- Dignity Health (San Luis Obispo, CA)
- …Ability to interpret patient invoices Knowledge of payer and regulatory guidelines for medical insurance claims processing and reimbursement. Knowledge ... serves as the liaison for patients and provides education to patients regarding insurance coverage and guidelines. The Financial Services Associate I will evaluate … more
- Providence (CA)
- …+ Insurance Carrier Experience + Third Party Professional Negligence Claims Experience + Experience handling Medical Negligence Professional Liability ... defense of medical negligence claims + Experience analyzing medical professional and general liability insurance policy documents and addressing coverage… more
- Philadelphia Insurance Companies (Roseville, CA)
- …day-to-day activities of a claims handling unit; oversees the investigation of insurance claims . + Assures that corporate claims handling procedures and ... staff to manage the day-to-day handling and settlement of claims , the processing and tracking of documents,...Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company… more
- Cognizant (Sacramento, CA)
- …a High School Diploma or equivalent is required + A minimum of 1 years of medical claims processing is required + Facets experience is highly preferred + ... Claims Processors to join our growing team. The ** Medical ** ** Claims Processor** is responsible for the...guidelines and regulations + Experience in the analysis and processing of claims , utilization review/quality assurance procedures… more
- Cognizant (Sacramento, CA)
- …duties as assigned by management. **Qualifications:** + A minimum of 2 years' claims processing experience is required. + Knowledge of physician practice and ... + 1 year of Facets experience. + Experience in the analysis and processing of claims for payments, utilization review/quality assurance procedures. + Excellent… more
- Dignity Health (Bakersfield, CA)
- … discrepancies for all claim types - Perform an analysis of the claims processing by reviewing contract, system configuration, benefits, financial risk (DOFRs), ... accurate records for audit purposes. - Collaborate with internal departments, including claims processing , UM, compliance, and provider relations, to develop and… more
- Sedgwick (Roseville, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative Trainee | In-office (Roseville, CA) Are you looking ... + Performs on-the-job training activities including: + Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only … more
- Sedgwick (Roseville, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Industry Advancement Program | Workers Compensation Claims Representative ... + Performs on-the-job training activities including: + Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only … more
- Sedgwick (Sacramento, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation REMOTE | California Experience Are ... client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate… more
- Sedgwick (Long Beach, CA)
- …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation | Claims Examiner |... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting… more