- Highmark Health (Sacramento, CA)
- …problems/needs + Analysis + Analytical Skills + Budget Management + Business Case Justification + Analytical and Logical Reasoning/Thinking + Business Process + ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of… more
- DoorDash (San Francisco, CA)
- …Manage and execute on campaign reporting for our largest advertising partners + Create case studies, deliver insights and be the subject matter expert on all things ... dental, and vision benefits, 11 paid holidays, disability and basic life insurance , family-forming assistance, and a mental health program, among others. To learn… more
- Walmart (Chino, CA)
- …address audit findings Validates claim records work with workers compensation case managers for investigation of claims Asset Protection Security Possesses knowledge ... coverage. Financial benefits include 401(k), stock purchase and company-paid life insurance . Paid time off benefits include PTO (including sick leave), parental… more
- Travelers Insurance Company (Diamond Bar, CA)
- …claims. Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity ... outcome + Collaborate with our internal nurse resources (Medical Case Manager ) in order to integrate the...essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state… more
- UCLA Health (Los Angeles, CA)
- …difference in the communities we serve. With guidance and direction from the Health Insurance Program Manager , the Senior Health Insurance (HIE) Specialist ... Senior HIE Specialist will: + Determine the degree of case urgency and create an appropriate resolution plan. +...plan. + Use their knowledge of current Public Health Insurance and other public benefit programs (eg Cal Fresh/SNAP)… more
- Travelers Insurance Company (Diamond Bar, CA)
- …with insured based on application of policy information to facts or allegations of each case . + Consults with Manager on use of Claim Coverage Counsel as needed. ... as strategically appropriate. + Completes outside investigation as needed per case specifics. + Actively engages in the identification, selection and direction… more
- Travelers Insurance Company (Diamond Bar, CA)
- …with insured based on application of policy information, facts or allegations of each case . Consults with Unit Manager on use of Claim Coverage Counsel. + ... fraud investigators and to other experts. Requests through Unit Manager and coordinate the results of their efforts and...referred timely to next level claim professional or Major Case Unit. + Appropriately deals with information that is… more
- Travelers Insurance Company (Irvine, CA)
- …with insured based on application of policy information to facts or allegations of each case . + Consults with Manager on use of Claim Coverage Counsel as needed. ... has a thorough understanding of the litigation process, relevant case and statutory law and expert litigation management skills....+ Communication - Advanced + Negotiation - Advanced + Insurance Contract + Knowledge - Advanced + Principles of… more
- Hospice Of San Joaquin (Stockton, CA)
- …the Director of Home Care Services and the direction of the RN Case Manager . ESSENTIAL DUTIES AND RESPONSIBILITIES/ACCOUNTABILITY CLINICAL SERVICES: Ensures that ... the patient and family. 2. Follows the treatment plan established by the Registered Nurse/ Case Manager . 3. Follows the scope of practice when providing nursing… more
- Hospice Of San Joaquin (Stockton, CA)
- …supervision of the Director of Home Care Services and the direction of the RN Case Manager , according to the policies and procedures of Hospice of San Joaquin. ... + Follows the treatment plan established by the Registered Nurse/ Case Manager . + Follows the scope of...have a valid California driver's license and have automobile insurance which meets State standards. All employees, volunteers, consultants… more