- PCL Construction (San Diego, CA)
- …ensuring owners' and trade partners' ability to pay. + Responsible for insurance claims and support other legal claims to reduce exposure and maximize ... escalates disputes as required. + Provides monthly/quarterly reporting on all open claims . + Coordinates the SDI qualification process and ensures all standards and… more
- Sedgwick (Sacramento, CA)
- …role will be responsible for investigating and adjusting property and casualty claims , both residential and commercial, with little to no supervision. **ESSENTIAL ... Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Assists in...+ Attention to detail and accuracy + Good time management and organizational skills + Ability to work independently… more
- CDM Smith (Carlsbad, CA)
- …Assist the project team in developing and maintaining a project risk register. Claim management : Early support for claims and disputes on the project. Identify ... Manager - Pacific will be responsible supporting the project management teams in CDM Constructors' Pacific region, primarily projects...contractual requirements to maintain and prosecute claims , and assist project team in managing to those… more
- Sharp HealthCare (San Diego, CA)
- …with medical management such as provider relations, member services, benefits and claims management , IT management , etc. + Plans, organizes, and directs ... Management and high-cost review with CMO and Claims management teams. + Co-Chairs with the...among other things, or status as a qualified individual with disability or any other protected class. \#LI-CC1 \#relo… more
- Sharp HealthCare (San Diego, CA)
- …and maintaining positive working relationships through provider engagement and management . Develops and presents provider orientation/training and other resources to ... and follow-up purposes. **Required Qualifications** + Bachelor's Degree in Healthcare Management , Business, or other degree acceptable with combination of education… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …external pressures (eg, 340B, patient leakage) and internal shifts (eg, LOE management , innovative distribution models), this role will be critical in anticipating ... Responsibilities:** + **Proactive Program Optimization:** Own the end-to-end performance management process for affordability and channel programs across in-line… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …development team to operationalize the clinical develop strategy,i.e., clinical trials management . + Partnering with internal and external clinical experts and ... as well as evaluates in-licensing opportunities and/or additional life cycle management opportunities. + Participates in NDA development, submission and defense. +… more
- Robert Half Legal (San Francisco, CA)
- …including strategic recommendations, to business leaders where applicable * Collaborate with claims management to provide expert legal advice on risk exposure, ... their insureds. This is a NON-LITIGATION position. If you are currently litigating insurance claims and want to shift away from litigation to a hybrid remote firm,… more
- Zurich NA (Los Angeles, CA)
- …challenging and varied caseload. Responsibilities will include working directly with claims professionals providing legal analysis and advice, preparing and filing ... Experience working with Lexis or Westlaw + Knowledge of the insurance industry, claims and the insurance defense litigation legal environment + Knowledge of the law… more
- Robert Half Accountemps (Lynwood, CA)
- …background in insurance collections. The DMH Medical Biller will navigated denials management and appeals processes. If you meet these qualifications, we have an ... opportunities may be available. Key Responsibilities: Submit and process medical claims accurately to Medi-Cal, commercial insurance, government payers, and other… more