- CVS Health (Sacramento, CA)
- …And we do it all with heart, each and every day. **Position Summary** The ** Senior Claims Benefit Specialist ** will review and adjust SF ( _self-funded_ ... ), FI ( _fully insured_ ), Reinsurance, and/or RX claims . They will adjudicate complex, sensitive, and/or specialized claims in accordance with claim processing… more
- Zurich NA (Sacramento, CA)
- … - Complex Construction 126105 Zurich North America is seeking a skilled and experienced Senior Claims Specialist to join our Complex Liability Claims ... outcomes. + Ensure regular communication with clients, brokers, business units, and senior claims management. + Proactively manage and resolve high-severity… more
- Dignity Health (Bakersfield, CA)
- **Responsibilities** The Claims Research Specialist will oversee and manage research efforts related to claims overpayments, underpayments, and billing ... relationships with provider representatives. - Prepare and present detailed reports on claims research activities, findings, and outcomes to senior management. -… more
- Movn Health (CA)
- …Health is seeking a highly experienced Senior Medical Biller & A/R Specialist to take full ownership of claims processing and accounts receivable recovery. ... This is a hands-on, senior -level role focused on accelerating cash flow, reducing outstanding...payer systems is essential. Functional Responsibilities + Submit clean claims via EHR to all payers within 24 hours… more
- Sedgwick (San Francisco, CA)
- …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
- Allied Universal (Irvine, CA)
- …assistance programs, company discounts, perks, and more. Allied Universal(R) is hiring a Senior Benefits Specialist . The Senior Benefits Specialist ... qualifying life event changes, beneficiaries, disability, accident and death claims , and National Support Orders, Employee and Wage verifications, maintain… more
- CVS Health (Sacramento, CA)
- …handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- CVS Health (Sacramento, CA)
- …both routine and non-routine business support tasks for the Sr Quality Specialist area under limited supervision, referring deviations from standard practices to ... and timely support. + Acts as a subject matter expert on Quality Specialist workflows, policies, systems requirements, and enhancements as well as daily operations… more
- Gilead Sciences, Inc. (Sacramento, CA)
- …improve the lives of patients with life-threatening illnesses worldwide. As a Senior Therapeutic Specialist , Oncology, you are responsible for representing ... and a proven record of interacting with healthcare professionals. Additionally, Senior Therapeutic Specialists are responsible for developing an understanding of the… more
- CVS Health (Sacramento, CA)
- …do it all with heart, each and every day. **Position Summary** The ** Senior Accounts Receivable Specialist ** prepares accounting and financial records and ... monthly invoices in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required Qualifications** + 2+… more
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