- Zurich NA (Sacramento, CA)
- …Qualifications** * Bachelors Degree and 7 or more years of experience in the Claims , Consulting, Risk Engineering or Underwriting area OR * High School Diploma or ... and 9 or more years of experience in the Claims , Consulting, Risk Engineering or Underwriting area OR *...leadership, and stakeholder engagement abilities. ** ** At Zurich, compensation for roles is influenced by a variety of… more
- Zurich NA (Irvine, CA)
- …+ Work to have a timely resolution to matters by collaborating with the claims adjuster, developing a case strategy and escalating issues as appropriate + Ensure ... state and federal laws and regulations + Protect Zurich's reputation by keeping claims information confidential Basic Qualifications: + Juris Doctor and 5 or more… more
- Zurich NA (Sacramento, CA)
- …+ Work to have a timely resolution to matters by collaborating with the claims adjuster, developing a case strategy and escalating issues as appropriate. + Ensure ... tools and resources and legal strategies. + Protect Zurich's reputation by keeping claims information confidential Basic Qualifications: + Juris Doctor and 5 or more… more
- Amazon (CA)
- …processes in collaboration with Management. Key job responsibilities Responsible for claims management and ensures successful and timely submission of all insurance ... claims . Maintains timely billing of services provided while ensuring...in isn't listed, please contact your Recruiting Partner. Our compensation reflects the cost of labor across several US… more
- ICW Group (CA)
- …Management Consultant** will identify and quantify policyholder Workers Compensation , Commercial Property, and/or Liability risks and communicate information ... internal stakeholders in conducting research or accident investigations to sustain claims and underwriting initiatives. + Identifies and quantifies Workers' … more
- Guidehouse (San Marcos, CA)
- …**:** None **What You Will Do** **:** The **Team Lead - Hospital Claims ** is responsible for supervising and coordinating the daily operations and activities of ... and three days working from home._** + **Strong Hospital Claims A/R & Billing Follow-up** + Mentoring of fellow...The annual salary range for this position is $65,000.00-$108,000.00. Compensation decisions depend on a wide range of factors,… more
- Providence (CA)
- …update and create Coding Policies and associated edit configurations within the PHP claims editing system. In addition, the Coding Policy Analyst will be responsible ... and assists with implementation of such changes to the claims adjudication and editing software. This position requires extensive...factors. These amounts are the base pay range; additional compensation may be available for this role, such as… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …service. The incumbent completes daily processing of claim edits or rejected claims processed through the billing system and from electronic claim vendor processing, ... submission. This position is responsible for pulling medical records to submit with claims and appeals as required by payors. Responsible to validate and accurately… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …payors, including but not limited to; Commercial, Medi-Cal and Managed Care professional claims . This position is responsible checking status of unpaid claims by ... ensure accurate adjudication of claim for reimbursement. They will process claims correctly following contractual arrangements the Medical Practice Foundation (MPF)… more
- Humana (Sacramento, CA)
- …encompasses critical functions including care coordination, quality measurement, billing, claims processing, and customer service, each essential to delivering a ... operational knowledge of core functional areas (care coordination, quality, billing, claims , and customer service). + Collaborate with each Insurance Operations… more