- Carrington (Anaheim, CA)
- **Come join our amazing team and work remote from home!** The Sr Claims & Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred ... identified during the Quality Review Process, communicating findings to Loss Specialist for remediation. Ensure Loss Specialist provides corrections as… more
- Sedgwick (Los Angeles, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Medical Malpractice | Professional Liability | California **PRIMARY ... PURPOSE** : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ;… more
- Travelers Insurance Company (Sacramento, CA)
- …efficiently manage both allocated and unallocated loss adjustment expenses + Evaluate all claims for recovery potential; directly handle recovery efforts ... negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices....and/or engage and direct Company resources for recovery efforts. + Responsible for prompt and proper disposition… more
- Stanford Health Care (Palo Alto, CA)
- …a Stanford Health Care job.** **A Brief Overview** The Pharmacy Billing Specialist supports accurate and compliant billing for pharmacy services by reviewing data, ... identifying areas for improvement. This role ensures consistency in charge capture, claims submission, and reimbursement to safeguard revenue and minimize risk. The … more
- Parker Hannifin Corporation (Carson, CA)
- Product Support Specialist (Non-IT) Group: Filtration Group N. America Division: Bioscience & Water Filtration Division (BWF) Location : USA CARSON CA Water ... Gas + Leisure Marine + Clean Technology + Disaster Recovery Our renowned brands, such as Offshore Marine Labs,...in Carson, CA, is seeking a Technical Services Support Specialist to coordinate the resolution of technical issues with… more
- CDM Smith (San Diego, CA)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... gather information from applicants, and understands each applicants' projects and recovery priorities. * Supports the communication process with the applicant about… more
- Cardinal Health (Sacramento, CA)
- …paper and online. + Oversees appeals and denials management to maximize revenue recovery and minimize financial leakage, ensuring all claims are accurately ... or appropriate. + Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance claims ; properly resolves by follow-up &… more
- Elevance Health (Los Angeles, CA)
- …at least one of the following: AA/AS or minimum of 15 years of experience in claims auditing, quality assurance, or recovery auditing. + Requires at least one of ... Coding Auditor Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case… more
- CDM Smith (Walnut Creek, CA)
- …**Business Unit:** FSU **Job Description:** CDM Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical ... estimate lost profits, continuing expenses, and extra costs incurred during the recovery period. * Investigating Fraudulent Claims : Detect red flags, investigate… more
- Travelers Insurance Company (Walnut Creek, CA)
- …intervention, return to work planning, coordination of quality medical care on claims involving disability and medical treatment as well as in-house medical reviews ... You Do?** + Contact customer, medical provider and injured parties on claims involving medical treatment and /or disability to coordinate appropriate medical care… more
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