- Humana (Sacramento, CA)
- …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with health … more
- CVS Health (Sacramento, CA)
- …amount levels on customer service platforms, specifically by using technical and claims processing expertise. + Apply medical necessity guidelines, determine ... At CVS Health , we're building a world of health...heart, each and every day. **Position Summary** The **Senior Claims Benefit Specialist** will review and adjust SF (… more
- UCLA Health (Los Angeles, CA)
- …with: + High school diploma, GED or equivalent + Four or more years of medical claims payment experience in an HMO environment + Experience with CPT-4, ICD-9CM, ... You can do all this and more at UCLA Health . The Claims Quality Auditor will be...medical terminology + Experience in benefit determination and claims adjudication + Ability to accurately key 6,000-8,000 keystrokes… 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
- Providence (CA)
- … health care or general risk management, and insurance claims handling. **Preferred Qualifications:** + Upon hire: Certified Professional Healthcare Risk ... **Description** ** Claims Manager** **_Remote. Candidates residing in AK, WA,...including a retirement 401(k) Savings Plan with employer matching, health care benefits ( medical , dental, vision), life… more
- Sedgwick (Sacramento, CA)
- …Coverage Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex ... and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to… more
- Ryder System (Sacramento, CA)
- …salary for this position ranges from $75K to $80K Ryder offers comprehensive health and welfare benefits, to include medical , prescription, dental, vision, life ... Information** : **For all Full-time positions only** : Ryder offers comprehensive health and welfare benefits, to include medical , prescription, dental, vision,… more
- Sedgwick (Roseville, CA)
- …+ Performs on-the-job training activities including: + Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative Trainee | In-office (Roseville, CA) Are you looking for an… more
- 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 ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Workers Compensation - Telecommute CA Are you looking for an… more
- Sedgwick (Roseville, CA)
- …+ Performs on-the-job training activities including: + Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only ... in Financial Services & Insurance Industry Advancement Program | Workers Compensation Claims Representative Trainee | San Diego, CA or Roseville, CA (In-Office) Are… more
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