- Illumination Foundation (Santa Ana, CA)
- …+ Review any rejected or denied claims and conduct proper follow up procedures (Escalations/Appeals/ Claim corrections) + Monitor and maintain county aging ... specialist is also responsible for keeping account receivables for CalAIM current, claim follow -up and escalation, and must have knowledge of billing codes… more
- Guidehouse (San Marcos, CA)
- …to perform all areas of initial billing, secondary billing, and payer audit follow -up for government and non-government claims . Must work with other departments ... electronic and hardcopy claims + Submits Adjusted claims + Provides Follow -up Billing + Prepares... at a minimum daily. + Works all assigned claims daily by resolving edits, validating claim ,… more
- HUB International (San Diego, CA)
- …+ Manage workers' compensation claims for clients from various stages of the claim 's lifecycle + Follow select claims from inception through closure, ... carrier and TPA concerns, advocating aggressively for client interests + Monitor claim reserves, settlement negotiations, and medical management decisions +… more
- Lincoln Financial (Sacramento, CA)
- …and applying knowledge. You will analyze and manage a caseload of appeals claims . You will review, investigate, and make claim determinations regarding coverage, ... experience. + Effectively utilize and implement policies & procedures regarding medical terminology, duration, functionality documentation, and overall claims … more
- Kemper (Chatsworth, CA)
- …complex to claims to conclusion. This role will have advanced claim handling skills and demonstrate high quality results. This position necessitates strong ... a cohesive team. **Position Responsibilities** : + Primarily handles claims with a high complexity and large injury severity....high complexity and large injury severity. + Review each claim to ensure that all coverage and exposures issues… more
- Lincoln Financial (Sacramento, CA)
- …for conducting initial and ongoing interviews with claimants, obtaining, and reviewing medical records and making timely and ethical claim determinations. You'll ... excited to bring on highly motivated STAT / PFL Claims Specialists to staff our ever-growing claims ...managers and consulting physicians to make appropriate and timely claim determinations. + Reviewing complex medical records… more
- Adecco US, Inc. (Ontario, CA)
- Adecco is currently assisting a local Customer in their search for Claims Assistant in Ontario, CA. This is a great opportunity to further your existing skills as a ... audit database. * Create and mail denial letters and claims requirement letters. * Forward claims to...* At least 6 months of experience in a medical office setting. * Strong data entry skills and… more
- Sedgwick (Brea, CA)
- …resolution to appropriate parties. + Responsible for litigation process on litigated claims and follow defense counsel guidelines and service expectations + ... Best Workplaces in Financial Services & Insurance Senior Liability Claims Examiner | Must Reside in CA Are you...opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401K on day one. _As required… more
- Zurich NA (Sacramento, CA)
- Claims Call Center Representative 127686 Zurich is a leading multi-line insurer that serves its customers in global and local markets. Zurich's customers include ... complexity, ensuring a positive customer experience. + Resolve complex claims inquiries and problems, judging when to pass complex...team to improve the quality of customer care. + Follow procedures to ensure adherence to the company's risk… more
- Public Consulting Group (Chula Vista, CA)
- …Assessments and Feasibility Studies PCG is seeking highly motivated and dependable Claims Specialist payment processing clerk with an interest in public service who ... backgrounds. + Ability to maintain a record keeping and follow -up system. + Ability to work independently, requiring minimal...provides a range of benefits for this role, including medical and dental care benefits, 401k, PTO, parental leave,… more