- Travelers Insurance Company (Rancho Cordova, CA)
- …time to conclusion and negotiate settlements where appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a Medical ... is no longer available. IW is receiving Vocational Rehabilitation. Claims that have been reopened for additional medical...issues). Achieve a positive end result by returning injured party to work and coordinating the appropriate medical… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …if a claim is compensable under Workers Compensation including evaluating claims for potential fraud. + Participate in Telephonic and/or onsite File Reviews. + ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...your skills and knowledge to successfully manage workers compensation claims . This program can typically last up to 12… more
- Stanford Health Care (Palo Alto, CA)
- …Health. The Claims Manager acts as the primary liaison with the third- party administrator (TPA) to ensure proper claims handling and with internal partners ... hope and innovation, we encourage you to take the first step and explore our current job openings. Your...the applicable service agreement. Review reserves, settlement activity, and claims costs. Participate in periodic claim reviews… more
- Robert Half Accountemps (Los Angeles, CA)
- … Appeals, Medical Denials, UB04 Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers ... Angeles area is in the immediate need of a Medical Biller. The Medical Biller must have...needed, and uses all technology available to produce clean claims . * Interprets claims processing reports and… more
- Sacramento County (Sacramento, CA)
- …of full-time paid experience. 04 Select the one box that best describes your current claims adjuster designation. + Designation as a Medical Only Claims ... daily basis within the last five (5) years. + Medical only claims . + Indemnity benefits ...(5) years. + Insured claims + Self-insured claims with a third party administrator. +… more
- Highmark Health (Sacramento, CA)
- …requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and ... ensures effective and efficient delivery of Pharmacy call center services. Serves as first line reviewer in monitoring and ensuring adherence to the health plan's… more
- AeroVironment (Simi Valley, CA)
- …to carriers or TPAs within mandated timeframes. + Track all WC claims - medical -only and lost-time-and monitor ongoing treatment, restrictions, and follow-up ... management, accurate documentation, and consistent communication with employees, managers, third- party administrators (TPAs), healthcare providers, and internal HR partners.… more
- Sysco (City Of Industry, CA)
- …+ Establish relationships with external healthcare providers, insurance carriers and third- party administrators to contain claim costs. + Develop, implement, ... provide timely triage and first aid support within the workplace to mitigate claim exposure. + Facilitate site First Responder Teams within the area to… more
- Stanford Health Care (Palo Alto, CA)
- …diagnoses, CPT codes and modifiers as applicable for both the hospital and professional claim + Validate and process any medical necessity edits (local or ... hope and innovation, we encourage you to take the first step and explore our current job openings. Your...Association (AHA) Coding Clinics for HCPCS and the American Medical Association (AMA) CPT Assistant. The SPC Coding Specialist… more
- The County of Los Angeles (Los Angeles, CA)
- …with County third party administrators on the resolution of workers' compensation claims to ensure County employees receive the benefits they are entitled to in ... Information EXAM NUMBER U9206Z TYPE OF RECRUITMENT Open Competitive Job Opportunity FIRST DATE OF FILING Wednesday, November 20, 2024, at 8:00 am (PT)… more