- Sedgwick (Los Angeles, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Medical Malpractice | Professional Liability | ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
- Cedars-Sinai (Los Angeles, CA)
- …include:** Analyzes, trends, reports out, and resolves pended claims in PB Claim Edit WQs and PB Payer Rejection Insurance Follow-up WQs to ensure ... clean claim submissions and timely reimbursement. Completes special PB claims related projects as assigned. These projects could include trending issues to… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Research Specialist will oversee and manage research efforts related to claims overpayments, underpayments, ... claim types - Perform an analysis of the claims processing by reviewing contract, system configuration, benefits, financial...they want from a variety of options, including medical, dental and vision plans, for the employee and their… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Quality Specialist is responsible for ensuring the accuracy and quality of claims processing within a managed ... improve overall claims accuracy and efficiency. The Claims Quality Specialist will work closely with...they want from a variety of options, including medical, dental and vision plans, for the employee and their… more
- Providence (Mission Hills, CA)
- …a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental , vision), life insurance , disability insurance , time off ... **Description** Working under the general supervision of the Claims Director, provide an effective education program to...to advance the quality and production level of the Claims Department by developing and delivery claims … more
- Ventura County (Ventura, CA)
- …credit allowance of up to $21,450 annually to offset the purchase of medical, dental , and/or vision insurance for you and your dependents. + Employee only ... Medical Billing Specialist III/IV - Behavioral Health Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5037514) Apply Medical Billing … more
- Morley (CA)
- …& Wellness Benefits_** + Medical and prescription coverage, including free annual physicals + Dental and vision insurance + Paid time off + Associate wellness ... be a perfect fit for you! As a Legal Claims Analyst at Morley, you'll play a key role...Apply?_** Live chat with a Morley Talent Acquisition (TA) Specialist ( careers.morleycompanies.com | chat hours: M-F 5 am… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Examiner III is an advanced-level role responsible for the detailed and accurate processing, review, and adjudication ... of complex healthcare claims . This position requires expert knowledge of ...work experience will be considered. + Certified Medical Reimbursement Specialist (CMRS), or similar certification is preferred. + CPC… more
- Sedgwick (Sacramento, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical ... of claims including comprehension of medical terminology and substantiating claim decisions. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Acts as a backup for… more
- Sedgwick (West Hills, CA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance LTD Case Specialist **PRIMARY PURPOSE** **:** To analyze claims and determine benefits due ... Manager, or Project Manager. + Negotiates settlement of appropriate claims within designated authority level. + Makes claim...package is offered including but not limited to, medical, dental , vision, 401k and matching, PTO, disability and life… more