- MCKESSON (Los Angeles, CA)
- …reimbursement challenges for a specific drug (including Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer ... Support on Case management, billing and coding updates, appropriate claims submission, Specialty Pharmacy, Medical Benefit Interpretation, understanding medical… more
- Guardian Life (Sacramento, CA)
- The Long Term Disability (LTD) Claims Case Manager is responsible for making accurate decisions on assigned claims through proactive case management ... Team and outside vendor assistance + Partner with the Short Term Disability team on large group claims for early interventions when claims are identified as… more
- Sedgwick (Sacramento, CA)
- …liability and/or physical damage claims under close supervision. + Processing disability claims of minimal disability duration under close supervision. ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative (IAP) - Workers Compensation Training Program Are you looking for… more
- Sedgwick (Roseville, CA)
- …liability and/or physical damage claims under close supervision. + Processing disability claims of minimal disability duration under close supervision. ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Representative Trainee (IAP) | Entry Level Are you looking for an… more
- Sedgwick (West Hills, CA)
- …benefits due and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ... independent claim determinations, based on the information received, to approve complex disability claims or makes a recommendation to team lead to deny … more
- Sedgwick (West Hills, CA)
- …due and making timely payments/approvals and adjustments, medically managing disability claims ; coordinates investigative efforts, thoroughly reviewing contested ... + Makes claim determinations, based on the information received, to approve routine disability claims or makes a recommendation to team lead to deny claims … more
- Sedgwick (West Hills, CA)
- …you'll be the go-to guide for individuals navigating the challenges of disability claims . Your role blends technical expertise with human connection-you'll ... empathetic, precise, and impactful.** **Your key responsibilities will include:** **Owning complex disability claims from start to finish with confidence and… more
- Sedgwick (Sacramento, CA)
- …claim decisions. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Acts as a backup for key disability claims on an ad hoc basis. + Performs other duties as ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on… more
- Ventura County (Ventura, CA)
- …no experience, please type "No experience". 06 Detail your experience rating permanent disability claims in California. In your response, provide: A) Specific ... programs. The candidate must possess extensive experience in workers' compensation claims administration, rating permanent disability , developing case settlement… more
- Zurich NA (Fresno, CA)
- RCIS Crop Area Claims Manager (Fresno) 129709 Zurich is currently looking for a Crop Area Claims Manager to join our Rural Community Insurance Services (RCIS) ... for: + Overseeing day-to-day work activities of a group of Crop claims adjusters by providing direction, technical guidance, and tracking/reporting on key metrics.… more
