- Conduent (Los Angeles, CA)
- …our client's pharmacy claim data. This is to ensure billed pharmacy claims are being accurately submitted. You will also be required to represent our clients ... part of a culture where individuality is noticed and valued every day. **Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification?** **Would you like to… more
- ICW Group (Sacramento, CA)
- …you want to be here! **JOB** **SUMMARY** The Director, Workers' Compensation Claims , leads assigned branches, overseeing claims handling strategies, compliance, ... service for policyholders and injured workers. By ensuring excellence in claims resolution and leadership, the Director also directly influences ICW Group's… more
- Unilever (El Segundo, CA)
- …out-of-the-box thinker to join our R&D Scientific Affairs team as the Claims Substantiation Lead (Associate Principal Scientist) Reporting to the Sr. Director, ... Scientific Affairs. This role will be responsible for managing claims substantiation for all current products and campaigns as well as future innovations. The … more
- Sedgwick (Sacramento, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Work Comp Claims Services Associate | Hybrid | Sacramento, CA Are you looking for an ... mental, physical, financial and professional needs **PRIMARY PURPOSE OF THE ROLE:** The Claims Services Associate is an important part of the services provided as… more
- LA Care Health Plan (Los Angeles, CA)
- Specialty Health Plans Auditor III Claims Job Category: Customer Service Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full ... to achieve that purpose. Job Summary The Specialty Health Plans Auditor III Claims is responsible for all aspects of planning, execution, reporting and corrective… more
- Philadelphia Insurance Companies (Mission Viejo, CA)
- …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Specialist to join our team! Summary: Investigate, evaluate and settle more complex first and ... third party commercial auto insurance claims . A typical day will include the following: Thoroughly...communication as well as results of investigation. Evaluates each claim in light of facts; Affirm or deny coverage;… more
- AIG (Los Angeles, CA)
- …and/or ability to guide clients in the return to work process and in medical management coordination. Working with Client Services, Claims and Underwriting, you ... manage risk. Join us as a Pre-Injury Consultant - Claims to play your part in that transformation. It's...support and educate clients in understanding and optimizing AIG's medical management programs and you identify opportunities to customize… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: The primary purpose of this position is to examine & process claims from the UB04 & CMS-1500 claim forms into the claims adjudication system for ... This position is responsible for the accurate review, input & adjudication of claims using payment policies & methodologies that are consistent with and recognized… more
- City and County of San Francisco (San Francisco, CA)
- …City Attorney's Office is looking for a qualified and motivated individual to join its Claims Team as a Claims Investigator. About the Office The San Francisco ... about the City Attorney's Office please visit: https://www.sfcityattorney.org/ (about:blank) About the Claims Team The Claims Team is a dynamic and collaborative… more
- ICW Group (Woodland Hills, CA)
- …Learn more about why you want to be here! **PURPOSE OF THE JOB** The Senior Claims Examiner handles moderate to complex claims with a focus on providing the ... service for policyholders and ICW Group to independently bring claims to an equitable conclusion within Company standards and...* We offer a competitive benefits package, with generous medical , dental, and vision plans as well as 401K… more