- Fluor (Fresno, CA)
- …direction of the Director and Deputy Director of the PMO/forensics & Claims , this role is responsible for developing forensic analyses and providing oversight ... also responsible for reviewing and analyzing Contractors' Time Impact Analyses and claims and assisting with the rebuttal responses. In addition to forensic analysis… more
- AECOM (Fresno, CA)
- …world. Join us. **Job Description** **AECOM** is seeking a **Senior Scheduler - Forensic Claims ** for one of our offices in **Fresno** **, CA** . **JOB SUMMARY** ... Rail project by performing forensic delay analyses, schedule evaluations, and claims assessments. Working within the Risk Management Office, this role helps… more
- Sedgwick (Sacramento, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Work Comp Claims Negotiator **PRIMARY PURPOSE** **:** To negotiate Out of ... university preferred. **Experience** 2-3 years experience processing work comp claims as an examiner. Familiar with CPT, DRG and...a diverse and comprehensive benefits package including: + Three Medical , and two dental plans to choose from. +… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Recovery Manager is responsible for leading the recovery operations within the MSO Claims department. This role ... or GED + Minimum 5 years of progressive experience in healthcare claims recovery, payment integrity, or post-payment audit functions, preferably within a multi-plan… more
- Cognizant (Sacramento, CA)
- …following benefits for this position, subject to applicable eligibility requirements: + Medical /Dental/Vision/Life Insurance + Paid holidays plus Paid Time Off + ... **Product Consultant - Facets Claims & Payer Domain** **Work Model: Remote** **Employment...impact by leading the implementation and optimization of Facets Claims solutions for healthcare clients. You will be a… more
- Humana (Sacramento, CA)
- …Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice management. + ... caring community and help us put health first** The Medical Director actively uses their medical background,...such as Medicare Advantage, managed Medicaid, or Commercial health insurance . + Experience with national guidelines such as MCG(R)… more
- Robert Half Office Team (Los Angeles, CA)
- …in the United States. Benefits are available to contract/temporary professionals, including medical , vision, dental, and life and disability insurance . Hired ... payment requests by responding to incoming inquiries regarding payment or claims submission. + Communicate with case managers to resolve payment authorization… more
- Dignity Health (Rancho Cordova, CA)
- …standard office equipment **Preferred Qualifications:** + One year experience in a medical insurance environment preferred. + Familiarity with an electronic ... counting and storing the daily mail received within the claims department. + This position is also responsible for...+ Working knowledge of standard coding is preferred. + Medical terminology preferred. **Where You'll Work** Dignity Health … more
- Cedars-Sinai (Los Angeles, CA)
- …Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company's ... Internal Coding policies/procedures/handbook, American Hospital Association (AHA) and American Medical Association (AMA) coding references, local, State, and Federal… more
- Command Investigations (Santa Barbara, CA)
- …to include Microsoft Word and Microsoft Outlook (email) Full-Time benefits Include: + Medical , dental and vision insurance + 401K + Extensive performance bonus ... hire. Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, Auto, or… more