- Travelers Insurance Company (Sacramento, CA)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life cycle ... does not manage staff. **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without regard to coverage or liability… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... not manage staff. **What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file quality and timely coverage… 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 ... travel time or cost to the employer. **Preferred Qualifications** + Coursework in medical terminology and/or medical billing. + Experience in sales and marketing… more
- Dignity Health (San Bernardino, CA)
- …skilled and compassionate Workers' Compensation Specialist to join our team at Dignity Health St. Bernardine Medical Center. This role coordinates the operations ... full understanding and active participation in fulfilling the Mission of Dignity Health St. Bernardine Medical Center and demonstrating behavior consistent with… more
- Highmark Health (Sacramento, CA)
- …:** GENERAL OVERVIEW: Applicants Must Be Able to Read and Comprehend Spanish Medical Terminology The Quality analyst is responsible for compiling and analyzing data ... relevant to the handling of all types of complex adjusted claims ; conducting reviews of all organizational or functional activities related to fraud/abuse… more
- The County of Los Angeles (Los Angeles, CA)
- …public services such as diverse as law enforcement, property assessment, public health protection, water conservation, cultural activities and many more. WHAT WE DO: ... a fair outcome through our consumer protection programs, including Small Claims Advisor, dispute resolution and mediation programs, immigration legal services,… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible for ... certain assets within the broader CNS TA portfolio Medical Affairs (both US and Global), with a specialization...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Sedgwick (Sacramento, CA)
- …time frames, and claims status either by phone, written correspondence and/or claims system. + Reviews medical information to determine if the claimant meets ... live within the United States. **PRIMARY PURPOSE** **:** To process claims and determine accommodation options following written guidelines and procedures pursuant… more
- The County of Los Angeles (Los Angeles, CA)
- MEDICAL RADIATION PHYSICIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4722455) Apply MEDICAL RADIATION PHYSICIST Salary $94,242.72 - ... CA Job Type Full time Job Number Y5778A Department HEALTH SERVICES Opening Date 01/14/2025 + Description + Benefits...hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty… more
- Elevance Health (Costa Mesa, CA)
- …healthcare fraud in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health ... be considered. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to… more