- Sedgwick (Ontario, CA)
- …the client program. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Sets up and enters new claims into claims management system. + Inputs and reviews ... notes/diaries in claims management system as instructed. + Processes payments. + Processes...limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or… more
- ICW Group (San Diego, CA)
- …pertinent regulations. This job investigates, reserves, and assesses Workers' Compensation claims within the Company standards and best practices guidelines. This ... + Communicates with insureds to obtain information necessary for processing claims . + Contacts and/or interviews injured workers, doctors, medical specialists,… more
- Sedgwick (Long Beach, CA)
- …+ Establishes policy and procedure to assure compliance to best practices, claims management services standards, state regulations and client service ... Licenses as required. **Experience** Eight (8) years California workers compensation claims management experience including two (2) years supervisory experience… more
- Sedgwick (Roseville, CA)
- …(5) years of experience handling litigation including 5 years of liability claims management experience or equivalent combination of education and experience ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Liability Claims Examiner | Must Reside in CA Must Reside in California **PRIMARY… more
- Robert Half Legal (Los Angeles, CA)
- Description We are looking for a Licensed Insurance Claims Investigator/Adjuster to join our team on a remote contract basis. In this role, you will leverage your ... to assess and manage risks, analyze complex insurance and/or litigation claims , and provide strategic recommendations. This position offers an opportunity to… more
- Cognizant (Sacramento, CA)
- …claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist, you will be responsible for timely and accurate ... adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support...Assigning special projects or other duties as determined by management . **What you need to have to be considered:**… more
- CVS Health (Sacramento, CA)
- …we do it all with heart, each and every day. **Position Summary** The **Senior Claims Benefit Specialist** will review and adjust SF ( _self-funded_ ), FI ( _fully ... insured_ ), Reinsurance, and/or RX claims . They will adjudicate complex, sensitive, and/or specialized claims in accordance with claim processing guidelines.… more
- Insight Global (Irvine, CA)
- …with excel In the job experience of EHR systems and medical insurance claims management softwares Knowledge of state, federal, and applicable regulations ... An employer in the Irvine area is seeking a Claims Examiner II. This is a hybrid position, working...solutions to correct and prevent recurrence. They will assist management with implementation of measures to ensure claim processing… more
- Fluor (Fresno, CA)
- …skills. * Required Knowledge of; analysis methodologies for complex construction projects'; claims management and support; construction contracts. * Ability to ... the California High-Speed Rail Authority, to provide program delivery and program management services for one of the largest planned infrastructure projects in the… more
- Sedgwick (Sacramento, CA)
- …& Insurance (Remote) Manager Global Service Delivery Operations - Casualty Claims **PRIMARY PURPOSE** **:** Manages the global service delivery partnership, which ... departments, and validation of compliance requirements. + Facilitates change management by guiding stakeholders through transitions in processes, systems, or… more
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