- CCMS & Associates (San Francisco, CA)
- …and third-party administration services dedicated to solving the challenges of the complex claim in the property and casualty insurance industry. We create ... and commercial field property inspections utilizing Xactimate software + Investigate claims by obtaining recorded statements from insureds, claimants, or witnesses… more
- Centene Corporation (Sacramento, CA)
- …fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare ... mining and analysis to detect aberrancies and outliers in claims + Develop new queries and reports to detect...related field or equivalent experience. 1+ years of medical claim investigation, medical claim audit, medical … more
- Robert Half Legal (Novato, CA)
- …legal industry by representing injured workers in their workers' compensation claims . The firm offers remote flexibility throughout California. Responsibilities: * ... Advocate for injured workers in their compensation claims * Manage a full caseload of ...Adobe Acrobat for document management and organization * Handle claim administration and complaint handling with detail-oriented and empathetic… more
- BrightSpring Health Services (Union City, CA)
- …of the pharmacy. + Identifies and resolves issues of denials or follow-up of claims . + Maintains current knowledge of Medicaid claim regulations and processes. + ... Prior supervisory experience. Skills/Knowledge: + Required: Knowledge of Medicaid claims regulations and processes. Basic understanding of drugs, medication… more
- GE Vernova (CA)
- …at lowest final cost. + Claim Management: Define strategy for claim management and direct actions accordingly. Address claims by determining and ... Administration, or equivalent commercial background + Background in contract law, claim management, scheduling, risk and change management. + Strong oral and… more
- Robert Half Legal (San Francisco, CA)
- …to their insureds. This is a NON-LITIGATION position. If you are currently litigating insurance claims and want to shift away from litigation to a hybrid ... * Investigate and research complex matters involving detail-oriented liability claims * Analyze complex insurance contracts and...and policy forms and apply these terms to various claim scenarios * Stay updated on legislative trends and… more
- Sedgwick (Sacramento, CA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Property Field Adjuster (Remote in Central California) As an adjuster at Sedgwick, ... role will be responsible for investigating and adjusting property and casualty claims , both residential and commercial, with little to no supervision. **ESSENTIAL… more
- Robert Half Office Team (Los Angeles, CA)
- …and coverage. * Ensure prompt payment by identifying and addressing any issues with insurance claims . * Handle referrals and verify insurance details to ... Description We are looking for an Insurance Verification Coordinator to join our clients team... companies to facilitate accurate and timely processing of claims . * Monitor and update patient records in the… more
- Amentum (Sacramento, CA)
- …in the government contracting or defense sectors.** + Deep knowledge of insurance products, risk financing, claims management, and enterprise risk practices. ... **Amentum seeks a Director, Insurance and Risk Management.** **Amentum** is a global... coverage and risk mitigation strategies. + Lead complex claims management, including litigation strategy and resolution in coordination… more
- Travelers Insurance Company (Encino, CA)
- …Imagine loving what you do and where you do it. **Job Category** Claim , Legal **Compensation Overview** The annual base salary range provided for this position ... the supervision of experienced counsel. + Learn and understand Claim customer's expectations and key department business goals and...location. **What Is in It for You?** + **Health Insurance ** : Employees and their eligible family members -… more