- Travelers Insurance Company (San Francisco, CA)
- …evaluating the acceptability of risk and determining appropriate pricing for insurance products. The Business Insurance Underwriting Professional Development ... students with an excellent opportunity to gain first-hand commercial insurance underwriting experience, receive valuable on-the-job training, and learn more… 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
- 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
- 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
- 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
- Sedgwick (Sacramento, CA)
- …+ Receives and reviews new claims and maintains data integrity in the claims system. + Reviews survey reports and insurance policies to determine ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Marine Adjuster **PRIMARY PURPOSE** **:** To investigate and process marine … 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
- City and County of San Francisco (San Francisco, CA)
- …to charge errors, claims submission volume, denials and trends based on claim type and/or payer, including unbilled inventory to ensure the team is prioritizing ... claims processing, and/or collecting healthcare service reimbursements or medical claims from Medi-Cal (Medicaid), Medicare, insurance , third party payors,… more
- Gerber Collision & Glass (Hawthorne, CA)
- …in person and over the phone. + Have a sense of urgency when filing insurance claims with and/or without customers on the line. + Maintain regular communication ... respected leader in the auto glass industry. As a Claim Specialist, you are a key member of Glass...+ Follow our step by step process to File Insurance claims , order OEM glass, and receive… 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