- Command Investigations (Santa Barbara, CA)
- …hire. Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, Auto, or ... include Microsoft Word and Microsoft Outlook (email) Full-Time benefits Include: + Medical , dental and vision insurance + 401K + Extensive performance bonus program… more
- Guidehouse (San Marcos, CA)
- …years of related experience and general knowledge of payor-specific or medical specialty reimbursement. + Knowledge of CPT and ICD-9/10 coding. \#IndeedSponsored ... reflects our commitment to creating a diverse and supportive workplace. Benefits include: + Medical , Rx, Dental & Vision Insurance + Personal and Family Sick Time &… more
- Ventura County (Ventura, CA)
- …the use of multiple electronic health record (EHR) systems such as Cerner, HURON, and/or Claim Source to follow up on accounts. Medical Billing Specialist IV ($ ... Medical Billing Specialist III/IV - Behavioral Health Print...IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance… more
- Ventura County (Ventura, CA)
- …resources management) AND two (2) years' experience handling workers' compensation claims , including experience with claim evaluation, management, or adjustment, ... credit allowance of up to $25,558 annually for purchasing medical , dental, and/or vision insurance from a group of...MT4, MU3, MU4 01 Please describe your workers' compensation claims handling experience, including experience with claim … more
- ICW Group (Pleasanton, 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
- Sedgwick (West Hills, CA)
- …professional needs. **PRIMARY PURPOSE** : Provides disability case management and routine claim determinations based on medical documentation and the applicable ... and making timely payments/approvals and adjustments, medically managing disability claims ; coordinates investigative efforts, thoroughly reviewing contested claims… more
- Travelers Insurance Company (Sacramento, CA)
- …Openings** 1 **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader ... externally. + This position will oversee the following key areas: + Medical Claim Product Research, Strategy and Innovation: + Design and direct innovative,… more
- Allied Universal (Fresno, CA)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim … more
- University of Southern California (Alhambra, CA)
- … rejections and denials which might prevent or delay payment of a particular claim or group of claims . Prepares appeals and rebuttals letters/packages in ... Denials Management Specialist" analyze, investigate, mitigate, and resolve all coding-related ' claims denials' and ' claims rejections,' specific to ICD-10-CM,… more
- Sedgwick (Sacramento, CA)
- …to support the claim request and documents decision rationale. + Completes medical review of all claims by reviewing medical documentation received ... medical management of claims including comprehension of medical terminology and substantiating claim decisions. **ADDITIONAL FUNCTIONS and… more