• Supervisor , Claims Review

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Supervisor , Claims Review makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Supervisor , Claims Review works within thorough, prescribed guidelines and… more
    Humana (11/12/25)
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  • Liability Claims Team Lead - Commercial…

    Sedgwick (Rancho Cordova, CA)
    …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and… more
    Sedgwick (11/08/25)
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  • (Remote) Claims Team Lead - Workers…

    Sedgwick (Sacramento, CA)
    …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and… more
    Sedgwick (11/08/25)
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  • Assistant Claims Team Lead - Workers…

    Sedgwick (Sacramento, CA)
    …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Assistant Claims Team Lead - Workers Compensation | Orange, CA **PRIMARY PURPOSE:** To ... analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high...coding is correct. + Refers cases as appropriate to supervisor and management. + Leads team meetings and assigns… more
    Sedgwick (10/30/25)
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  • Claims Advisor, Environmental…

    Sedgwick (San Francisco, CA)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Environmental | Professional Liability | REMOTE **Job Description Summary** ... To analyze complex or technically difficult environmental claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case… more
    Sedgwick (10/07/25)
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  • Revenue Cycle Specialist III (PB Claims )

    Cedars-Sinai (Los Angeles, CA)
    …Professional Fee billing and collections. Duties include reviewing and submitting claims to payors, performing account follow-up activities, updating information on ... may act in the absence of the lead and/or supervisor . This position may be cross trained in other...department and properly uses activity codes. Accurately bills multispecialty claims within established timelines and initiates dialog with payors,… more
    Cedars-Sinai (11/13/25)
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  • Sr Claims Recovery & Analysis Loss…

    Carrington (Anaheim, CA)
    **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses ... this position is $23.00/hr - $26.50/hr. **What you'll do:** Review reconciliation of all loan advances once the GSE...manual processes and activities. + Keep Team Lead and Supervisor informed of all trends and problems including, but… more
    Carrington (11/14/25)
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  • Utilization Review Nurse Supervisor…

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply  UTILIZATION REVIEW NURSE ... regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to join our team. Whether you're...implemented for compliance, as needed. + As a unit supervisor at the LA General Medical Center: + Has… more
    The County of Los Angeles (10/06/25)
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  • Utilization Review Nurse Supervisor…

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply  UTILIZATION REVIEW NURSE ... technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
    The County of Los Angeles (09/27/25)
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  • Cash Poster - Payment Posting - Hospital…

    Guidehouse (San Marcos, CA)
    …is not resolved in two business days it should be given to the Supervisor for follow up. + Research payments posted to unapplied invoices to identify location ... to refund. + Verify with the Lead or Supervisor before putting payments on an unapplied invoice. + Review of statements. + Review billing statements in… more
    Guidehouse (11/12/25)
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