- Sedgwick (Los Angeles, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Medical Malpractice | Professional Liability | California **PRIMARY ... PURPOSE** : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims… more
- Sedgwick (Concord, CA)
- …properly documented and claims coding is correct. + May process low-level lifetime medical and/or defined period medical claims which include state and ... Fortune Best Workplaces in Financial Services & Insurance Workers Compensation | Claims Representative (Future Medical )| In-Office (Concord, CA) **ARE YOU AN… more
- Sedgwick (Rancho Cordova, CA)
- …is correct. + May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims . + ... and industry best practices. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Adjusts medical -only claims and minor lost-time workers compensation claims… more
- Sedgwick (Rancho Cordova, CA)
- …is correct. + May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims . + ... and industry best practices. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Adjusts medical -only claims and minor lost-time workers compensation claims… more
- Cedars-Sinai (CA)
- …+ Supports core values, policies, and procedures. + Acquires and adjudicates medical claims for processing; reviews scanned, EDI, or manual documents ... outcome in applicable tracking databases. **Qualifications** Experience: Three (3) years of medical claims processing for Medicare and Commercial products and… 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 Examiner | Dedicated Account | Rancho Cordova (3 Days Remote) Are… more
- US Tech Solutions (Whittier, CA)
- …will be indicated by a high school diploma or equivalent; four years medical claims processing. **Preferred:** *Department Management to list. **DUTIES AND ... **Next Start date: Immediately** **Contract length: 3 months** **POSITION SUMMARY** The Claims Auditor assists in the Claims Department by analyzing procedures,… more
- Robert Half Office Team (Oakland, CA)
- …basis in Oakland, California. In this role, you will analyze and process medical claims , ensuring accuracy and compliance with healthcare regulations. Ideal ... work independently in a fast-paced environment. Responsibilities: * Review and adjudicate medical claims for accuracy and compliance with Medi-Cal, Medicare, and… 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
- 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