- Sedgwick (Sacramento, CA)
- …Services & Insurance Executive General Adjuster **PRIMARY PURPOSE** : To investigate claims internationally of any size or complexity, against insurance or other ... be negotiated. + Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Prepares loss experience reports to help… more
- Sedgwick (Sacramento, CA)
- …qualified opinion as to the cause of loss. + Receives and reviews new claims and maintains data integrity in the claims system. **ADDITIONAL FUNCTIONS and ... PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Sedgwick is an… more
- Walmart (Manteca, CA)
- …facility level training and execution of asset protection safety functions and claims and receiving procedures by reviewing the application of policies procedures ... training needs and developing and delivering the training where needed Manages claims and receiving operations by ensuring proper policies and procedures are… more
- Sedgwick (West Hills, CA)
- …and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Establishes FMLA claims ; tracks and codes documentation in accordance with internal workflow ... processes. + Analyzes FMLA and other paid leave claims to determine eligibility, certification, payment calculations, payments and/or adjustments in compliance with… more
- Sedgwick (Sacramento, CA)
- …of related experience to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI technical experience including ... or equivalent combination of education and experience required. JURIS or claims management application experience preferred. **Skills & Knowledge** + Demonstrates… more
- HUB International (Santa Barbara, CA)
- …not limited to, Pre-Renewal Strategic Planning, Risk ID Assessments, Contract Reviews, Claims Reviews (in coordination with Claims Management), Market Analysis, ... Coordinating the value-added services being provided by our Risk Services and Claims Management Divisions. + Acts as liaison between clients and insurance carriers… more
- The Hartford (Carlsbad, CA)
- …efficiency. * Collaborative Environment: Work alongside experienced Attorneys and Claims professionals in a matrixed business setting that encourages ... briefs with a high degree of autonomy. Collaboration with Claims Partners is essential to achieve optimal outcomes for...world? What else can we do to destigmatize mental health in the workplace? Can we make our communities… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …team to develop global regulatory plans, address global regulatory issues, health authority queries, and regulatory obligations. **J** **ob Responsibilities** - ... need and obtains regulatory intelligence, researches precedent approvals and prior health authority decisions to assess applicability to support development of… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …corporate philosophy: "Otsuka people creating new products for better health worldwide." Otsuka researches, develops, manufactures, and markets innovative products, ... of diseases and nutraceutical products for maintenance of everyday health . In pharmaceuticals, Otsuka focuses on the development and...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Humana (Sacramento, CA)
- …us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met. ... ER, Telehealth, Home Health , and minor procedures + Experience with the Claims Life Cycle + Experience with coding/auditing Professional Inpatient Claims +… more