- Providence (CA)
- …we must empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional, ... + Work with defense attorneys specializing in defense of medical negligence claims + Have direct responsibility to foster teamwork, operational excellence,… more
- Cognizant (Sacramento, CA)
- …and able to multi-task successfully? If so, please apply today! The Claims Processor, you will ensure accurate and timely adjudication of professional and ... hospital claims utilizing payer specific policies and procedures. Provide support...UB or HCFA paper or EDI information. + Evaluate medical records to determine if the service rendered was… more
- Sedgwick (Rancho Cordova, CA)
- …properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Adjuster | Rancho Cordova, CA (Hybrid 2 Days) Are you looking for… more
- Sedgwick (Orange, CA)
- …properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and ... Fortune Best Workplaces in Financial Services & Insurance Workers Compensation | Claims Adjuster | Dedicated Account | Hybrid - Orange, CA **PRIMARY PURPOSE**… more
- Sedgwick (Sacramento, CA)
- …properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster I Workers Compensation I CA experience required I Hybrid **PRIMARY… more
- US Tech Solutions (Whittier, CA)
- **Duration: 3+ months contract** **Responsibilities:** + Review, adjudicate, and process medical claims for HMO patients + Work closely with affiliated ... medical groups and hospitals + Evaluate provider reimbursement terms...provider reimbursement terms and flag non-contracted providers + Ensure claims are processed accurately and timely per policy guidelines… more
- Insight Global (Irvine, CA)
- …with strong understanding of medical terminology. Previous experience as a medical claims examiner or auditor preferred. Experience with claim investigation, ... with excel In the job experience of EHR systems and medical insurance claims management softwares Knowledge of state, federal, and applicable regulations… more
- UCLA Health (Los Angeles, CA)
- …with: + High school diploma, GED or equivalent + Four or more years of medical claims payment experience in an HMO environment + Experience with CPT-4, ICD-9CM, ... do all this and more at UCLA Health. The Claims Quality Auditor will be responsible for the daily...medical terminology + Experience in benefit determination and claims adjudication + Ability to accurately key 6,000-8,000 keystrokes… more
- Sedgwick (Sacramento, CA)
- …Liability (MEDMAL) **PRIMARY PURPOSE** : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature ... and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to… more
- TEKsystems (Fresno, CA)
- … Claims . Claims Examiner I is responsible for reviewing and processing medical , dental, vision and electronic claims in accordance with state, federal and ... experience preferred. * A minimum of one (1)year experience as a Claims Examiner for medical , dental claims and vision, subrogation, and accident claims… more