- Fresenius Medical Center (Sacramento, CA)
- …200,000.00 Benefit Overview: This position offers a comprehensive benefits package including medical , dental, and vision insurance , a 401(k) with company match, ... project specifications and review methodologies. Analyses will include review of claims data, analysis of medication utilization for global contracts and analysis… more
- Sedgwick (Sacramento, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Marine Manager **PRIMARY PURPOSE** **:** To manage the day to day activities of ... assess monitor and report on the condition and submit claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Manages a team...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Walmart (San Bruno, CA)
- …framework and build the sales enablement engine that brings it to life - claims , one-pagers, pitch decks, case studies, and playbooks. **What you'll do ** In this ... value propositions, messaging pillars, and proof points; maintain a ** claims library** with sourcing and cross-functional approvals (Biz Ops/Legal/PR/Finance). +… more
- Sedgwick (West Hills, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Leave of Absence Coordinator **PRIMARY PURPOSE** **:** Analyzes reported leave ... requests including Family Medical Leave (FMLA), unpaid state, military and company-specific, to...FMLA and other unpaid state, military, and/or company-specific leave claims ; tracks and codes documentation in accordance with internal… more
- Sedgwick (Sacramento, CA)
- …: To investigate claims internationally of any size or complexity, against insurance or other companies for personal, casualty, or property loss or damages and ... Best Workplaces in Financial Services & Insurance Executive General Adjuster **PRIMARY PURPOSE**...Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Prepares loss… more
- LA Care Health Plan (Los Angeles, CA)
- …management for identified and assigned member population according to Health Insurance Portability and Accountability Act (HIPAA) guidelines. Manages a specified ... additional service needs according to specific program guidelines. Uses claims processing and care management software to look up...such as at the LA Care Community Resource Centers, medical clinics, and member homes. Duties Continued Meets and… more
- Elevance Health (Cerritos, CA)
- …to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to ... + Demonstrated business writing proficiency, understanding of provider networks, the medical management process, claims process, the company's internal business… more
- Prime Healthcare (Lynwood, CA)
- …updating insurance account information; verifying eligibility; preparing related billing claims data reports; coordinates Medical billing claims ... Overview St. Francis Medical Center is one of the leading comprehensive...Mental Health (LAC-DMH) and Medi-Cal; tracks and monitors billing claims and approval; provides monthly report analysis to Department… more
- Robert Half Legal (San Francisco, CA)
- …to their insureds. This is a NON-LITIGATION position. If you are currently litigating insurance claims and want to shift away from litigation to a hybrid ... their insureds * Investigate and research complex matters involving detail-oriented liability claims * Analyze complex insurance contracts and policy forms and… more
- ICW Group (San Diego, CA)
- …curiosity, and drive to be part of our journey as we strive to transform the insurance carrier space. We're proud to be in business for over 50 years, and its change ... continue to deliver our mission to create the best insurance experience possible. Headquartered in San Diego with regional...claim. + Understands the rules behind different types of claims per bureau specifications. + Updates claim information for… more