- Sedgwick (Sacramento, CA)
- …role will be responsible for investigating and adjusting property and casualty claims , both residential and commercial, with little to no supervision. **ESSENTIAL ... Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Assists in...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Robert Half Legal (Long Beach, CA)
- …long-standing reputation in maritime and federal workers' compensation (Longshore & DBA claims ). The firm is actively seeking a Workers' Compensation Attorney with ... + Handle a caseload focused on maritime and federal workers' compensation claims + Conduct depositions, hearings, and motion practice + Draft legal documents… more
- Lompoc Valley Medical Center (Lompoc, CA)
- …when applicable. + Coordinates resources to aid in direct patient payments of claims when necessary. + Utilizes a variety of technical platforms including the ... District's integrated information system, and external systems + Responds appropriately and timely to telephone and verbal requests. + Provides feedback to Director of reimbursement situations that may result in risk management action. + Must work well under… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …drug development programs, including: + Understanding pharmacology of drugs and unmet medical needs. + Formulating a rationale to develop the drug in accordance ... Developing and leading formal presentations of results to the medical community, in written, verbal, andvisual formats. + Analyzes...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Sharp HealthCare (San Diego, CA)
- …3 Years experience in a managed care or healthcare environment interfacing with medical providers. + Driver's License - CA Department of Motor Vehicles -REQUIRED ... **Preferred Qualifications** + Coursework in medical terminology and/or medical billing. + Experience in sales and marketing with customer relationship… more
- CVS Health (Sacramento, CA)
- …Senior Claim Benefit Specialist reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. They will act as ... customer service inquiries and problems. **Key Responsibilities** + Reviews pre-specified claims or claims that exceed specialist adjudication authority or… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …CNS portfolio. The individual will work closely with market access, sales, medical affairs, and finance to implement commercial strategies that sustain product ... Work closely with, market access, Finance, Commercial operations, and medical teams to ensure seamless execution of brand strategies...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- CVS Health (Sacramento, CA)
- …day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject ... customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority… more
- Otsuka America Pharmaceutical Inc. (San Jose, CA)
- …innovative products, with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health. In ... the respective Area Business Lead, coordinating with cross-functional colleagues in Medical (MSLs), Market Access (HSAMs), and Patient Support (PELs) under… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …to ensure accurate adjudication of claim for reimbursement. They will process claims correctly following contractual arrangements the Medical Practice Foundation ... payors, including but not limited to; Commercial, Medi-Cal and Managed Care professional claims . This position is responsible checking status of unpaid claims by… more