- Adecco US, Inc. (Los Angeles, CA)
- … Claims Examiner positions located in Los Angeles CA 90045** **Job Title: Claims Examiner** **Location: Los Angeles CA 90045 ( Remote or Onsite)** **Hours: 8 ... exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and… more
- Kelly Services (Orange, CA)
- …In this position, you'll analyze and manage complex or high-exposure claims , ensuring accurate adjudication , compliance, and cost-effective resolutions. This ... combines analytical skill, empathy, and strategic thinking to deliver excellence in claims management. **Location:** Remote or Onsite (US) **Employment Type:**… more
- VetsEZ (CA)
- …HL7, X12) and data governance in regulated environments; prior experience with claims adjudication , care coordination, or patient engagement systems is highly ... Intelligent Document Processing (IDP) pipelines to extract and validate data from claims , authorizations, and medical documentation. + Integrate LLMs and… more
- EPAM Systems (San Francisco, CA)
- …leading large, complex, cross-functional teams + Extensive knowledge of pharmacy claims adjudication , NCPDP protocols, formulary management, and benefit design ... E2E testing strategies + Develop and communicate test strategies covering pharmacy claims processing, NCPDP transactions, and benefit designs + Design test scenarios… more
- Sanofi Group (Bakersfield, CA)
- … payer policy requirements, buy & bill processes, billing and coding education, claims and adjudication by site of care, financial assistance offerings from ... **Job Title:** Field Reimbursement Manager Tzield - California (CA, NV) **Location:** US Remote , California: San Francisco, Bakersfield - CA, Reno - NV **About the… more
- Guardian Life (Sacramento, CA)
- …service logs. + Deliver solutions that enhance underwriting risk assessment, claims auto- adjudication , and customer servicing. Operational Excellence + Establish ... MA, Stamford, CT, Pittsfield, MA or Bethlehem, PA + Remote Candidates who can travel up to 20% of...individual's known limitations related to pregnancy, childbirth, or related medical conditions, unless doing so would create an undue… more
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