- Polaris Pharmacy Services, LLC (Covina, CA)
- …evaluate insurance claims to determine the extent of the insurer's liability , adhering to policy provisions and state and federal regulations. + Authenticate ... SUMMARY: The Adjudication Specialist manages a portfolio of rejected pharmacy claims , ensuring timely billing and maximum payer reimbursement. They prioritize… more
- Sedgwick (West Hills, CA)
- …+ This role will be primarily responsible for **_Large Complex Property_** claims . **PRIMARY PURPOSE** **:** To investigate losses or claims internationally ... and inspects property damage to determine extent of company's liability and varying methods of investigation according to type...Attends litigation hearings. + Revises case reserves in assigned claims files to cover probably costs. + Prepares loss… more
- Sedgwick (Roseville, CA)
- …best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing ... Identifies issues and formulates defense strategy. + Establishes/adjusts accrued liability and approves administrative expenses. + Identifies subrogation opportunities… more
- Sumitomo Pharma (Sacramento, CA)
- …and evaluation of the adequacy of clinical evidence provided to support proposed claims and assess consistency of proposed claims with FDA-approved labeling + ... of advisory comments and any other interactions regarding use of promotional claims for assigned products, including pre-clearance of launch materials. + Direct and… more
- Adecco US, Inc. (Fountain Valley, CA)
- …Incoming Communications, assist with scanning and processing incoming mail regarding legal claims for consumer warranty and product liability litigation practice ... with processing and opening new cases for consumer warranty and product liability litigation practice groups in the department's legal matter management system… more
- Sedgwick (San Diego, CA)
- …Adjuster - Pacific Region **PRIMARY PURPOSE** **:** To investigate losses or claims internationally on any size National Account (Maintaining a minimum of five ... and inspects property damage to determine extent of company's liability and varying methods of investigation according to type...Attends litigation hearings. + Revises case reserves in assigned claims files to cover probably costs. + Prepares loss… more
- Robert Half Legal (Pasadena, CA)
- …, insurance coverage, employment, financial institutions, toxic tort, construction, professional liability (non-med-mal), real estate & title claims . This ... associate attorney will NOT be siloed into a niche area and will have opportunities to work with partners doing varied litigation. It's a great opportunity for attorneys to experience new practice areas and grow - the firm has a proven track record of… more
- Samsung SDS America (Cerritos, CA)
- …and customs. You'll draft, negotiate, and review complex commercial contracts; resolve claims ; and ensure compliance with evolving regulations to mitigate risks and ... compliance and best practices across the organization Risk Management & Claims Resolution + Identify potential risks, recommend mitigation strategies, and provide… more
- Sedgwick (Sacramento, CA)
- …issues and formulates defense strategy. + Establishes/adjusts accrued liability and approves administrative expenses. + Identifies subrogation opportunities ... Ten (10) years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and experience required.… more
- CDM Smith (Carlsbad, CA)
- …and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. Identify contractual requirements to maintain and ... prosecute claims , and assist project team in managing to those...employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability… more