- Zurich NA (Los Angeles, CA)
- …work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...written communication skills + Microsoft Office experience At Zurich, compensation for roles is influenced by a variety of… more
- Sedgwick (Rancho Cucamonga, CA)
- …+ This role will be primarily responsible for **_Large Complex Property_** claims . **PRIMARY PURPOSE** **:** To investigate losses or claims internationally ... according to type of insurance. + Estimates cost of repair, replacement, or compensation . + Prepares report of findings and negotiates settlement with claimant. +… more
- NTT DATA North America (San Francisco, CA)
- …benefits, provider contracts, pricing, accumulators, authorization rules, and claims processing. -Collaborate with configuration analysts, business analysts, and ... functional, regression, and integration testing. -Create test data using Claims test Pro, testing tool created by Cognizant. -Identify...by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for… more
- Medtronic (Irvine, CA)
- …of US and International promotional labeling material, including the creation of a claims matrix database and claims objects. + Lead AI/ML adoption in ... content and claims management to support automation and enhance process efficiency....that may be specific to each role. **Benefits & Compensation ** **Medtronic offers a competitive Salary and flexible Benefits… more
- Molina Healthcare (San Diego, CA)
- …Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of ... healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and action plans. + Translates strategic needs into… more
- Travelers Insurance Company (Sacramento, CA)
- …loving what you do and where you do it. **Job Category** Claim, Legal ** Compensation Overview** The annual base salary range provided for this position is a ... candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash… more
- Evolent (Sacramento, CA)
- …into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant ... findings. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process...on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits… more
- Elevance Health (Los Angeles, CA)
- …with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable ... and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize...in good faith believes is the range of possible compensation for this role at the time of this… more
- Elevance Health (Walnut Creek, CA)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and...in good faith believes is the range of possible compensation for this role at the time of this… more
- Robert Half Accountemps (Lynwood, CA)
- …may be available. Key Responsibilities: + Submit and process medical claims accurately to Medi-Cal, commercial insurance, government payers, and other third-party ... Manage denials and appeals, researching root causes, documenting issues, and resubmitting claims as needed. + Collaborate with payers and providers to resolve… more