- 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)
- …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
- 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)
- …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
- Banc of California (Santa Ana, CA)
- …resource groups, and more. TOGETHER WE WIN(R) **THE OPPORTUNITY** The Benefits Specialist is responsible for assisting the Benefits Team with daily duties related ... process and administration. Provides employees with all necessary LOA paperwork, submits claims for Employer portion of State Disability, Short Term Disability and… more
- Banc of California (Santa Ana, CA)
- …mechanisms comply with standard industry practices, regulatory guidelines, and senior management's recommendations and/or directions. Performs all duties in ... (ACH) transactions, Large on-us & Unusual items, Stop payment, ATM/Mobile/RDC Deposits, Check Claims , Fraud alerts for Wire, ACH & Debit Card, Wire Transfer. +… more