- 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
- University of Southern California (Alhambra, CA)
- …Denials Management Specialist" analyze, investigate, mitigate, and resolve all coding-related ' claims denials' and ' claims rejections,' specific to ICD-10-CM, ... ICD-10-PCS, CPT/HCPCS, DRGs, APCs, and Modifiers-from Medicare, Medi-Cal, MAC, RAC, and commercial insurance companies -when there is refusal or rejection to honor… more
- 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
- Zurich NA (Walnut Creek, CA)
- …work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... the Underwriting Specialist or Executive Underwriter Level. The hiring manager will determine the appropriate level based upon the...and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Zurich NA (Sacramento, CA)
- …office/market three days per week. We may, at the sole discretion of the hiring manager , also be open to hiring talent remotely. Zurich Energy is a leading provider ... Executive Underwriter or AVP, Underwriting Director level. The hiring manager will determine the appropriate level based upon the...and 10 or more years of experience in the Claims or Underwriting Support area OR + Zurich Certified… more
- The County of Los Angeles (Los Angeles, CA)
- …job functions: + Conducts engineering geology investigationsby acting as project manager , technical lead, technical peer reviewer; determining needs and requirements ... the technical integrity of developments (eg, single family, multifamily, commercial , subdivision)by reviewing engineering reports (eg, engineering geology and… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …of all outstanding balances from all payors, including but not limited to; Commercial , Medi-Cal and Managed Care professional claims . This position is ... JOB SUMMARY: Under the direction of the Manager Professional Billing & Coding, the Billing &...responsible checking status of unpaid claims by telephone, websites and/or any other means available… more
- CenterWell (Sacramento, CA)
- …Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care work assignments involve moderately complex ... factors. The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more
- GRAIL (Menlo Park, CA)
- …role will work closely with colleagues in Marketing, Field Sales, Medical Affairs, Commercial , and other groups, as well as with external agencies and contractors. ... on-site. Your specific schedule, determined in collaboration with your manager , will align with team and business needs and...for the Galleri test; translate evidence into clear, balanced claims and messaging frameworks. + Serve as a primary… more
- Fresenius Medical Center (Los Angeles, CA)
- PURPOSE AND SCOPE: Supports the consolidation, analysis and reporting of commercial revenue. Develops standards of review and analysis to facilitate accurate and ... timely analysis of all commercial revenue. Identifies trends, variances, discrepancies, and issues and...specifications and review methodologies. Analyses will include review of claims data, analysis of medication utilization for global contracts… more