- Sedgwick (Riverside, CA)
- …of education and experience required to include two (2) years claims supervisor experience. **Licensing / Jurisdiction Knowledge:** **California workers ... Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead ( Supervisor ) | Riverside, CA...and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service… more
- Guidehouse (San Marcos, CA)
- …is expected to perform all areas of initial billing, secondary billing, and payer audit follow-up for government and non-government claims . Must work with other ... Billing Emphasis + Correcting and billing electronic and hardcopy claims + Submits Adjusted claims + Provides...or insurance information. + Works all rejection and payer audit reports within 48 hours of receipt taking whatever… more
- Sedgwick (El Dorado Hills, CA)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. _As required by law, Sedgwick provides a ... and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service...quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. +… more
- Sedgwick (Sacramento, CA)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service...quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. +… more
- Sedgwick (Sacramento, CA)
- …of education and experience required to include two (2) years of claims supervisor experience. **SUPERVISORY RESPONSIBILITIES** + Performs other duties as ... and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service...quality review on claims in compliance with audit requirements, service contract requirements and quality standards. +… more
- TEKsystems (Los Angeles, CA)
- Medical Claims Examiner Location: Remote (must be located in Santa Barbara or Los Angeles) Department: Claims Processing Job Summary: We are seeking a ... detail-oriented Claims Examiner to join our team. This role is...for assigned claim types. + Analyze Manual Review and audit reports across all Health programs. + Identify and… more
- Public Consulting Group (Chula Vista, CA)
- …Assessments and Feasibility Studies PCG is seeking highly motivated and dependable Claims Specialist payment processing clerk with an interest in public service who ... and 3 child care payment agencies. + Provide monthly reporting statistics to supervisor for designated area of responsibility. + Enter manual provider timesheets and… more
- Highmark Health (Sacramento, CA)
- …supervisory direction and oversight for all enrollment, premium billing, claims and/or customer service telephone and written correspondence inquiries (routine, ... and performance standards are consistently met. Responsibilities include: provides supervisor direction, scheduling and support for customer service representatives… more
- The County of Los Angeles (Los Angeles, CA)
- …accounting work under the general supervision of a higher level accounting supervisor or manager. Employees in this class work independently in general accounting ... operating statements, final accounting for construction and other projects, and claims for reimbursement from other government agencies or private contractors. +… more
- The County of Los Angeles (Los Angeles, CA)
- …and our communities by providing extraordinary care. DEFINITION: Prepares reimbursement claims for health and/or mental health care provided under Federal, State ... requirements for Federal, State, and/or Special Programs to determine if claims for reimbursement conform to applicable rules and regulations and result… more