- Humana (Sacramento, CA)
- …provider reimbursement programs for an organization that provides health insurance . The Senior Provider Reimbursement Professional works assignments involve ... certification from the AAPC and/or AHIMA) + Extensive knowledge of medical claims processing and familiarity with reimbursement methodologies, ICD, CPT, and HCPCS +… more
- Sedgwick (Sacramento, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigation Consultant | Auto | Remote **PRIMARY PURPOSE** : To address and ... Ten (10) years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and experience required.… more
- USAA (San Diego, CA)
- …and appraise low complexity (drivable, material loss, auto physical damage) auto claims in accordance with the terms and conditions of the contract, corporate ... Investigates claim damages. + Demonstrates basic knowledge of P&C insurance industry products, services, contracts, and internal processes/systems/procedures to… more
- Sedgwick (San Francisco, CA)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Marine Cargo Surveyor | Remote W/Travel | Los Angeles, CA As a marine ... If you have a strong background in handling cargo claims , hull and machinery, yacht damage assessments, or investigating...PTO. + Wellness benefits including wellness allowance and life insurance . **Skills & Knowledge** + Good oral and written… more
- Sedgwick (Sacramento, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Estimate Review Specialist **PRIMARY PURPOSE** **:** To review all estimates ... services. + Monitors, assists, tracks, and provides approval for all claims that are re-inspected by the Carrier. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES**… more
- Empirical Systems Aerospace, Inc. (San Luis Obispo, CA)
- …project reports and make presentations at meetings + Support negotiations of claims , manage contractual changes and resolve disputes or conflict resolution with ... Contractors and Customers + Assess and prepare claims from suppliers + Manage contract closeout procedures +...Christmas Day, and New Year's Day off. + Life Insurance : $25,000 employer-paid life insurance policy, with… more
- Humana (Sacramento, CA)
- …2 ensures contract compliance and performs analysis regarding pharmacy claims . Understands department, segment, and organizational strategy and operating objectives, ... 2 ensures contract compliance and performs analysis regarding pharmacy claims . Understands department, segment, and organizational strategy and operating objectives,… more
- Humana (Sacramento, CA)
- …and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are ... Office, ER, Telehealth, Home Health, and minor procedures + Experience with the Claims Life Cycle + Experience with coding/auditing Professional Inpatient Claims … more
- County of El Dorado (Placerville, CA)
- …including secured, unsecured, impounded, redeemed, and other taxes. + Review and approve claims for referral of tax monies and prepare claims for reimbursement ... from various State departments or agencies. + Prepare reimbursement claims for court-related expenditures, child custody, or other state-mandated programs. + Analyze… more
- Highmark Health (Sacramento, CA)
- …with a general understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues and problems. A comprehensive ... agencies. These studies and projects may involve all aspects of the health insurance business and care management processes and may be confidential in nature or… more