- Dignity Health (Bakersfield, CA)
- **Responsibilities** The Claims Quality Specialist is responsible for ensuring the accuracy and quality of claims processing within a managed care ... corrective actions to improve overall claims accuracy and efficiency. The Claims Quality Specialist will work closely with the Claims Research… more
- Zurich NA (Gold River, CA)
- Claims Specialist , Auto Bodily Injury 121837 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it ... part of our Commercial Auto team. As an Auto Claims Specialist , you will work alongside a...including customers, vendors, suppliers, and brokers, to provide a quality claims experience. + Apply knowledge of… more
- Sedgwick (Sacramento, CA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Life Science Claims Specialist (REMOTE US) **PRIMARY PURPOSE** **:** To analyze complex ... claims specific to the product liability / life sciences...Performs other duties as assigned. + Supports the organization's quality program(s). **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from… more
- Travelers Insurance Company (Sacramento, CA)
- …evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling throughout the claim life ... claim results of others. + Apply the Company's claim quality management protocols, and metrics to all claims... quality management protocols, and metrics to all claims ; document the rationale for any departure from applicable… more
- Golden State Foods (Irvine, CA)
- …of products and services to a diverse clientele. Rooted in the values of quality service and integrity, we are dedicated to creating a supportive and inclusive ... can advance, innovate, and contribute to our ongoing success. TheSr. Corporate Claims Specialistanalyzes, coordinates, and manages all aspects of GSF's insurance … more
- Trustmark (Sacramento, CA)
- …communities. **About the role** This role is a dedicated training position for Claims that resides in the Knowledge Management & Customer Experience group. The ... process and procedures and minimum of 2 years of experience in handling claims appropriately in accordance with the corporate claim philosophy, policy provisions and… more
- City and County of San Francisco (San Francisco, CA)
- …the unique assignments below, incumbents may perform the following duties: QUALITY CONTROL, INVESTIGATIONS, OVERPAYMENTS, AND/OR APPEALS SPECIALIST Under general ... supervision, the Quality Control, Investigations, Overpayments or Appeals Specialist performs investigations in support of human service programs. The program … more
- CVS Health (Sacramento, CA)
- …it all with heart, each and every day. **Position Summary** The Quality Specialist will audit pre and post payment claims for accuracy and eligibility ... documents. + Knowledge of Microsoft Excel. **Preferred Qualifications** + 1-2 years claims processing experience. + 1-2 years auditing experience. + Able to work… more
- Sedgwick (Sacramento, CA)
- …Fortune Best Workplaces in Financial Services & Insurance Remote Accommodations Clinical Specialist - Bilingual Hindi, Japanese, Mandarin or more **We are looking for ... United States. **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims that require additional review based on medical condition, client requirement,… more
- The County of Los Angeles (Los Angeles, CA)
- CHIEF PROGRAM SPECIALIST , CEO - REAL ESTATE Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4905644) Apply CHIEF PROGRAM SPECIALIST , CEO - ... The Opportunity We are pursuing qualified candidates to fill Chief Program Specialist , CEO positions within the Chief Executive Office. The position has… more
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