- Marriott (San Francisco, CA)
- …* Works with the unemployment services provider to respond to unemployment claims ; reviews provider reports for accuracy and corrects errors. * Prepares, audits ... * Ensures employee issues are referred to the Department Manager for resolution or escalated to the Director of...and ensure compliance with the Privacy Act. * Ensures medical records are maintained in a separate, secure and… more
- Travelers Insurance Company (Diamond Bar, CA)
- …medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity where Wage ... is no longer available. IW is receiving Vocational Rehabilitation. Claims that have been reopened for additional medical...possible outcome + Collaborate with our internal nurse resources ( Medical Case Manager ) in order to integrate… more
- Sedgwick (Sacramento, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering ... with the injured worker, employer, and medical providers, create a case management strategy...systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor. +… more
- City and County of San Francisco (San Francisco, CA)
- …mitigation measures and working closely with the Airport Legal team on existing insurance claims . Physical Property Risk Evaluation: The Risk and Compliance ... Airport employees, contractors and consultants. As the lead for the Airport's critical insurance program, the Risk and Compliance Manager collaborates with the… 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 ... **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality...facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed.… more
- Walgreens (Bakersfield, CA)
- …with information technology. Finds opportunities to improve productivity + Ensures insurance claims are processed accurately to prevent payment rejections. ... the unique communities we serve as requested by Store Manager , Healthcare Supervisor, or District Manager . Operations...Resolves patient issues by working with insurance companies and medical providers and conducting… more
- Sharp HealthCare (San Diego, CA)
- …and responding to internal and external benefit inquiries, and supporting claims testing activities. Provides training to new and less experienced Benefit ... the Director. **Required Qualifications** + 5 Years in HMO or Health Insurance Management. + 2 Years leadership experience working collaboratively across multiple… more
- Travelers Insurance Company (Walnut Creek, CA)
- …resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... **What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file...facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed.… more
- Dignity Health (Bakersfield, CA)
- …to accomodate PST business hours.** **Position Summary:** The Senior Program Manager of Operational Automation will lead the design, implementation, and optimization ... deep familiarity with the complexities of delegated services, including claims , utilization management, provider data, and network operations. Essential Functions… more
- Humana (Sacramento, CA)
- …5 days/week. **Required Qualifications** + Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience ... part of our caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices.… more
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