- Travelers Insurance Company (Sacramento, CA)
- …or training as request by field severity management. + COMMUNICATION/INFLUENCE: + Consult with Manager on use of Claim Coverage Counsel as needed. + Provide ... as Subro, Risk Control, nurse consultants and fire or fraud investigators and other experts. + Verify the nature...+ Apply expert litigation management through the selection of counsel , evaluation and direction of claim and litigation strategy.… more
- Travelers Insurance Company (Irvine, CA)
- …of policy information to facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed. + Directly investigates ... evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts. + Verifies the nature and extent of injury… more
- Travelers Insurance Company (San Diego, CA)
- …of policy information to facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed. + Directly investigates ... evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts. + Verifies the nature and extent of injury… more
- Elevance Health (Costa Mesa, CA)
- …evaluate and recommend focused investigative activities involving market trends indicating Fraud , Waste and Abuse within the healthcare industry. **How You Will ... Make an Impact:** + Assisting the team manager with the administration and operational activities occurring within the Special Investigations Unit for **pharmacy… more
- Zurich NA (Woodland Hills, CA)
- …limits. **Litigation & Legal Compliance:** + Oversee litigation by selecting counsel , reviewing litigation plans and budgets, coordinating defense efforts, and ... authorizing legal payments . + Ensure compliance with applicable state and federal...process. + Identify and refer claims with subrogation or fraud potential to the appropriate internal teams for further… more