- Ventura County (Ventura, CA)
- …(III, IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, ... incumbents perform program administrative duties to assure that all claims are billed timely. WHAT WE OFFER The County...WE OFFER The County of Ventura offers an attractive compensation and benefits package that includes: + Merit Increases… more
- Sedgwick (West Hills, 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
- 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 ... 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
- Travelers Insurance Company (Walnut Creek, CA)
- …Imagine loving what you do and where you do it. **Job Category** Claim ** 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
- Zurich NA (Sacramento, 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 (West Hills, CA)
- …8521 Fallbrook Ave West Hills, CA 91304 **PRIMARY PURPOSE** **:** To analyze claims and determine benefits due ensuring compliance with plan provisions; to determine ... and collect overpayments. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes assigned claims and determines benefits due. + Informs claimants of documentation… more
- Walmart (San Bruno, CA)
- …framework and build the sales enablement engine that brings it to life - claims , one-pagers, pitch decks, case studies, and playbooks. **What you'll do ** In this ... value propositions, messaging pillars, and proof points; maintain a ** claims library** with sourcing and cross-functional approvals (Biz Ops/Legal/PR/Finance). +… more
- Elevance Health (Cerritos, 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
- CDM Smith (Walnut Creek, CA)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...**Pay Range Minimum:** $59.85 **Pay Range Maximum:** $126.00 **Additional Compensation :** All bonuses at CDM Smith are discretionary and… more