- City of Carlsbad (Carlsbad, CA)
- …claim to be established, serves as liaison with injured workers, City departments, Third Party Administrator , attorneys, medical providers, and investigators ... in the overall management of the workers' compensation program via a Third - Party Administrator , reviews initial Workers' Compensation claims and determines… more
- Sedgwick (Sacramento, CA)
- …the Associate's skills and knowledge, the Associate will review documents and other third - party administrator 's claims system to make recommendations when ... needed to staff that will move workers' compensation claims toward resolution. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Provides initial research/data collection on claims file. + Performs file audits according to jurisdictional standards as directed by… more
- CVS Health (Sacramento, CA)
- …national carrier coupled with the unique flexibility and devoted service of a third - party administrator (TPA). The Meritain Health underwriting department ... of relevant medical insurance experience: brokers (producers), carriers, (TPA) third - party administrators, benefit analysis, underwriting, rating methodologies,… more
- Kelly Services (Brea, CA)
- …Examiner - Workers' Compensation:** + Opportunity to work with a highly regarded Third - Party Administrator (TPA) + Fully **remote** position-must reside in ... **California** + Work-life balance with a **Monday-Friday** schedule + Competitive **pay rate: $50.00/hr** + **Contract assignment:** August 5, 2025 - February 7, 2026 **What's a typical day as a Claims Examiner? You'll be:** **Essential Duties and… more
- CVS Health (Sacramento, CA)
- …**Required Qualifications** + A minimum of 7 years of relevant experience in a TPA ( Third Party Administrator ) environment or fully insured carrier. + A ... minimum of 5 years of leadership experience. + Experience managing large teams (20+ colleagues). + Strong execution and delivery skills, including planning, delivering, and supporting initiatives + Knowledge of ERISA, HIPAA, ACA, and other relevant regulatory… more
- Public Consulting Group (Sacramento, CA)
- …maximize program revenue, improve business processes, and achieve regulatory compliance. Services: + Third Party Administrator Services + Enhance Health and ... Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + Cost Allocation Plans and Time Studies + Cost Settlement and Supplemental Payment Strategies + Healthcare Access and Markets **Duties and Responsibilities**… more
- Lincoln Financial (Sacramento, CA)
- …with applicable regulations such as IRC 409A and coordinate with legal, tax advisors and third - party administrator as needed. * Serve as a member of the ... fiduciary investment committee that monitors the investment funds used to track deferred compensation liabilities, providing insights and recommendations. * Working with the finance team, coordinate with the hedging programs for the deferred compensation… more
- The County of Los Angeles (Los Angeles, CA)
- …with the employee, with the Department of Human Resources, or with the third - party administrator (TPA). Conducts classification studies of existing ... departmental positions and prepares findings and recommendations which may result in reclassification; prepares duty statements, organization charts, and other materials supporting departmental requests for new positions in the annual budget process. Contract… more
- WM (Sun Valley, CA)
- …quantitative reports on Site and or Market Area incidents analyses. Works closely with Third Party Risk Administrator to ensure all required information is ... documented and transferred appropriately. Determines level of Root Cause Analysis to be performed. Works with People Team as required. + District Specific Safety Plan: Analyzes incident trends and works close with both Market Area and Site Leadership to ensure… more
- Ventura County (Ventura, CA)
- …SKILLS, and ABILITIES: Working knowledge of: principles and practices of ambulatory clinics, third party payers including Medicare and Medical, federal and state ... employer(s) where you gained this experience B.) Your knowledge and experience with third party payers C.) Any process improvement initiatives you spearheaded or… more