- Cognizant (Sacramento, CA)
- ** Claims Quality Review ** ( remote ) This is a remote position open to any qualified applicant that lives in the United States. **Summary:** Our ... quality standards, processes and procedures and policies + Ensures the claims processing reps adhere to predetermined quality assurance standards and the… more
- Providence (CA)
- **Description** **Senior Professional Liability Medical Claims Manager This position works R** **_emote._** **Many states eligible.** **Providence caregivers are not ... empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional, general,… more
- NTT DATA North America (Ontario, CA)
- …**NTT DATA Services currently seeks a Senior Claims Examiner to join our team working 100% Remote and work on the PST hours of 8 am - 5 pm. This is a temporary ... audits, and process optimizations. **Key Duties & Responsibilities** -Adjudication & Review -Process comprehensive medical claims using Xcelys and associated… more
- Cognizant (Sacramento, CA)
- ** Claims Process Executive ( remote )** **JOB PURPOSE:** Claim Processors will review claim submissions, verify information, adjudicate the claim as per claim ... the business requirements. **ESSENTIAL FUNCTIONS** : + Examining and entering basic claims for appropriateness of care and completeness of information in accordance… more
- Cognizant (Sacramento, CA)
- …and coverage guidelines and regulations + Experience in the analysis and processing of claims , utilization review / quality assurance procedures + Must be able ... to transform a variety of business operations. We are seeking **Fully Remote US Based** Claims Processors to join our growing team. The **Medical** ** Claims … more
- NTT DATA North America (Ontario, CA)
- …to system enhancements, audits, and process optimizations. **Responsibilities** Adjudication & Review + Process comprehensive medical claims using Xcelys and ... NTT DATA is currently seeking **Senior Medical Claims Examiners (3+ years of Xcelys required)** to...join our US based team. This is a 100% remote role. **Must be able to work 8:00 am-5:00… more
- ManpowerGroup (Sacramento, CA)
- …assure that payments are appropriate. The Claims Manager will collaborate with claims review service provider(s) staff and ensure all claim reviews are ... years experience which will align successfully in the organization. **Job Title: Claims Director** **Location: Remote , preferred in Sacramento, CA** **Pay Range:… more
- NTT DATA North America (Ontario, CA)
- …enhancements, audits, and process optimizations. **Role Responsibilities:** 1. Adjudication & Review + Process comprehensive medical claims using Xcelys and ... the right people on board, anything is possible. The quality , integrity, and commitment of our employees have been...sourcing strategy. NTT DATA Services currently seeks Xcelys Medical Claims Examiners to join our team remotely for a… more
- NTT DATA North America (CA)
- …audits, and process optimizations. Key Duties & Responsibilities 1. Adjudication & Review + Process comprehensive medical claims using Xcelys and associated ... NTT DATA Services is currently seeking Xcelys Medical Claims Examiners to join our team remotely for...exceptions + Author overpayment/underpayment determinations and coordinate appeals 1. Quality & Compliance + Engage in quality … more
- Kemper (Chatsworth, CA)
- …Adjuster, is responsible for the investigation, evaluation, and handling of complex to claims to conclusion. This role will have advanced claim handling skills and ... demonstrate high quality results. This position necessitates strong analytical abilities, attention...a cohesive team. **Position Responsibilities** : + Primarily handles claims with a high complexity and large injury severity.… more