- Kelly Services (Fresno, CA)
- …I provides analytical, support, and problem-resolution services related to customer claims , feedback, and inquiries. The role requires attention to detail, strong ... **Essential Duties & Responsibilities** + Analyze data collected from customer claims and feedback, researching instances and conducting root cause investigations. +… more
- CDM Smith (Carlsbad, CA)
- …Assist the project team in developing 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 requirements. Ensure that proper documentation is… more
- ICW Group (CA)
- …stakeholders in conducting research or accident investigations to sustain claims and underwriting initiatives. + Identifies and quantifies Workers' Compensation ... of formal service plans. + Collaborates with underwriting and claims teams to develop, draft and present large account...to customers to mitigate risk, identify exposures and/or mitigate claim costs. + Identifies key risks and mitigating factors… more
- The County of Los Angeles (Los Angeles, CA)
- …(CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty and subspecialty. In ... its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- AbbVie (Irvine, CA)
- …team meetings involving Tissue Management Science, Product Development, Clinical, Medical Affairs, Quality, Regulatory, Health Economics Outcomes Research, Global ... user needs documentation, target product profiles, competitive analysis, pricing, positioning, claim matrix, working with GMAP and the forecasting team for pipeline… more
- Sharp HealthCare (San Diego, CA)
- … Group Appeals on members with SNF services under appeals process.Reviews SNF claims for medical necessity and appropriateness when any information on the ... in collaboration with designated SNF physician or Sharp Community Medical Group primary care physician, as appropriate to ensure... claim is disputed and claims department is… more
- Sedgwick (Sacramento, CA)
- …evaluates, negotiates, and resolves recreational marine or personal watercraft claims internationally, regardless of complexity and quantum. **ESSENTIAL FUNCTIONS ... and RESPONSIBILITIES** + Investigates recreational marine or personal watercraft claims thoroughly using technical expertise and complex analysis. + Examines… more
- Veterans Affairs, Veterans Health Administration (Martinez, CA)
- …and Rehabilitation Service Chief, the Physician - General Physiatrist/Amputee Medical Director provides leadership and consultations for the outpatient amputee ... must meet to deliver appropriate care. Clinical: The Amputee Medical Director within Physical Medicine and Rehab must have...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
- CVS Health (Sacramento, CA)
- …in the US.** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The Medical ... including post-graduate direct patient care experience specifically. Expands Aetna's medical management programs to address member needs across the continuum… more
- City National Bank (Los Angeles, CA)
- …customers to explain card related services, procedures and policies. Support Reg. E/Z claim and dispute processes by entering claim details into database. Work ... from customers to explain card related services, procedures and policies. * Support Reg. E/Z claim and dispute processes by entering claim details into claim … more