- Axis (Los Angeles, CA)
- …for: + Handling and managing a wide variety of Management Liability Claims including Bankers Professional Liability (BPL), Investment Advisors, Private Equity ... Errors and Omissions (E&O)/D&O, Insurance Company Professional Liability (ICPL). A plus would be experience with...as well as reporting and presenting about same to senior management + In-depth knowledge of claims ,… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Examiner III is an advanced-level role responsible for the detailed and accurate processing, review, and adjudication ... of complex healthcare claims . This position requires expert knowledge of ... processing, with at least 2 years in a senior or advanced role + Expert knowledge of CPT,… more
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The Senior Payment Integrity Professional uses technology and data mining, detects anomalies in ... data to identify and collect overpayment of claims . Contributes to the investigations of fraud waste and...investigations of fraud waste and our financial recovery. The Senior Payment Integrity Professional work assignments involve… more
- University of Southern California (Alhambra, CA)
- …Denials Management Specialist" analyze, investigate, mitigate, and resolve all coding-related ' claims denials' and ' claims rejections,' specific to ICD-10-CM, ... the denial management process for coding-related denials, triage denied claims to distinguish coding-related denials versus clinical-related denials, evaluating … more
- Travelers Insurance Company (Irvine, CA)
- …Bar or Irvine, CA locations. Under general supervision, manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate ... to resolve claims . Coordinate medical and indemnity position of the claim...addition, our mental health program provides access to free professional counseling services, health coaching and other resources to… more
- ICW Group (Pleasanton, CA)
- …and further education as required. _California Only:_ California Workers' Compensation Claims Administration (WCCA) and Workers' Compensation Claim Professional ... + Communicates with insureds to obtain information necessary for processing claims . + Contacts and/or interviews injured workers, doctors, medical specialists,… more
- The Hartford (Walnut Creek, CA)
- …of all we do. Join our dynamic in-house legal team as a Staff or Senior Staff - Workers' Compensation Attorney, where your expertise will help shape outcomes for our ... efficiency. * Collaborative Environment: Work alongside experienced Attorneys and Claims professionals in a matrixed business setting that encourages… more
- EFI Global (Los Angeles, CA)
- …to customers that caring counts(R). Each of our more than 700 professional engineers, fire investigators, architects and scientists was selected for their technical ... proficiency, in-depth industry knowledge and commitment to professional integrity. Together, our diverse backgrounds and collective insights empower clients to make… more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR PHYSICIAN (Forensic Pathology) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4766320) Apply SENIOR PHYSICIAN (Forensic Pathology) ... their education, experience, and training as it relates to the Senior Physician position and the experience areas being assessed (technical, investigative,… more
- Highmark Health (Sacramento, CA)
- …the gap between business needs and the analytical technology team. The Senior Decision Support Consultant will leverage technical, analytical, and business expertise ... of developing technical solutions. The consultant will act as a senior resource within the team, fostering business-to-technical collaboration and providing… more