- 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
- Polaris Pharmacy Services, LLC (Covina, CA)
- …is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial ... * Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...by working with national Medicare D plans, third party insurance companies, and all state Medicaid plans to ensure… more
- Sedgwick (Sacramento, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Accounting Associate - Pooling Are you looking for an impactful job where you ... the Finance Manager or Director. + Process account collections/receivables. + Reconcile claims activity between general ledger and claims system and investigate… more
- Sharp HealthCare (San Diego, CA)
- …investigating and responding to internal and external benefit inquiries, and supporting claims testing activities. **Required Qualifications** + 3 Years in HMO or ... Health Insurance Management. + Experience working collaboratively across multiple functional areas (eg, operations, configuration, clinical, IT, plan design) and… more
- Sharp HealthCare (San Diego, CA)
- …and responding to internal and external benefit inquiries, and supporting claims testing activities. Provides training to new and less experienced Benefit ... the Director. **Required Qualifications** + 5 Years in HMO or Health Insurance Management. + 2 Years leadership experience working collaboratively across multiple… more
- Zurich NA (Gold River, CA)
- …experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and 5 or more years of experience ... industry. + Administer and monitor underwriting rules and guidelines, insurance laws and regulations, and rating manuals. + Work...and 12 or more years of experience in the Claims or Underwriting Support areaAND + Experience with Microsoft… more
- LA Care Health Plan (Los Angeles, CA)
- …management for identified and assigned member population according to Health Insurance Portability and Accountability Act (HIPAA) guidelines. Manages a specified ... additional service needs according to specific program guidelines. Uses claims processing and care management software to look up...group or managed care setting, such as a health insurance environment and/or experience as care manager in home… more
- Zurich NA (Irvine, CA)
- …performs a broad range of administrative and secretarial support for insurance defense attorneys, specializing in General Liability. This position combines remote ... candidate, and Zurich North America. At Zurich North America Claims we acknowledge that work life-balance and flexibility are...of experience in the Legal Secretary area within the Insurance industry OR + Zurich Certified Insurance … more
- Actalent (Redlands, CA)
- Job Title: Provider Data Analyst - Credentialing & Claims Support Position Overview: We are seeking a detail-oriented and collaborative Provider Data Analyst to ... support our credentialing and claims operations. This role involves converting and interpreting provider...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more
- Cognizant (Sacramento, CA)
- …degree preferred. + **Technical Skills** : Proficiency in Excel, payer portals, and claims clearinghouses. + **Accounts Receivables** : AR follow up on a physician's ... office **These will help you stand out** + **Examine Claims ** : Analyze denied and underpaid claims ...this position, subject to applicable eligibility requirements: + Medical/Dental/Vision/Life Insurance + Paid holidays plus Paid Time Off +… more