• Regional General Adjuster, Field - Large Loss…

    Sedgwick (Sacramento, CA)
    …and review new claims and maintain data integrity in the claims system. + Conduct claim file activities including evaluations, investigations, litigation ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Regional General Adjuster, Field - Large Loss Property...your adjuster knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +… more
    Sedgwick (10/15/25)
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  • VP & Medical Director

    Travelers Insurance Company (Sacramento, CA)
    …Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is ... **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader medical environment… more
    Travelers Insurance Company (10/24/25)
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  • Loss Consultant (Restoration/Construction)

    TevisHR (CA)
    …Sacramento, CA) This position is NOT remote. Job Summary: A Loss Consultant for insurance claims is responsible for evaluating the extent of damage to ... Stay informed about relevant laws, regulations, and industry standards governing insurance claims and property damage assessment, ensuring compliance with… more
    TevisHR (10/31/25)
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  • Disability Clinical Specialist

    Sedgwick (Sacramento, CA)
    …of claims including comprehension of medical terminology and substantiating claim decisions. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Acts as a backup for ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical… more
    Sedgwick (10/24/25)
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  • Disability Representative Sr

    Sedgwick (West Hills, CA)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Representative Sr Preferred candidates must live by our center of ... CA 91304 **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan… more
    Sedgwick (11/18/25)
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  • Disability Representative Sr.

    Sedgwick (West Hills, CA)
    …system documentation.** **Coordinates investigative efforts to ensure thorough and appropriate claim reviews.** **Identifies when claims require external support ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Representative Sr. **Senior Disability Representative - Make a Meaningful… more
    Sedgwick (10/01/25)
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  • Senior Coding Denials Management Specialist (HIM…

    University of Southern California (Alhambra, CA)
    … rejections and denials which might prevent or delay payment of a particular claim or group of claims . Prepares appeals and rebuttals letters/packages in ... Denials Management Specialist" analyze, investigate, mitigate, and resolve all coding-related ' claims denials' and ' claims rejections,' specific to ICD-10-CM,… more
    University of Southern California (11/19/25)
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  • Reinsurance Auditor

    GE Aerospace (San Francisco, CA)
    …+ Minimum three years (3) of experience in reinsurance, auditing and/or adjudicating insurance claims . + Ability to query and analyze data to identify ... and limitations + Strong preference for long term care insurance claim experience + Working knowledge of...related to long term care, disability, life and/or health insurance claims + Note: Position can be… more
    GE Aerospace (11/06/25)
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  • LTD Case Specialist

    Sedgwick (West Hills, CA)
    …LTD Supervisor, LTD Manager, or Project Manager. + Negotiates settlement of appropriate claims within designated authority level. + Makes claim payments and ... as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance LTD Case Specialist **PRIMARY PURPOSE** **:** To analyze claims and… more
    Sedgwick (11/13/25)
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  • Medical Billing Specialist III/IV - Behavioral…

    Ventura County (Ventura, CA)
    …(III, IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, ... Medicare, and general insurance reimbursement requirements. IDEAL CANDIDATE The ideal candidate has...health record (EHR) systems such as Cerner, HURON, and/or Claim Source to follow up on accounts. Medical Billing… more
    Ventura County (11/26/25)
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