- Sedgwick (Sacramento, CA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist Sr - Commercial Coverage Specialist **PRIMARY PURPOSE** ... **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ; to… more
- Dignity Health (Bakersfield, CA)
- **Responsibilities** The Claims Research Specialist will oversee and manage research efforts related to claims overpayments, underpayments, and billing ... and working collaboratively with providers and internal departments to enhance claims processes and improve financial outcomes. **Essential Functions:** - To… more
- CVS Health (Sacramento, CA)
- …And we do it all with heart, each and every day. **Position Summary** The **Senior Claims Benefit Specialist ** will review and adjust SF ( _self-funded_ ), FI ( ... amount levels on customer service platforms, specifically by using technical and claims processing expertise. + Apply medical necessity guidelines, determine… more
- Philadelphia Insurance Companies (Mission Viejo, CA)
- …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Specialist to join our team! Summary: Investigate, evaluate and settle more complex first ... and third party commercial auto insurance claims . A typical day will include the following: Thoroughly understands coverages, policy terms and conditions for broad… more
- Public Consulting Group (Chula Vista, CA)
- …+ Assessments and Feasibility Studies PCG is seeking highly motivated and dependable Claims Specialist payment processing clerk with an interest in public ... In addition, PCG provides a range of benefits for this role, including medical and dental care benefits, 401k, PTO, parental leave, bereavement leave. **EEO… more
- Guidehouse (San Marcos, CA)
- …Required** **:** None **What You Will Do** **:** The **Credit Balance Specialist ** will manage credit balance workloads and respond and follow-up on external ... service. + Working knowledge can be of the following: insurance claims , billing, coding, follow-up, finance, accounting or customer service related responsibilities.… more
- Adecco US, Inc. (Roseville, CA)
- Adecco is assisting a local client recruiting for Claims Examiner opportunities in Roseville, CA (ONSITE OR REMOTE) This is an excellent opportunity to join a ... significant opportunity for learning, growth, and career advancement. If Claims Examiner sounds like something you would be interested...- 4:30 PM + Weekly paycheck + Dedicated Onboarding Specialist & Recruiter + Access to Adecco's Aspire Academy… more
- Adecco US, Inc. (Roseville, CA)
- Adecco is assisting a local client recruiting for ** Claims Examiner** opportunities in **Roseville, CA** (ONSITE OR REMOTE) This is an excellent opportunity to join ... opportunity for learning, growth, and career advancement** . If ** Claims Examiner** sounds like something you would be interested...- 4:30 PM + Weekly paycheck + Dedicated Onboarding Specialist & Recruiter + Access to Adecco's Aspire Academy… more
- Cognizant (Sacramento, CA)
- …of claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist , you will be responsible for timely and accurate ... adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support...HCFA paper or EDI information. * Responsible for reviewing medical records when necessary to determine if service rendered… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist III/IV - Behavioral Health Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5037514) Apply Medical Billing ... they ensure accuracy, efficiency, and regulatory adherence in all mental health billing operations. Medical Billing Specialist III ( $ 25.10 - $31.86 per hour)… more