- 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
- Providence (CA)
- …propose opportunity solutions and success replication. Propose monthly audit focus topics to claims leaders based on trending analysis. Review claim files from a ... + Insurance terminology + Legal concepts + Liens + Electronic claims databases + Medical terminology **Skills required for this position include:** + Third-party… more
- Sedgwick (Sacramento, CA)
- …clients, and staff. With the Associate's skills and knowledge, the Associate will review documents and other third-party administrator's claims system to make ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Work Comp Claims Services Associate | Hybrid | Sacramento, CA Are you looking for an… more
- Philadelphia Insurance Companies (Roseville, CA)
- …will provide legal counsel and strategic guidance regarding commercial property and casualty insurance claims . Reporting to VP of Claims & Claims Counsel, ... management. The successful candidate will serve as a key resource for claims professionals, underwriters, and company leadership, ensuring claims are… more
- ManpowerGroup (El Segundo, CA)
- …Segundo, CA **Pay Rate: $27.00** **Shift: 9 am - 530 pm** **What's the Job?** + Review and recommend eligibility of claims for payment. + Analyze claims and ... provider of corporate legal support services, is seeking a Claims Analyst to join their team. As a ...completion of waiting period associates are eligible for:** + Medical and Prescription Drug Plans + Dental Plan +… more
- Sedgwick (Sacramento, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Commercial Auto Claims Rep **PRIMARY PURPOSE** : To analyze and process low to mid-level auto ... and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property...and commercial lines policies and endorsements + Ability to review and assess Property Damage estimates, total loss evaluations,… more
- Prime Healthcare (Ontario, CA)
- … for all Prime Healthcare's self-insured Employee Health Plans. Through in-depth audit and review of Claims data, the VP will identify financial savings across ... relocating to Ontario, California. TheVice President of Health Plan Operations and Claims is responsible for the development and execution of Claim Operations… 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, ... and payment accuracy. They will also help monitor and review appeals processing of assigned accounts. This individual must...excel In the job experience of EHR systems and medical insurance claims management softwares Knowledge of… more
- Fluor (Fresno, CA)
- …schedules and scenario analysis providing reasonable and realistic schedule forecasts * Review Contractors' claims and assist with responses and potential ... the Director and Deputy Director of the PMO/forensics & Claims , this role is responsible for developing forensic analyses...reporting, and maintenance of data program wide * Perform review and analysis of the construction schedule for risk… more
- Cognizant (Sacramento, CA)
- …1 year of Facets experience. * Experience in the analysis and processing of claims for payments, utilization review /quality assurance procedures. * Must be able ... claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist, you will be responsible for timely and accurate… more