• Pharmacy Claims Auditor CPhT

    Conduent (Los Angeles, CA)
    …part of a culture where individuality is noticed and valued every day. **Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification?** **Would you like to ... audit pharmacy claims for accuracy?** **About the Role** Conduent Payment Integrity...insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and… more
    Conduent (06/21/25)
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  • Claims Research Consultant

    CVS Health (Sacramento, CA)
    …all with heart, each and every day. **A Brief Overview** The ** Claims Research** **Consultant** handles escalated customer service inquiries and issues for clients ... for complex customer service issues. **What you will do:** + Process claims by leveraging provider contracts and processing guidelines. + Respond to inquiries… more
    CVS Health (08/02/25)
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  • Claims Specialist - Auto

    Philadelphia Insurance Companies (Mission Viejo, CA)
    …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Specialist to join our team! Summary: Investigate, evaluate and settle more complex first and ... third party commercial auto insurance claims . A typical day will include the following: Thoroughly understands coverages, policy terms and conditions for broad… more
    Philadelphia Insurance Companies (07/26/25)
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  • Inbound, Claims Call Center Representative

    Zurich NA (Sacramento, CA)
    Inbound, Claims Call Center Representative 126049 Zurich is a leading multi-line insurer that serves its customers in global and local markets. Zurich's customers ... seeking confident, outgoing, and self-motivated Customer Care Professionals to join our dedicated Claims Call Center team in (enter month and date). If you are… more
    Zurich NA (07/31/25)
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  • Claims Assistant | Orange, CA (In-Office)

    Sedgwick (Orange, CA)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Assistant | Orange, CA (In-Office) Are you looking for an impactful job ... to fill a variety of roles including, contact center representatives, disability coordinators and client service coordinators. Ideal candidates will thrive in… more
    Sedgwick (07/25/25)
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  • Claims Coordinator

    Dignity Health (Oxnard, CA)
    **Responsibilities** Responsible for the verification of all claims that are scanned into OCT. Claims are scanned into one of three families: Anesthesia, COB, ... and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability . We also offer a 401k retirement plan with a generous employer-match.… more
    Dignity Health (07/31/25)
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  • Patient Claims Specialist

    Modernizing Medicine (Sacramento, CA)
    …all inbound and outbound patient calls regarding patient balance inquiries, claims processing, insurance updates, and payment collections + Initiate outbound calls ... or related experience required + Basic understanding of medical billing claims submission process and working with insurance carriers required (eg, Medicare,… more
    Modernizing Medicine (07/04/25)
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  • Patient Account Representative - Physician…

    Guidehouse (El Segundo, CA)
    …denials for trends and issues and reports findings to supervisor + Bills or re-bills claims as necessary + Ensures the client follows all state and federal rules and ... & Dependent Care Flexible Spending Accounts + Short-Term & Long-Term Disability + Tuition Reimbursement, Personal Development & Learning Opportunities + Skills… more
    Guidehouse (07/17/25)
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  • Credit Balance Specialist - Hospital Claims

    Guidehouse (San Marcos, CA)
    …service. + Working knowledge can be of the following: insurance claims , billing, coding, follow-up, finance, accounting or customer service related responsibilities. ... & Dependent Care Flexible Spending Accounts + Short-Term & Long-Term Disability + Tuition Reimbursement, Personal Development & Learning Opportunities + Skills… more
    Guidehouse (06/23/25)
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  • Nurse Medical Case Manager - Workers Compensation

    Travelers Insurance Company (Rancho Cordova, CA)
    …early intervention, return to work planning, coordination of quality medical care on claims involving disability and medical treatment as well as in-house ... + Contact customer, medical provider and injured parties on claims involving medical treatment and /or disability ...on claims involving medical treatment and /or disability to coordinate appropriate medical care and return to… more
    Travelers Insurance Company (07/19/25)
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