- Tutor Perini (San Jose, CA)
- …projections + Identifies, initiates & administers accounts for T&M work + Prepares insurance claims in coordination with Safety Engineer. + Communicates job ... status to the management team members on a regular basis + Maintains a good line of communication with subcontractors & suppliers & uses conflict mediation & troubleshooting skills to resolve any issues, questions or concerns. **REQUIREMENTS:** + Bachelor's… more
- Horizon Services, Inc. (Hayward, CA)
- …fees. Responsible for coordinating with Finance Department for submission of third-party insurance claims . Personnel Recruitment & Management: + Coordinates with ... Compliance and Outcomes Officer & related Compliance Managers to ensure staff credentialing documentation is maintained consistently in accordance with DHCS, DMC-ODS, BBS, SUD Counselor certification bodies, and other regulatory oversight agency compliance.… more
- Always Best Care Senior Services (San Diego, CA)
- …operating at peak efficiency, such as staffing levels, patient supply needs, insurance claims and reimbursement. Must have excellent, organizational skills, ... ability to critical think and problem solve, effective communication and multitasking skills. Working knowledge of EMR, and Oasis, Hiring, Evaluations, Counseling, Termination, Education and orientation of clinical staff. Qualifications: * RN with current… more
- BeOne Medicines (San Mateo, CA)
- …not limited to competing trials, recent or upcoming approvals, prescribing data, insurance claims data, diversity, and recruitment capabilities. This includes ... intelligence gathering and risk assessment with therapeutic knowledge balanced with data analytics and interpretation. The Global Strategic Feasibility Analytics Lead supports the Head of Global Strategic Feasibility to improve the Global Strategic Feasibility… more
- HUB International (Sacramento, CA)
- …on how to prepare for the unexpected. As one of the worlds' largest insurance brokers, our focus is dedicated to providing our customers with the peace of ... mind that what matters most will be protected-through unrelenting advocacy and tailored insurance solutions that put our clients in control. Our growing team of… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Examiner III is an advanced-level role responsible for the detailed and accurate processing, review, and adjudication ... of complex healthcare claims . This position requires expert knowledge of ...employee and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability. We also offer a… more
- Fluor (Fresno, CA)
- …direction of the Director and Deputy Director of the PMO/forensics & Claims , this role is responsible for developing forensic analyses and providing oversight ... also responsible for reviewing and analyzing Contractors' Time Impact Analyses and claims and assisting with the rebuttal responses. In addition to forensic analysis… more
- Prime Healthcare (Victorville, CA)
- …Many more Voluntary Benefit Options! (https://www.primehealthcare.com/careers/benefits/) Responsibilities Claims Examiner processes routine and non-routine claims ... departmental policies and procedures. To accurately evaluate and adjudicate claims in a timely manner and according to set...and customer service. + Knowledge of Medical Terminology, Medical Insurance , and must be computer literate. + High School… more
- AECOM (Fresno, CA)
- …world. Join us. **Job Description** **AECOM** is seeking a **Senior Scheduler - Forensic Claims ** for one of our offices in **Fresno** **, CA** . **JOB SUMMARY** ... Rail project by performing forensic delay analyses, schedule evaluations, and claims assessments. Working within the Risk Management Office, this role helps… more
- Cognizant (Sacramento, CA)
- **Product Consultant - Facets Claims & Payer Domain** **Work Model: Remote** **Employment Type: Full-Time** **Job ID: 00066023611** **About the role** As a Product ... you will make an impact by leading the implementation and optimization of Facets Claims solutions for healthcare clients. You will be a valued member of the delivery… more