- Cognizant (Sacramento, CA)
- …High School Diploma or equivalent is required + A minimum of 1 years of medical claims processing is required + Facets experience is highly preferred + Knowledge ... Claims Processors to join our growing team. The ** Medical ** ** Claims Processor** is responsible for the...Responsibilities** + Responsible for reviewing the data in the claim processing system (Facets) and comparing it with the… more
- ICW Group (Pleasanton, CA)
- …in-house counsel for litigation strategy and nurse case managers for medical management. **ESSENTIAL DUTIES AND RESPONSIBILITIES** **Strategic Claims ... implements strategic plans to accelerate closure of high-cost, long-duration claims . + Collaborates with legal, medical , and...catastrophic cases from early intervention to mitigate exposure to claims closure. + Provides guidance on claim … more
- Sedgwick (Roseville, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim recoveries, including but… more
- Sedgwick (West Hills, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim recoveries, including but… more
- Adecco US, Inc. (San Diego, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim recoveries, including but… more
- Sedgwick (Sacramento, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim recoveries, including but… more
- Sedgwick (Roseville, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim recoveries, including but… more
- TEKsystems (Fresno, CA)
- We are hiring Medical Claims Examiners! Must live within 65 miles of Fresno, CA to be considered due to onsite training requirements. Location: Fully remote with ... Fresno, CA Schedule: 7:00AM - 4:00PM PST Monday-Friday Overview Our client is seeking a Medical Claims Examiner to join their growing team. This role is ideal… more
- Insight Global (Irvine, CA)
- …of medical terminology. Previous experience as a medical claims examiner or auditor preferred. Experience with claim investigation, quality assurance ... will assist management with implementation of measures to ensure claim processing and payment accuracy. They will also help...excel In the job experience of EHR systems and medical insurance claims management softwares Knowledge of… more
- Sedgwick (Rancho Cordova, CA)
- …properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and ... claims ' action plans to resolution, coordinates return-to-work efforts, and approves claim payments. + Approves and processes assigned claims , determines… more