- Travelers Insurance Company (Gardena, CA)
- …Identifies and refers claims with Major Case Unit exposure to the manager . + Performs administrative functions such as expense accounts, time off reporting, etc. ... this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim… more
- Travelers Insurance Company (Diamond Bar, CA)
- …resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... **What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file...facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed.… more
- Sharp HealthCare (San Diego, CA)
- …of service and interaction is provided, including accurate and timely claims processing, issue resolution, performance recognition, education and training programs, ... communications, as needed.Recommends and/or drafts provider communications relative to health plan policies and procedures.Develops a communication plan for… more
- Dignity Health (San Bernardino, CA)
- …Bernardine Medical Center At St. Bernardine Medical Center, we are committed to the health , safety, and well-being of our employees just as much as the patients we ... providers, and our third-party administrator. You will guide the claims process from start to finish-investigating work-related injuries, managing documentation,… more
- HCA Healthcare (Campbell, CA)
- …The members of the Contracting Team include the CEO, CFO, President of SCCIPA, AVP Claims and Manager of Network Operations. We want you to apply! What you ... team. **Benefits** HCA Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
- Travelers Insurance Company (Diamond Bar, CA)
- …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim life cycle (customer ... of policy information, facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel. + Investigates each claim through prompt… more
- Elevance Health (Los Angeles, CA)
- …and methodologies; statistical analysis; and reporting of statistical results. + Analyze health care data, including claims , clinical data, national survey data, ... health policy, or related experience is preferred. + Experience with health plan administrative databases (pharmacy and medical claims ) and/or other big… more
- Elevance Health (Los Angeles, CA)
- …via telephone regarding insurance benefits, provider contracts, eligibility and claims . + Analyzes problems and provides information/solutions. + Operates a ... limited knowledge of company services, products, insurance benefits, provider contracts and claims . Seeks, understands and responds to the needs and expectations of… more
- CVS Health (Sacramento, CA)
- …pharmacy claims data * Experience in healthcare industry, including health insurance, PBM or pharmacy services **Education** * Bachelor's degree or equivalent ... At CVS Health , we're building a world of health...a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- Under the direct supervision of the Sr. Manager Billing/Revenue Cycle with fiscal oversight from the Finance and Accounting department, the Revenue Cycle Liaison is ... third party and self-pay billing generated by Tiburcio Vasquez Health Center (TVHC). The position is integral to the...variety of areas, including, but not limited to, and claims submission and adjudication and follow-up on outstanding receivables… more