- Sedgwick (West Hills, CA)
- …as suggested by the claim status; and provides written resumes of specific claims as requested by client. + Assures that direct reports are properly licensed in ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | West Hills, CA Are you looking for an opportunity… more
- Sedgwick (Long Beach, CA)
- …resolution by investigating and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within designated authority. + ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation | Claims Examiner | Hybrid - Long Beach, CA Are you looking for an… more
- Sedgwick (Sacramento, CA)
- …as suggested by the claim status; and provides written resumes of specific claims as requested by client. + Assures that direct reports are properly licensed in ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead, Liability **PRIMARY PURPOSE** : To supervise the operation of… more
- Centene Corporation (Sacramento, CA)
- … claims adjudication concepts, claims inventory management and general claims department processes required. + Knowledge of Medical Terminology, Current ... PT to as late as 8:30am PT. **Position Purpose:** Perform regulatory claims compliance audits to support health plan operations. Completes retrospective claims… more
- Prime Healthcare (Ontario, CA)
- …requires relocating to Ontario, California. TheVice President of Health Plan Operations and Claims is responsible for the development and execution of Claim ... technology and data to improve the quality and minimize process cost of Claims for all Prime Healthcare's self-insured Employee Health Plans. Through in-depth audit… more
- Sedgwick (Sacramento, CA)
- …FUNCTIONS and RESPONSIBILITIES** + Processes complex auto commercial and personal line claims , including bodily injury and ensures claim files are properly ... and commercial line auto policies, coverage's, principles, and laws + Knowledge of medical terminology for claim evaluation and Medicare compliance + Knowledge… more
- Southern California Edison (Rosemead, CA)
- …help us build the future? **Responsibilities** + Manages a complex workers' compensation claim caseload. May handle catastrophic claims as assigned + May conduct ... medical providers, injured workers, and witnesses on complex claims to determine liability. Provides advice on workers' compensation...reserves based on the ultimate probable cost of the claim and in accordance with the state of California… more
- Sedgwick (Roseville, CA)
- …+ Performs on-the-job training activities including: + Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only ... claims of minimal disability duration under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim… more
- CVS Health (Sacramento, CA)
- …Qualifications** . 3+ years of experience handling complex druggist and professional medical malpractice claims with either a healthcare company, insurance ... Qualifications** . 5+ years of experience handling complex druggist and professional medical malpractice claims with either a healthcare company, insurance… more
- Sedgwick (Roseville, CA)
- …+ Performs on-the-job training activities including: + Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only ... claims of minimal disability duration under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim… more