- Sedgwick (Sacramento, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
- Cognizant (Sacramento, CA)
- …Monday to Friday 8am - 4:30pm ET **Experience:** A minimum of 2 years of claim processing is required. **Travel:** None required **About the role:** As Claims ... * Be Responsible for reviewing the data in the claim processing system and comparing with corresponding...of Facets experience. * Experience in the analysis and processing of claims for payments, utilization review/quality… more
- Kelly Services (Brea, CA)
- … Examiner? You'll be:** **Essential Duties and Responsibilities** + Analyzing and processing complex or litigated **California workers' compensation claims ** + ... claim recoveries + Communicating effectively with claimants, clients, and medical providers + Maintaining accurate claim documentation and professional… more
- Humana (Sacramento, CA)
- …healthcare industry + 2+ years of demonstrated expertise in end-to-end healthcare claims operations, including claim ingestion, processing , system ... your opportunity to lead cross-functional initiatives, apply your expertise in healthcare claims , and shape the future of operational excellence in a dynamic,… more
- Mass Markets (CA)
- …736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing , Collections, Customer Experience Provider (CXP), Customer ... POSITION OVERVIEW WE'RE HIRING 1,000 WORK AT HOME STAFF TO SUPPORT FEDERAL, STATE, AND COMMERCIAL...on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information,… more
- IQVIA (San Francisco, CA)
- …HIPAA certified + Call center experience required (3+ years preferred) + Experience in medical claim processing is a plus + Bi-lingual (English/Spanish) ... what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need… more
- Wounded Warrior Project (San Diego, CA)
- …. A flexible hybrid work schedule (three days in the office, two days' work from home ) . Full medical , dental, and vision coverage for both teammates AND family ... service. The NSO guides and manages the preparation and processing of all claims and subsequent appeals...claimants in the preparation, presentation, and prosecution of their claim (s) before the VA. + Basic experience utilizing case… more
- City and County of San Francisco (San Francisco, CA)
- …looks like in action. The 2913 Program Specialist is used by In- Home Supportive Services (IHSS), County Adult Assistance Program (CAAP), CalWORKs, Workforce ... to the general duties above: + Detects, investigates, and prevents fraudulent claims for public assistance to avoid welfare fraud and other financial crimes.… more
- Humana (Sacramento, CA)
- …+ Minimum 1 year of experience medical claims payment and processing in a medical claim 's environment + Experience creating pivot tables ... health care industries or related adjacent industries **Additional Information** **Work-At- Home Requirements:** + WAH requirements: Must have the ability to… more
- The County of Los Angeles (Los Angeles, CA)
- …activities that involve various healthcare sectors to include Ambulatory Surgery Centers, Home Health/Hospice and EMS Provider. + Develops medical surge ... SENIOR NURSING INSTRUCTOR (EMERGENCY MEDICAL SERVICES) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3309230) Apply SENIOR NURSING… more