- NBC Universal (Universal City, CA)
- …a newly formed media company. This is a Versant position. Job Duties + Analyze claims and formulate litigation for early case resolution strategy + Conduct fact ... matters, including general commercial disputes, media litigation (including defamation claims and journalist privilege issues), employment litigation, privacy … more
- The Hartford (San Francisco, CA)
- …and expense exposure of assigned claims . They will report to a Property Major Case Manager and operate in a team environment that will develop and share ... the investigation, valuation, disposition and settlement of large Commercial property claims in a manner consistent with corporate claim settlement policies and… more
- City and County of San Francisco (San Francisco, CA)
- …to the general duties above: + Detects, investigates, and prevents fraudulent claims for public assistance to avoid welfare fraud and other financial crimes. ... correspondence with the client + Reviews and analyzes client case records, case information, and other pertinent...wait times, and worker phone assignments. + Works with manager and/or Benefits Center Coordinator to identify issues causing… 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
- Sharp HealthCare (San Diego, CA)
- …+ Assists in POS/PPO Case Management and high-cost review with CMO and Claims management teams. + Co-Chairs with the CMO CPTAC and Peer Review Committees. + ... needs of the membership. Serves as a lead medical manager and policy advisor to SHP clinical and its'...management such as provider relations, member services, benefits and claims management, IT management, etc. + Plans, organizes, and… more
- Sharp HealthCare (San Diego, CA)
- …and oversees the health care needs of the membership. Serves as a medical manager and policy advisor to SHP and its Chief Medical Officer. Is accountable for ... with medical management such as provider relations, member services, benefits and claims management, etc. Assists (as determined by the plan Chief Medical Officer)… more
- Elevance Health (Sacramento, CA)
- …Coordinator - RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN ... clinicians participating in the member's case in accordance with applicable state law and contract;...+ May also assist in problem solving with providers, claims or service issues. + Directs and/or supervises the… more
- Robert Half Finance & Accounting (San Ramon, CA)
- …to include claims management; reporting, follow up with employees/claim rep/nurse case manager with follow through to closure. * Worker's compensation ... payment. * Timely responses to VOE's verbal or written, levies, EDD claims /benefit statements, UI Filing responses, EDD new hire registry. * Administer judgements,… more
- CDM Smith (Rancho Cucamonga, CA)
- …expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs ... in regular FEMA meetings by providing updates on work status and may evaluate claims and make recommendations to FEMA as to whether the claim is eligible. Assists… more
- UCLA Health (Los Angeles, CA)
- Description Under the direction of the Workers' Compensation Analyst and department manager , you will manage workers' compensation claims by supporting employees ... and/or Disability Management Certification preferred + Experience in a case management systems + Experience in assisting employees with questions about workers'… more