- Robert Half Office Team (Bakersfield, CA)
- …2 years of experience in customer services or a related role. * Proficiency in claims processing and handling medical claims . * Strong communication skills ... United States. Benefits are available to contract/temporary professionals, including medical , vision, dental, and life and disability insurance. Hired… more
- Humana (Sacramento, CA)
- …or FSA designation, MAAA + 2+ years of actuarial experience in health insurance and/or medical claims analytics + Proficiency in data analysis and one or more ... Qualifications** + Strong communication skills + Strong working knowledge of healthcare claims as it relates to trend analytics, total cost of care management,… more
- Dignity Health (Santa Maria, CA)
- …verification and authorization. Knowledge of payer and regulatory guidelines for medical insurance claims processing and reimbursement. Knowledge of the ... Physicians Choice and CenCal. Knowledge of payer and regulatory guidelines for medical insurance claims processing and reimbursement. Knowledge of the processes… more
- Emanate Health (Covina, CA)
- …indicated protocol sets, or clinical guidelines and provide support and review of medical claims and utilization practices. Complete medical necessity and ... country. **Job Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity by...Nurse will evaluate medical records to determine medical necessity by applying clinical acumen and the appropriate… more
- Norstella (Sacramento, CA)
- …will be pivotal in integrating diverse data sources, including laboratory data, electronic medical records (EMR), claims data, and social determinants of health ... goals. + Drive the integration of diverse data sources, including lab, EMR, claims , and SDoH data, to create comprehensive and actionable datasets + Identify and… more
- AIG (Los Angeles, CA)
- …and/or ability to guide clients in the return to work process and in medical management coordination. Working with Client Services, Claims and Underwriting, you ... manage risk. Join us as a Pre-Injury Consultant - Claims to play your part in that transformation. It's...support and educate clients in understanding and optimizing AIG's medical management programs and you identify opportunities to customize… more
- Ryder System (Sacramento, CA)
- …(http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Senior Claims Representative handles complex and mid-to-high exposure bodily ... injury and property damage claims under Ryder's self-administered liability program. This position investigates...all relevant laws and regulations as well as related medical and legal terminology + Requires strong claim technical… more
- Sedgwick (Roseville, CA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | CA Jurisdiction Knowledge Required | Roseville, CA (Hybrid) ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401K on day one. **Skills &… more
- Kelly Services (Orange, CA)
- …always easy. That's where Kelly(R) comes in. We're seeking a **Workers' Compensation Claims Adjuster** to join our client's team. This role offers the opportunity to ... work with a respected organization, gain valuable claims management experience, and make a meaningful impact. Sound good? Take a closer look below. We're here to… more
- Sedgwick (Sacramento, CA)
- …Fortune Best Workplaces in Financial Services & Insurance General Liability Claims Examiner | Dedicated Client | Remote **_Dedicated Client: Property Ownership ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401K on day one. _As required… more