teams during product development and with marketing and commercial teams during product launches to provide training and education. The Director… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …Quality - Biologics is responsible for managing quality oversight of clinical and commercial products at CMOs under contract by Otsuka to ensure that they are ... This role has global responsibility for managing clinical and commercial product quality to ensure global supply for Otsuka's...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- PCL Construction (Glendale, CA)
- …knowledge of contract/construction law in relation to tender documents, project contracts, and claims management. + Understanding of the commercial terms of the ... to our team: **Responsibilities** + Assist Manager, Finance and Commercial Risk, in providing guidance and expertise on contract...employees in respect of insurance considerations. + Manage insurance claims and support other legal claims to… more
- Zurich NA (Irvine, CA)
- …on a hybrid schedule. This litigator will be responsible for representing the commercial insureds of a prestigious and financially stable commercial insurance ... carrier, by preparing and trying moderate to high exposure General Liability, Commercial Auto and Products Liability cases from a challenging and varied caseload. If… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …Director will work cross-functionally with sales, market access, medical affairs, and commercial operations to align on strategic priorities and ensure that HCP ... driving to successful execution, along with leading and mentoring commercial team members responsible for HCP personal promotions and...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Zurich NA (Sacramento, CA)
- …Staff Legal team. This Trial Attorney will be responsible for representing the commercial insureds of a prestigious and financially stable commercial insurance ... and trying high complexity, high exposure General Liability and Commercial Auto personal injury cases. Ready for a career...a timely resolution to matters by collaborating with the claims adjuster, developing a case strategy and escalating issues… more
- Sumitomo Pharma (Sacramento, CA)
- …the candidate must be experience with supporting all aspects of global commercial product. The role will hold accountability for regulatory submissions, applicable ... limited to VP Clin Dev and CMO + Manage Commercial Regulatory Affairs function and serve as an internal...the adequacy of clinical evidence provided to support proposed claims and assess consistency of proposed claims … more