- Sedgwick (West Hills, CA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance LTD Case Specialist **PRIMARY PURPOSE** **:** To analyze claims and determine benefits due ... plan provisions; to determine need for outside vendors, surveillance, and/or independent medical evaluations; to negotiate settlements and to make claim payments and… more
- Stanford Health Care (Palo Alto, CA)
- …to effectively facilitate work groups to successful outcomes. + Knowledge of medical and insurance terminology, MS-DRG, APR-DRG, CPT, ICD coding structures, ... Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle Denials Management… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …bills, mail and wage statements. Prints and prepares claim documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to ... professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and diaries,… more
- Otsuka America Pharmaceutical Inc. (Irvine, CA)
- …innovative products, with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health. In ... its evolved customer engagement model, a Neuroscience Specialist engages healthcare providers (HCPs) using in-person, virtual, and digital tools, offering expertise… more
- WestCare Foundation (Fresno, CA)
- …position ensures claims are submitted accurately and timely directly to insurance carriers and Medi-Cal Managed Care Plans (MCPs) in accordance with all DHCS, ... payer, and organizational guidelines. The specialist works closely with fiscal, clinical, and data teams...claims directly to Medi-Cal Managed Care Plans and insurance carriers. + Verify client eligibility, authorizations, and service… more
- Allied Universal (Lodi, CA)
- …+ Medical , dental, vision, basic life, AD&D, and disability insurance + Enrollment in our company's 401(k)plan, subject to eligibility requirements + ... coach individuals through a process Allied Universal(R) is hiring a Branch Support Specialist . The Branch Support Specialist is responsible for being the primary… more
- Sedgwick (Sacramento, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance (Remote) EDI Support Specialist - Casualty **PRIMARY PURPOSE** **:** To ... to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- HCA Healthcare (Campbell, CA)
- …Planning, Budget and Forecasting, and Monthly Performance + Work with Finance, Medical Management, Contracting, IT and Claims departments + Provide support ... We care like family! Jump-start your career as a Health Plan Economics Specialist today with HCA Healthcare. **Benefits** HCA Healthcare offers a total rewards… more
- Belcan (North Hollywood, CA)
- Contracts Administrator Specialist Job Number: 360078 Category: Administrative Description: Job Title: Contracts Administrator Specialist Pay Rate: $50 /hr DoE ... Start Date: Right Away Keywords: #ITARCompliance #ContractsAdmin #ComplianceJobs Benefits: * Medical / Health Benefits with multiple plan options, Flexible Spending… more
- Sedgwick (Sacramento, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Estimate Review Specialist **PRIMARY PURPOSE** **:** To review all ... services. + Monitors, assists, tracks, and provides approval for all claims that are re-inspected by the Carrier. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES**… more