- Sedgwick (West Hills, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance LTD Case Specialist (Hourly) **PRIMARY PURPOSE** **:** To analyze claims and determine ... and collect overpayments. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes assigned claims and determines benefits due. + Informs claimants of documentation… more
- Sedgwick (Sacramento, CA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Return-to-Work Specialist **PRIMARY PURPOSE** : To negotiate, facilitate and monitor successful ... Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) efforts through negotiation with… more
- Cognizant (Sacramento, CA)
- **Appeals & Grievance Specialist (remote)** This is a remote position open to any qualified applicant in the United States. **Job Summary:** We are seeking a ... dedicated Appeals & Grievance Specialist with 2 to 3 years of experience to...**Responsibilities:** Reviewing available Appeals & Grievances for the pending claims to verify due process was followed. Determine if… more
- Otsuka America Pharmaceutical Inc. (San Francisco, CA)
- …everyday health. In its evolved customer engagement model, a Neuroscience Specialist engages healthcare providers (HCPs) using in-person, virtual, and digital tools, ... to improve patient care and provide a superior experience. The Neuroscience Specialist will report directly to the respective Area Business Lead, coordinating with… more
- Fortrex (CA)
- **System Specialist ** **Department:** Chemical - Service **Job Status** : Full Time **FLSA Status:** Salary Exempt **Reports To:** Regional Customer Service Manager ... with a passion for cutting-edge technology? We are in search of a dedicated System Specialist to join our talented team. As a System Specialist you will be… more
- Adecco US, Inc. (Fountain Valley, CA)
- …is currently assisting one of its clients in their search for a **Benefits Specialist in Fountain Valley, CA!** Pay rate: $32.01 - $45/hr (dependent on experience) ... program, and flexible spending accounts. Our ideal candidate for this **Benefits Specialist ** must have/must be able to: * Administer healthcare programs including… more
- Cardinal Health (Sacramento, CA)
- …Rep is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following up on unpaid ... insurance providers + Researching and appealing denied and rejected claims + Preparing, reviewing, and transmitting claims ...and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan… more
- Sedgwick (San Francisco, CA)
- …Best Workplaces in Financial Services & Insurance Senior Estimate Review Specialist **PRIMARY PURPOSE** **:** To review all estimates and supporting documentation ... + Monitors, assists, tracks, and provides approval for all claims that are re-inspected by the Carrier. **ADDITIONAL FUNCTIONS...package is offered including but not limited to, medical, dental , vision, 401k and matching, PTO, disability and life… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... purpose. Job Summary The Customer Solution Center Appeals and Grievances (A&G) Specialist II will receive, investigate and resolve member and provider complaints and… more
- UIC Government Services and the Bowhead Family of Companies (Corona, CA)
- …AI/ML & LLM (AR/PA IT) Bowhead seeks a Sr. Data Scientist - AI/ML & LLM Specialist to join our team supporting the AR/PA IT Program at Naval Surface Warfare Center - ... California. The Sr. Data Scientist - AI/ML & LLM Specialist will work directly with the client analyzing complex...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more