- 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
- Sedgwick (Sacramento, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering ... support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor. + Identifies issues… more
- Walgreens (Bakersfield, CA)
- …with information technology. Finds opportunities to improve productivity + Ensures insurance claims are processed accurately to prevent payment rejections. ... the unique communities we serve as requested by Store Manager , Healthcare Supervisor, or District Manager . Operations...Resolves patient issues by working with insurance companies and medical providers and conducting or participating… more
- Humana (Sacramento, CA)
- …5 days/week. **Required Qualifications** + Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience ... part of our caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices.… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- **Position Summary** The Senior Manager , Fleet & Samples Operations oversees the execution of field fleet logistics and pharmaceutical sample distribution. The role ... basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match,… more
- Dignity Health (Bakersfield, CA)
- …to accomodate PST business hours.** **Position Summary:** The Senior Program Manager of Operational Automation will lead the design, implementation, and optimization ... deep familiarity with the complexities of delegated services, including claims , utilization management, provider data, and network operations. Essential Functions… more
- Walgreens (Bakersfield, CA)
- …and the Continuous Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. ... efficient workflow. + At the direction of the Pharmacy Manager or pharmacist, prepares, and files reports and records...Follows-up with insurance companies as well as medical providers and conducts… more
- Travelers Insurance Company (Walnut Creek, CA)
- …resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... **What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file...facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed.… more
- HUB International (Encino, CA)
- …them with innovative insurance solutions. We are seeking an experienced **Account Manager I** who is able to manage small groups under 100 and large groups ... kind aggregation of entrepreneurs and leaders recognized for their excellence throughout the insurance community. **WE LOVE OUR PEOPLE & OUR PEOPLE LOVE US.** We… more
- Travelers Insurance Company (Gardena, CA)
- …Identifies and refers claims with Major Case Unit exposure to the manager . + Performs administrative functions such as expense accounts, time off reporting, etc. ... this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim… more