- Sedgwick (Sacramento, CA)
- …Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims that require additional review based on medical condition, client ... and RESPONSIBILITIES** + Performs standard clinical reviews of referred medical claims based on client requirements to ensure accurate and sufficient information… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …(RWE), and (4) leadership of specialized analyses of real-world data, including registries, claims , and electronic health records, to support RWE studies. The ... Director manages a team of epidemiologists and data analysts engaged in RWE studies. The role also entails collaboration with the cross-functional team including Clinical, Medical, Safety, Commercial, Research, and Technical Operations, to identify and lead… more
- City and County of San Francisco (San Francisco, CA)
- …lower-level classification, 1663 Patient Accounts Supervisor. The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for ... its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with...issues; + Performs revenue analysis related to charge errors, claims submission volume, denials and trends based on claim… more
- TEKsystems (Los Angeles, CA)
- …Examiner for our West Coast/Pacific region. The successful applicant will be handling claims from California. The position will report and reside in our Los Angeles ... - Handles all aspects of workers compensation lost time claims from set-up to case closure ensuring strong customer...employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee… more
- Sedgwick (Sacramento, CA)
- …| Remote **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims ... involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service… more
- Sedgwick (West Hills, CA)
- …and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; ... coordinates investigative efforts, thoroughly reviews contested claims , negotiates return to work with or without job accommodations, and evaluates and arranges… more
- Ventura County (Ventura, CA)
- …Shared Savings Plan with up to a 3% match on your 401(k) contributions. + Health Plans: You are afforded a flexible credit allowance of up to $25,558 annually for ... The candidate must possess extensive experience in workers' compensation claims administration, rating permanent disability, developing case settlement recommendations,… more
- Ryder System (Sacramento, CA)
- …**SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling ... issues, and complex and high exposure bodily injury and property damage claims . **Maintain an active inventory of claims , ensuring appropriate follow-up,… more
- Sedgwick (Sacramento, CA)
- …+ Apply your adjuster knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing ... OF THE ROLE** + To provide clients with professional care handling losses or claims regionally unassisted up to $10M, have the ability to address most complex… more
- Sedgwick (West Hills, CA)
- …making timely payments/approvals and adjustments, medically managing disability claims ; coordinates investigative efforts, thoroughly reviewing contested claims ... without job accommodations, and evaluates and arranges appropriate referral of claims to outside vendors. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Makes claim… more