- 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
- Actalent (Irvine, CA)
- …team. This role is critical in ensuring the integrity and compliance of marketing claims associated with our medical devices. The ideal candidate will have ... strong experience in quality systems within the medical device industry and a proven ability to trace...device industry and a proven ability to trace marketing claims to supporting engineering analyses and documentation. This individual… more
- Amazon (CA)
- …handle inbound calls from One Medical patients (customers) regarding their medical bills, insurance claims , and payment inquiries. Daily activities include ... of customer service experience in a call center environment 1+ years with medical billing, insurance claims , or healthcare revenue cycle Demonstrated proficiency… 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 ... support flexibility. **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality and timely coverage… 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 ... - Liability **PRIMARY PURPOSE:** To analyze mid- and higher-level general liability claims to determine benefits due; to ensure ongoing adjudication of claims… 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 ... **Preferred Qualifications** + Coursework in medical terminology and/or medical billing. + Experience in sales and marketing with customer relationship… 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
- Sedgwick (Long Beach, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | Long Beach, CA (Hybrid) | SIP Required Are you ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401K on day one. **TAKING CARE… 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
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- **Position Summary** : Reporting to the Vice President, Global Medical Affairs, the Executive Director, CNS Strategy, Global Medical Affairs is a leadership ... position responsible for the strategic and tactical medical plans of both global and US ...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more