- Humana (Sacramento, CA)
- … first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director works on problems of diverse ... teams focusing on quality management, utilization management, discharge planning and/or home health or rehab + Must be passionate about contributing to an… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Examiner III is an advanced-level role responsible for the detailed and accurate processing, review, and adjudication ... of complex healthcare claims . This position requires expert knowledge of ...Coder (CPC) **Where You'll Work** The purpose of Dignity Health Management Services Organization (Dignity Health MSO)… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Recovery Manager is responsible for leading the recovery operations within the MSO Claims department. This role ... or GED + Minimum 5 years of progressive experience in healthcare claims recovery, payment integrity, or post-payment audit functions, preferably within a multi-plan… more
- Cedars-Sinai (CA)
- **Job Description** The Claims Examiner is responsible for accurately and consistently adjudicating claims in accordance with policies, procedures and guidelines ... as outlined by the company policy. Process claims according to all CMS and DMHC guidelines. Investigate and complete open or pended claims . Meet production and… more
- Sedgwick (West Hills, CA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Representative Trainee | Entry Level (West Hills, CA) Are you looking ... trained as new industry professional with the ability to analyze workers compensation claims and determine benefits due. **OFFICE LOCATIONS** Onsite - West Hills, CA… more
- Sedgwick (San Diego, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Associate | San Diego (Onsite) **ARE YOU AN IDEAL CANDIDATE?** We ... CA (Onsite) **PRIMARY PURPOSE** : To analyze reported lower-level workers compensation claims to determine benefits due; and to ensure ongoing adjudication of … more
- Sedgwick (Concord, CA)
- … health savings account, and other additional voluntary benefits._ \# Claims #ClaimsExaminer #Hybrid #LI-Hybrid #LI-Remote #LI-AM1 Qualified applicants with arrest ... Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Dedicated Account | 3 Days Remote...Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +… more
- Sedgwick (Riverside, CA)
- …or health savings account, and other additional voluntary benefits. \# Claims #Supervisor #Hybrid #LI-Hybrid #Remote #LI-AM1 Qualified applicants with arrest or ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - Workers Compensation | Hybrid -...Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +… more
- Sedgwick (Sacramento, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NC, SC, KY, WV Jurisdictions | Remote **Are you looking ... brands?** + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Guidehouse (San Marcos, CA)
- …billing, secondary billing, and payer audit follow-up for government and non-government claims . Must work with other departments to facilitate the meeting of both ... Billing Emphasis + Correcting and billing electronic and hardcopy claims + Submits Adjusted claims + Provides...Retirement Plan + Basic Life & Supplemental Life + Health Savings Account, Dental/Vision & Dependent Care Flexible Spending… more