- Sedgwick (West Hills, CA)
- …negotiate, facilitate and monitor successful return-to-work of claimants within appropriate disability duration guidelines and to assist case management staff with ... Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) and accommodation efforts through… more
- The County of Los Angeles (Los Angeles, CA)
- …contact associated with the financial screening and/or registration of patients or claims billing and collection for hospital or medical services. Option III : ... color; ethnicity; religious creed; protected family or medical leave status; disability ; marital status; medical condition; genetic information; military and veteran… more
- Robert Half Accountemps (Los Angeles, CA)
- …team. In this role, you will focus on managing insurance collections and claims for acute care facilities, ensuring accurate and timely processing of UB-04 forms. ... Responsibilities: * Oversee the collection process for medical insurance claims , including HMO and PPO plans. * Accurately process UB-04 claims for both… more
- Zurich NA (Gold River, CA)
- …work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... Diploma or Equivalent and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate… more
- Evolent (Sacramento, CA)
- …into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant ... findings. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate raw unadjudicated claims data.… more
- Ventura County (Ventura, CA)
- …general direction, the incumbent is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, ... analyzes credits, payments, and over adjustments; + Analyzes and updates claims generated prior to transmitting to the appropriate intermediary/payor within billing… more
- CDM Smith (San Diego, CA)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...identity or gender expression), national origin, age, marital status, disability , veteran status, citizenship status, genetic information or any… more
- Evolent (Sacramento, CA)
- …: This role works closely with our Evolent partners to support data management, claims processing, and other activities that are within scope. You will work closely ... with teams such as Claims , Configuration, and Enrollment/Eligibility to ensure timely and accurate...sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access… more
- Adecco US, Inc. (Fountain Valley, CA)
- …This role is responsible for the timely analysis and submission of invoices and claims , as well as tracking vehicle buyback assets. The ideal candidate will have ... + Obtain required signatures on invoices from internal/external staff + Upload claims , monitor their status weekly and monthly, and ensure accurate processing +… more
- Sedgwick (Sacramento, CA)
- …the claim. + Maintains communication with the customer, Client Service Director, and Claims Examiner providing timely updates on changes in injured worker status and ... + Maintains ongoing communication with the client, Client Service Director, and Claims Examiner until the assigned Field Case Manager arrives onsite. + Adheres… more