- Sedgwick (San Diego, CA)
- …losses, including handling accounting-based losses (business interruption and stock). + Examines claim forms and other records to determine insurance coverage. + ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Executive General Adjuster - Pacific Region **PRIMARY PURPOSE** **:** To… more
- Cardinal Health (Sacramento, CA)
- …the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of ... guidance and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by… more
- Allied Universal (San Jose, CA)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Services is the premier destination for a career in insurance claim investigation. As a global leader,...$24 /** **hr** **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage… more
- Cardinal Health (Sacramento, CA)
- …to Cardinal Health_** Account Receivable Specialist is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, ... and transmitting claims using billing software including electronic and paper claim processing + Following up on unpaid claims within standard billing… more
- Scripps Health (San Diego, CA)
- …candidate is one who thrives in a fast-paced environment and has a passion for insurance and medical claims . As a Patient Account Specialist, you will be ... regular basis set by department guidelines. * Follows-up with insurance carriers timely on unpaid claims until...provider, liable third parties, and patient to get a claim processed and paid * Works to help maintain… more
- Providence (Anaheim, CA)
- …administrative and operational support necessary to manage medical malpractice risk, claims , and patient safety interface functions. The Director will partner with ... + Develop policies, procedures, and workflows to manage malpractice claims , patient complaints, and early-resolution strategies. + Partner with malpractice… more
- CVS Health (Sacramento, CA)
- …product liability claims and litigation. + Familiarity or experience with insurance and coverage issues related to litigated claims . + Strong attention ... in every case assigned. + Creating a plan for claim evaluation to most efficiently resolve or defend cases...at a law firm, and/or significant experience overseeing litigated claims for an insurance carrier or corporation,… more
- LA Care Health Plan (Los Angeles, CA)
- Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... in the application of medical and reimbursement policies within the claim adjudication process through medical record review for Payment Integrity and… more
- USAA (San Diego, CA)
- … claim damages. + Demonstrates basic knowledge of P&C insurance industry products, services, contracts, and internal processes/systems/procedures to ensure ... Investigation Unit (SIU) referrals, when appropriate. + Maintains accurate and current claim file documentation throughout the claims process for low complexity… more
- CCMS & Associates (Oakland, 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