- The County of Los Angeles (Los Angeles, CA)
- …and procedures, instructional materials, charts, graphs, tables, retro - temporary disability forms) related to Workers' Compensation with investigative, factual and ... five (5) years, administering or adjusting California workers' compensation indemnity claims , -AND- possession of a valid California Self Insurance Certification of… more
- Robert Half Accountemps (Los Angeles, CA)
- …you will oversee the management of workers' compensation lost time claims , ensuring compliance with statutory regulations and delivering exceptional customer service ... throughout the claims process. This is a Long-term Contract position requiring...contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to… more
- Elevance Health (Costa Mesa, CA)
- …Coding Auditor Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case ... rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients.… more
- Sedgwick (Sacramento, CA)
- …you have just started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your chance to showcase your ... with a wide range of clients across the globe, handling complex cases and claims + Collaborate with a talented and supportive team of professionals who are dedicated… more
- EFI Global (San Diego, CA)
- …buildings or residences.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large loss, large ... fire loss, and multiple claims .** **Ensures that assigned cases are investigated and reported...limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or… more
- Sedgwick (Sacramento, CA)
- …PURPOSE** **:** To provide analysis and legal support to the litigation and claims management team. To be responsible for maintaining and updating client claim ... be responsible for adjusting and resolving some property and minor injury claims for certain clients if needed. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** +… more
- Kemper (Chatsworth, CA)
- …position focuses solely on the analysis & negotiation of bodily injury claims that are ordinarily assigned after the initial coverage determination, property damage ... appropriate + Evaluate and resolve moderate to severe, including fatal, bodily injury claims with prompt review and respond to all demands, including time limit… more
- Allied Universal (Fresno, CA)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation… more
- Robert Half Accountemps (Duarte, CA)
- …Specialist to join our team and ensure accurate and timely management of claims for Skilled Nursing Facility services. As a key contributor to the revenue ... cycle, you'll handle critical tasks such as claims submission, denials management, and appeals, while ensuring compliance with Medicare, Medi-Cal, and other… more
- Insight Global (Pleasanton, CA)
- …responsible for the accurate preparation, submission, and reconciliation of Medicare claims for outpatient mental health services. This role ensures compliance with ... regulations and supports the clinic's financial health through timely claims processing, payment posting, denial management, and collaboration with providers… more