- LA Care Health Plan (Los Angeles, CA)
- …Collaborates with internal departments (Member Services, Provider Network Operations, Claims , Utilization Management, Pharmacy, and Quality Management) to ensure the ... of care issues and work collaboratively with multiple departments ( Claims , Provider Network Operations, Utilization Management, Quality Management, Pharmacy) to… more
- Otsuka America Pharmaceutical Inc. (San Francisco, CA)
- …outcomes; demonstrates competent product knowledge of own product and competition \#LI- Remote **Competencies** **Accountability for Results -** Stay focused on key ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Danaher Corporation (Los Angeles, CA)
- …agreements. This position is part of the Cepheid Legal Department and will be remote . In this role, you will have the opportunity to: + Identify, interpret, explain, ... guidance, and industry codes, including the federal Anti-Kickback Statute and False Claims Act Cepheid, a Danaher operating company, offers a broad array of… more
- AECOM (San Francisco, CA)
- …Litigation Attorney to support our Corporate Legal team. _This position offers flexibility for remote work schedules to be based in the state of CA, plus up to ... discovery by researching AECOM's historical project records. + Proactively manage claims to resolution, including advancing case analysis and strategy, setting… more
- Kemper (Anaheim, CA)
- …CA area. You will investigate, evaluate, and appraise damaged automobiles and settle claims within an authorized dollar limit. **In this role you are provided with ... be completed per company guidelines. + Ensures adherence to claims procedures and guidelines prescribed by the company to...to effectively deal with conflict. + This is a remote position working in the Lake Forest/South Orange County,… more
- The Hartford (Los Angeles, CA)
- …of everything we do. The Hearing Representative position is an in-house fully REMOTE position that may handle a designated caseload of Workers' Compensation cases ... business environment where you will have direct interaction with Claims Partners, insureds, and opposing counsel we want to...ELSE CAN YOU TELL ME? This position is a remote work opportunity however, our selected candidate may travel… more
- WTW (Los Angeles, CA)
- …of contact for your clients in all aspects of their insurance program, any claims , wording, coverage or industry news related queries are directed to you, so these ... Submission' document, containing in-depth information about a client's business including claims information, the classes of business needing renewal and any other… more
- Amentum (Sacramento, CA)
- …mid-career, technically astute, and growth oriented. US Citizenship is required, this is a remote -telework role, if you live near our Herndon, VA office you are free ... appropriate insurance coverage and risk mitigation strategies. + Lead complex claims management, including litigation strategy and resolution in coordination with… more
- Humana (Sacramento, CA)
- …closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid ... APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing basic… more
- Kemper (San Diego, CA)
- …maximize the account/company relationship for Personal and Commercial Auto products. + Remote Position - Hybrid sales calls (phone & in-person). 40-60% field travel ... requirements. + Works directly with strategic partners like Product, Claims , and Operations on issues impacting the account. +...Dental, Vision, PTO, 401k, etc.) + This is a remote position working from a US-based home. The position… more