- AON (Los Angeles, CA)
- …part of an industry-leading team, you will be engaged in multinational risk management strategy to deliver innovative and tailored solutions for our retail global ... including technical writing and verbal presentation skills. + Establish understanding of claims administration process and utilize the claims and legal advocacy… more
- Ventura County (Ventura, CA)
- …credit allowance of up to $23,530 annually to offset the purchase of medical, dental , and/or vision insurance for you and your dependents. + Employee only - $502 ... pay period + Flexible Spending Accounts - Pre-tax benefit towards eligible medical, dental and vision care and/or dependent care expenses. + Pension Plan -… more
- Robert Half Office Team (San Diego, CA)
- …Analyze billing data, reconcile accounts, and resolve discrepancies in Medicaid/Medicare claims and payments. + Compliance Management : Ensure adherence to ... all applicable federal and state regulations governing Medicaid and Medicare claims . + Denial Management : Proactively address and resolve claim denials or… more
- Walmart (Hesperia, CA)
- …Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures ... Determines training needs Develops and delivers training as needed Manages claims and receiving operations by ensuring proper policies and procedures are… more
- Sedgwick (Rancho Cucamonga, CA)
- …+ This role will be primarily responsible for **_Large Complex Property_** claims . **PRIMARY PURPOSE** **:** To investigate losses or claims internationally ... Attends litigation hearings. + Revises case reserves in assigned claims files to cover probably costs. + Prepares loss...+ Attention to detail and accuracy + Good time management and organizational skills + Ability to work independently… more
- Robert Half Accountemps (San Diego, CA)
- …state and federal guidelines for Medicaid/Medicare billing and reporting. + Denial Management : Research and resolve denied claims , identify trends, and implement ... to lead their billing team and ensure the accuracy and compliance of claims submissions. This role is ideal for someone with in-depth experience in healthcare… 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 ... test scripts for functional, regression, and integration testing. -Create test data using Claims test Pro, testing tool created by Cognizant. -Identify test data and… more
- Sedgwick (Sacramento, CA)
- …casualty workers compensation industry background and skill set. Managing and understanding claims data & casualty claims data.** **PRIMARY PURPOSE** **:** To ... and pipeline. + Responsible for developing and overseeing client relationship management enterprise solutions. + Responsible for providing strategic direction for… more
- AON (San Francisco, CA)
- …fashion to cross-sell Cyber Solutions products and services + Optimally use the claims and legal advocacy group for claim administration and counsel to assist with ... Our team at Aon focuses on comprehensive cyber risk management by helping clients assess, analyze, quantify, transfer and...10+ years of experience in insurance brokering, underwriting or claims experience in Cyber and E&O lines. + Proficiency… more
- LA Care Health Plan (Los Angeles, CA)
- …The Quality Configuration Assurance Analyst III collaborates closely with peers and management within the department as well as throughout the organization to ... root causes, etc. that impact member access to care, claims payments, etc.; and assessment and roll-out of key...of and experience with utilizing SDLC and related change management methodologies, standards and best practices. Preferred: At least… more