- ICW Group (CA)
- …stakeholders in conducting research or accident investigations to sustain claims and underwriting initiatives. + Identifies and quantifies Workers' Compensation ... and thorough execution of formal service plans. + Collaborates with underwriting and claims teams to develop, draft and present large account service proposals. +… more
- The Hartford (Brea, CA)
- …trail briefs in support of defense strategies with autonomy. * Partner with our Claims Partners to achieve the best results for our Hartford insured. * Provide ... * Participate in Team Huddles. * Provide in-house training to junior associates and/or claims partners. * Participate in claims file reviews. * Attend continuing… more
- ICW Group (San Diego, CA)
- …+ Directs questions to the appropriate contact in the department. Inputs new claims into enterprise resource planning (ERP) system as well as creates written ... + Processes incoming mail and other administrative duties relating to claims . **SUPERVISORY RESPONSIBILITIES** This role does not have supervisory responsibilities.… more
- Guidehouse (San Marcos, CA)
- …**:** None **What You Will Do** **:** The **Team Lead - Hospital Claims ** is responsible for supervising and coordinating the daily operations and activities of ... CA or Lewisville, TX and three days working from home._** + **Strong Hospital Claims A/R & Billing Follow-up** + Mentoring of fellow team members when needed +… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …service. The incumbent completes daily processing of claim edits or rejected claims processed through the billing system and from electronic claim vendor processing, ... is responsible for pulling medical records to submit with claims and appeals as required by payors. Responsible to...hiring manager has determined there is a sufficient applicant pool or until the position is filled. EOE including disability… more
- Samsung SDS America (Cerritos, CA)
- …and customs. You'll draft, negotiate, and review complex commercial contracts; resolve claims ; and ensure compliance with evolving regulations to mitigate risks and ... compliance and best practices across the organization Risk Management & Claims Resolution + Identify potential risks, recommend mitigation strategies, and provide… more
- The Clorox Company (Pleasanton, CA)
- …Our R&D team plays a vital role in developing innovative solutions and technical claims that address customer needs and support our mission to protect and enhance ... creation of new ideas to developing new/improved products and claims , through the commercialization process for both growth and...If you need assistance or accommodations due to a disability , please contact us at ###@clorox.com . Please note:… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …payors, including but not limited to; Commercial, Medi-Cal and Managed Care professional claims . This position is responsible checking status of unpaid claims by ... ensure accurate adjudication of claim for reimbursement. They will process claims correctly following contractual arrangements the Medical Practice Foundation (MPF)… more
- Gilead Sciences, Inc. (Foster City, CA)
- …actionable insights from large consumer datasets (eg, 1st Party Websites, 3rd Party Claims Data, SDoH Consumer Data) to identify key consumer behaviors, trends, and ... insights from consumer data, particularly patient-level data (eg, 1P, 3P claims , SDoH, SFMC). **Reporting & Presentation** : Excellent communication skills with… more
- PCL Construction (Irvine, CA)
- …* Oversees the preparation of insurance, subcontract default insurance, and/or legal claims . * Leads the interpretation, negotiation, and approval of deviations from ... and provide guidance with respect to owner audits, owner or subcontractor claims , or other project related financial issues. **Qualifications** * Bachelor's degree… more