- Cognizant (Sacramento, CA)
- …Monday to Friday 8am - 4:30pm ET **Experience:** A minimum of 2 years of claim processing is required. **Travel:** None required **About the role:** As Claims ... be responsible for timely and accurate adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support to … more
- HUB International (Culver City, CA)
- …Manage workers' compensation claims for clients from various stages of the claim 's lifecycle + Follow select claims from inception through closure, ensuring ... carrier and TPA concerns, advocating aggressively for client interests + Monitor claim reserves, settlement negotiations, and medical management decisions +… more
- Dignity Health (Bakersfield, CA)
- …for all claim types - Perform an analysis of the claims processing by reviewing contract, system configuration, benefits, financial risk (DOFRs), and manual ... **Responsibilities** The Claims Research Specialist will oversee and manage research...adjudication to identify the cause of the erroneous claim payment - Responsible to ask clarifying questions from… more
- Providence (CA)
- …we must empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional, ... + Work with defense attorneys specializing in defense of medical negligence claims + Have direct responsibility...for each matter:** + Develop and document for each claim or lawsuit a plan of action for resolution… more
- Sedgwick (Sacramento, CA)
- …suggested by the claim status; and provides written resumes on specific claims as requested by client. + Maintains frequent diaries on complex or high exposure ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead, General Liability **PRIMARY PURPOSE** : To...PURPOSE** : To supervise a team of General Liability Claim Specialists and administrative or technical staff for a… more
- Adecco US, Inc. (Roseville, CA)
- … activity** with claimants and clients, maintaining professional relationships and accurate claim documentation. Candidates for ** Claims Examiner** must meet the ... Adecco is assisting a local client recruiting for ** Claims Examiner** opportunities in **Roseville, CA** (ONSITE OR REMOTE) This is an excellent opportunity to join… more
- ICW Group (San Diego, CA)
- … claims . + Contacts and/or interviews injured workers, doctors, medical specialists, attorneys, and employers to get additional information. + Communicates ... and providing benefits as prescribed by law. + Ensures claim files are properly documented and claims ...* We offer a competitive benefits package, with generous medical , dental, and vision plans as well as 401K… more
- Philadelphia Insurance Companies (Roseville, CA)
- …engaging training to Claim Division staff on best practices, good faith claims handling, and relevant developments in the law to promote effective and compliant ... 50 and rated A++ by AM Best. Position Overview Claim Counsel will provide legal counsel and strategic guidance...and strategic guidance regarding commercial property and casualty insurance claims . Reporting to VP of Claims &… more
- Guidehouse (San Marcos, CA)
- …+ Transmits or releases claims at a minimum daily. + Works all assigned claims daily by resolving edits, validating claim , or placing on departmental hold by ... Required** **:** None **What You Will Do** **:** The ** Medical Biller** is expected to perform all areas of...billing, and payer audit follow-up for government and non-government claims . Must work with other departments to facilitate the… more
- Molina Healthcare (Long Beach, CA)
- …. + Manages a caseload of various types of complex claims . Procures all medical records and statements that support the claim . + Meets department quality and ... **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of … more