- Cedars-Sinai (CA)
- …+ Supports core values, policies, and procedures. + Acquires and adjudicates medical claims for processing; reviews scanned, EDI, or manual documents ... for pertinent data on claim for complete and accurate information. + Acquires daily...applicable tracking databases. **Qualifications** Experience: Three (3) years of medical claims processing for Medicare and Commercial… more
- Sedgwick (West Hills, 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
- Insight Global (Los Angeles, CA)
- …next steps need to be taken. * Assist with research to advise management on medical claims issues and assist with developing guidelines for use by the examiners ... * Write determination letters regarding the outcome of non-clinical reviews/ claim denials and send to the applicable participant/provider. Correspond...of claims may require review and other medical claims issues. * Work with legal… more
- Sedgwick (Sacramento, 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 | NC, SC, KY, WV Jurisdictions | Remote **Are you looking… more
- Sedgwick (Los Angeles, CA)
- …resolution by investigating and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within designated authority. + ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation REMOTE | California Experience Are you looking… more
- Sedgwick (Sacramento, CA)
- … claim activities. Offers technical and jurisdictional guidance on claims adjudication and maintains regular diaries, especially for complex or high-exposure ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance (Remote) Claims Team Lead - Workers Compensation | AZ, CO, UT Jurisdictions Are you… more
- Sedgwick (Sacramento, CA)
- …resolution by investigating and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within designated authority. + ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Adjuster | OH Jurisdictional Knowledge Are you looking for an… more
- Sedgwick (Sacramento, CA)
- …of damages. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Processes complex commercial trucking claims , including bodily injury, and ensures claim files are ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Commercial Trucking | Remote Are you looking for an opportunity… more
- Sedgwick (Sacramento, CA)
- …resolution by investigating and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within designated authority. + ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdictional Knowledge & NY Licensing Required Are you… more
- Sedgwick (Brea, CA)
- …resolution by investigating and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within designated authority. + ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation - Brea, CA (Hybrid) Are you looking for an… more