- Southland Industries (Garden Grove, CA)
- **Position Summary** The Senior Benefits Specialist supports the design, administration, and continuous improvement of employee benefits programs, with an ... while maintaining responsibility for day-to-day operations and employee engagement. The Specialist partners with Finance and HR leadership to ensure programs remain… more
- Banc of California (Santa Ana, CA)
- …mechanisms comply with standard industry practices, regulatory guidelines, and senior management's recommendations and/or directions. Performs all duties in ... (ACH) transactions, Large on-us & Unusual items, Stop payment, ATM/Mobile/RDC Deposits, Check Claims , Fraud alerts for Wire, ACH & Debit Card, Wire Transfer. +… more
- Sedgwick (Los Angeles, CA)
- …as a Great Place 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… more
- UIC Government Services and the Bowhead Family of Companies (Corona, CA)
- **Overview** SR . DATA SCIENTIST - AI/ML & LLM (AR/PA IT) Bowhead seeks a Sr . Data Scientist - AI/ML & LLM Specialist to join our team supporting the AR/PA IT ... Surface Warfare Center - Corona in Corona, California. The Sr . Data Scientist - AI/ML & LLM Specialist...characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… more
- Cardinal Health (Sacramento, CA)
- …to meet and exceed revenue and profitability objectives. The _Sr. Specialist , Business Intelligence_ provides Product & Solutions Marketing support to internal ... is a plus. + Basic understanding of operations and claims processing in pharmacy or other healthcare related area...benefits and programs to support health and well-being. + Medical , dental, and vision coverage + Paid time off… more
- Gilead Sciences, Inc. (Los Angeles, CA)
- …Join Gilead and help create possible, together. **Job Description** As a ** Senior Therapeutic Specialist , Oncology** , you are responsible for representing ... and a proven record of interacting with healthcare professionals. Additionally, Senior Therapeutic Specialists are responsible for developing an understanding of the… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Research Specialist will oversee and manage research efforts related to claims overpayments, underpayments, ... relationships with provider representatives. - Prepare and present detailed reports on claims research activities, findings, and outcomes to senior management. -… more
- University of Southern California (Alhambra, CA)
- … Specialist " analyze, investigate, mitigate, and resolve all coding-related ' claims denials' and ' claims rejections,' specific to ICD-10-CM, ICD-10-PCS, ... * Works cooperatively with HIM Coding Support and/or Clinical Documentation Improvement Specialist in obtaining documentation to complete medical records and… more
- CVS Health (Sacramento, CA)
- …following: + Executes both routine and non-routine business support tasks for the Sr Quality Specialist area under limited supervision, referring deviations from ... in claim processing and customer service that impact customer satisfaction, medical cost management, and operational efficiency. + Consults cross-functionally with… more
- Sedgwick (Sacramento, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Estimate Review Specialist **PRIMARY PURPOSE** **:** To review all ... services. + Monitors, assists, tracks, and provides approval for all claims that are re-inspected by the Carrier. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES**… more
