- Sharp HealthCare (San Diego, CA)
- …improve quality, and reduce costs. + Internal and External Customer ServiceInterface with Health Plans, Providers, Members, Medical Groups and Internal Sharp ... investigating and responding to internal and external benefit inquiries, and supporting claims testing activities. **Required Qualifications** + 3 Years in HMO or … more
- Sedgwick (Sacramento, CA)
- …Good technical knowledge of claims management procedures + Knowledge of current medical practices in health care management in a variety of areas (including, ... work restrictions/accommodations. + Performs standard disability clinical reviews of referred medical claims based on client requirements to ensure accurate… more
- Travelers Insurance Company (Walnut Creek, CA)
- … with lost time to conclusion and negotiate settlements where appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a ... Medical Case Manager. Independently handles assigned claims ...handling experience **What Is in It for You?** + ** Health Insurance** : Employees and their eligible family members… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …trials program, including registrational, post-marketing and Investigator-Sponsored Trials (ISTs), health economic outcomes research, other specific medical ... The local "ecosystem approach" creates a unified focus among account management, medical , patient access and market access to engage local healthcare systems and… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- … and data teams at OPH. The ideal candidate will have experience advising medical device, digital health , and AI clients on the application of healthcare ... **About Otsuka Precision Health ** Founded on Otsuka's rich history in delivering...OPH healthcare products, services, and technology. Expert knowledge of medical device and consumer protection (eg, FDA, FTC), healthcare… more
- Travelers Insurance Company (Sacramento, CA)
- …and/or complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B claims and E&O ... medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B ...the job. **What Is in It for You?** + ** Health Insurance** : Employees and their eligible family members… more
- Sedgwick (West Hills, CA)
- …disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining ... and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations;… more
- Sedgwick (West Hills, CA)
- …disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining ... and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations;… more
- Dignity Health (Rancho Cordova, CA)
- … claims , consistent with the Mission and Philosophy of Dignity Health Medical Foundation. **Qualifications** **Minimum Qualifications:** + High school diploma ... professional claims and billing procedures, and Google Suite **Overview** Dignity Health Medical Foundation, established in 1993, is a California nonprofit… more
- Travelers Insurance Company (Irvine, CA)
- …and resolving assigned Specialty Liability 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 severity claims . + Provides quality customer service and ensures quality and timely coverage… more