- UNUM (Sacramento, CA)
- …Based Incentive Plans + Competitive benefits package that includes: Health, Vision, Dental , Short & Long-Term Disability + Generous PTO (including paid time to ... Rehabilitation. This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The… more
- HUB International (Encino, CA)
- …goals. Our suite of benefits includes PPOs, HMO, HSA, FSA, vision coverage, dental coverage, pet insurance, paid time off, a generous 401k plan and more! ... play a vital role in supporting our clients with day-to-day account management, claims management, and underwriting services that ensure they have what they need to… more
- Robert Half Technology (Martinez, CA)
- …Collaborate with diverse groups including IT, Quality, Medical Directors, Claims & Processing, and Utilization Management. Support governance activities with ... tools, and prepare the organization for state and federal oversight. Claims Operations: Redesign workflows to improve timeliness, accuracy, and efficiency while… more
- Humana (Sacramento, CA)
- …clinical concepts and extract clinical information from medical, pharmacy, and lab claims for analytics and modeling purposes + Translates analytic results into key ... or managed care working experience + Experience working with medical, pharmacy, lab claims + Experience working with big data and using PySpark, Spark R or… more
- UIC Government Services and the Bowhead Family of Companies (Los Angeles, CA)
- …and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual ... based on the provisions contained within The Alaska Native Claims Settlement Act. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. All… more
- Humana (Sacramento, CA)
- …**Required Qualifications** + Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with Fraud, Waste, ... Certifications, CPC, CCS, CFE, AHFI) + Understanding of healthcare industry, claims processing and internal investigative process development + Experience in a… more
- International Paper (Ontario, CA)
- …to FMLA, disabilities, and return to work. + Processes all unemployment-related claims ; participates in any appeal hearings or other activities related to ... unemployment claims . + Surfaces employee concerns and improvements; recommends alternatives...that includes health, welfare and retirement plans including Medical, Dental , Life insurance, Flexible Spending Accounts, Short-term and Long-term… more
- Sedgwick (Orange, CA)
- …comprehensive benefits package is offered including but not limited to, medical, dental , vision, 401k and matching, PTO, disability and life insurance, employee ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- LA Care Health Plan (Los Angeles, CA)
- …and provider complaint and appeals issues, including eligibility, access to care, claims , benefit, and quality of care concerns. Experience working with firm ... Excel and Power Point. Requires strong knowledge of regulatory standards and claims processing; strong analytical, oral, written and presentation skills, able to… more
- Dignity Health (Bakersfield, CA)
- …teams as needed when questions arise. The Provider Data Analyst partners with Configuration Claims and Enrollment to ensure end to end accuracy to pay claims ... choose the benefits they want from a variety of options, including medical, dental and vision plans, for the employee and their dependents, Health Spending Account… more