- Humana (Sacramento, CA)
- …community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to ... data transformations, automation, and enhancements. Conduct in-depth analysis of healthcare claims to identify data issues and optimization opportunities. Work with… more
- Herc Rentals (San Jose, CA)
- …in collaborating with our Risk Department to proactively manage claims , workers' compensation, workplace injuries, OSHA recordables, and overall employee ... Workers' Compensation Department to effectively manage and mitigate workers' compensation claims , OSHA recordables, and other workplace injuries. + Work alongside… more
- Zurich NA (San Francisco, CA)
- …Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... including an Associate Degree and 8 or more years of experience in the Claims or Underwriting Support area AND + Knowledge of Microsoft Office + Experience working… more
- Zurich NA (San Francisco, CA)
- …Diploma or Equivalent and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... including an Associate Degree and 4 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of line/s of business and the legal… more
- HUB International (Fresno, CA)
- …not limited to, Pre-Renewal Strategic Planning, Risk ID Assessments, Contract Reviews, Claims Reviews (in coordination with Claims Management), Market Analysis, ... Coordinating the value-added services being provided by our Risk Services and Claims Management Divisions. + Acts as liaison between clients and insurance carriers… more
- Zurich NA (San Francisco, CA)
- …Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... including an Associate Degree and 8 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of Microsoft Office + Experience working on… more
- HUB International (Santa Barbara, CA)
- …not limited to, Pre-Renewal Strategic Planning, Risk ID Assessments, Contract Reviews, Claims Reviews (in coordination with Claims Management), Market Analysis, ... Coordinating the value-added services being provided by our Risk Services and Claims Management Divisions. + Acts as liaison between clients and insurance carriers… more
- Herbalife (Torrance, CA)
- …reports to support scientific substantiation of product safety and efficacy claims under minimum guidance. * Develops product efficacy and safety documentation ... * Stays abreast of scientific development and regulatory landscape pertaining to health claims and safety in NAM and MX, and shares information with relevant… more
- Elevance Health (Cerritos, CA)
- …with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable ... conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to nursing… more
- Elevance Health (Walnut Creek, CA)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more