- Humana (Sacramento, CA)
- …other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. + ... review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + Experience with national guidelines such as MCG(R) or InterQual… more
- Guidehouse (San Marcos, CA)
- …a diverse and supportive workplace. Benefits include: + Medical, Rx, Dental & Vision Insurance + Personal and Family Sick Time & Company Paid Holidays + Position may ... be eligible for a discretionary variable incentive bonus + Parental Leave + 401(k) Retirement Plan + Basic Life & Supplemental Life + Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts + Short-Term & Long-Term Disability +… more
- Essel (Fairfield, CA)
- …oversight and processing, employee record management, worker's comp and unemployment insurance management and claims processing Development, Implementation and ... or BA Degree strongly preferred Work Remotely 75% Benefits + Health insurance + Paid time off + Dental insurance + 401(k) + Vision insurance + Health savings… more
- Kemper (Chatsworth, CA)
- …Skillfully and professionally negotiate settlements with claimants and attorneys + Adjust insurance policies for UM/UIM claims **Position Qualifications** : + ... solely on the analysis & negotiation of bodily injury claims that are ordinarily assigned after the initial coverage...billion in assets, Kemper is improving the world of insurance by providing affordable and easy-to-use personalized solutions to… more
- EFI Global (Los Angeles, CA)
- …buildings or residences.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large ... have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness...loss, large fire loss, and multiple claims .** **Ensures that assigned cases are investigated and reported… more
- CVS Health (Sacramento, CA)
- …product liability claims and litigation. + Familiarity or experience with insurance and coverage issues related to litigated claims . + Strong attention ... Litigation experience at a law firm, and/or significant experience overseeing litigated claims for an insurance carrier or corporation, including mediation… more
- CVS Health (Sacramento, CA)
- …and data analytics reporting and dashboards **Preferred Qualifications** + Self Funded Insurance experience + Medical Claims processing knowledge + Experience ... building, maintaining, and editing Tableau dashboards/reporting. + Collaboration + Problem solving + Critical thinking **Education** Bachelor's Degree or equivalent work experience **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The… more
- Financial Partners Credit Union (Downey, CA)
- …and Claims : + Review and follow up on letters of guarantee with insurance companies. + File GAP claims and process cancellations of warranties when ... applicable. Education and Experience: + 1-2 years collections experience, preferably in consumer loan collections. + An Associate's degree is preferred. + Proficiency in Windows, Excel, and Word. The pay range for this position is listed above. Our pay ranges… more
- Jacobs (Los Angeles, CA)
- … to focus on issue resolution * Oversee the Owner Controlled Insurance program (OCIP)Timely administer claims , including investigation, evaluation, and ... for services when required for prosecution or defense of claims , compliance issues, contract review and insurance ...of claims , compliance issues, contract review and insurance coverage * Monitor the handling of services by… more
- Guidehouse (Ventura, CA)
- …**:** + 1+ year's medical provider billing or hospital billing experience working with insurance communications. + Hospital or EOB claims emphasis + PC skills in ... business office. + Assist patients with questions related to account processing, insurance coverage and resolution of patient liability. + Sort and distribute… more