- Providence (CA)
- …must empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional, ... services and take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims and claims with potential for media exposure +… more
- Sedgwick (Long Beach, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Manager | Long Beach, CA | SIP Required Are you looking ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Zurich NA (Gold River, CA)
- Claims Team Manager , General Liability 116047 Zurich North America is hiring a Team Manager - General Liability to join our team! We are open to hiring ... Park KS With moderate oversight, leads and directs a team of technical Claims Professionals in Commercial General Liability claims . Coordinates the work… more
- Kelly Services (Ontario, CA)
- …easy. That's where we come in.** We're seeking a **Workers Compensation Claims Supervisor** to join a leading organization that specializes in managing complex ... insurance claims . This hybrid opportunity is based in **California** and...**Why you should apply to be a Workers Compensation Claims Supervisor:** + Competitive salary range of **$102K-$117K** +… more
- Kelly Services (Long Beach, CA)
- **Job Opportunity: Workers' Compensation Claims Examiner** **Key Requirements:** + **SIP Certification:** Preferred + **Salary:** Up to $100k + **Experience:** + 10+ ... years of workers' compensation (WC) claims experience + Indemnity & litigation experience is a...**Primary Purpose:** + Analyze complex or technically difficult WC claims to determine benefits due. + Handle high-exposure … more
- WM (Sacramento, CA)
- …and staff in identifying and quantifying risk of loss, and controls " claims cost" through the management, control and evaluation of expenditures associated with ... be assigned. + Designs, implements and manages systems for effective claims handling with consideration given to reporting procedures, investigation, evaluation,… more
- Robert Half Accountemps (Los Angeles, CA)
- …reports functionally to the Administrative Manager but takes most direction from the Claims Manager . The Claims Auditor is responsible for reviewing all ... and random audits of claims payments and provider/member calls to the Claims Manager with a stat report. + Report productivity to Claims Manager… more
- TEKsystems (Fresno, CA)
- …a 60 mile radius of Fresno Job Type: Full-Time Hours | Remote After Training Department: Claims | Reports to: Claims Manager Why You'll Love Working With One ... We Are Looking for a Claims Examiner! Location: Remote (On-site training in Fresno,...in a fast-paced, detail-oriented environment? We're looking for a Claims Examiner who's ready to grow their career, contribute… more
- Sedgwick (Sacramento, CA)
- …telemarketing, social media, local marketing events, and direct contact with property claims adjusters and manager level professionals. To engage potential ... Best Workplaces in Financial Services & Insurance Regional Account Manager As a Regional Account Manager at...and local marketing events. + Calling on residential/commercial insurance claims adjusters & managers, attending various claims … more
- ICW Group (Pleasanton, CA)
- …to perform clinical assessment and evaluate needs for treatment in worker's compensation claims . The Telephonic Nurse Case Manager will negotiate and coordinate ... and reports on interventions to determine the outcome of the case manager 's involvement to include clinical, financial, variance, quality of life, and client… more
- Philadelphia Insurance Companies (Pasadena, CA)
- Description Marketing Statement: TM Claims Service (TMCS) is an independent global claims management firm established in 1987 to provide clients with a broad ... range of claims related services in the areas of transportation, product...Obtain and record accurate and complete data. + Assist Manager in training and developing technical staff. + Mentor… more
- Golden State Foods (Irvine, CA)
- …experience as an Insurance Claims Adjustor, TPA Team Lead, or Corporate Risk Manager with a high acuity for workers compensation and/or auto claims processes ... can advance, innovate, and contribute to our ongoing success. TheSr. Corporate Claims Specialistanalyzes, coordinates, and manages all aspects of GSF's insurance … 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 cycle ... **What Will You Do?** + Directly handle assigned severe claims . + Full damage value for average claim (without...facts or allegations of each case. + Work with Manager on use of Claim Coverage Counsel as needed.… more
- LA Care Health Plan (Los Angeles, CA)
- …by the Manager of Financial Compliance. These assignments may include claims data reporting in the Online Monitor Tool (OMT), compiling Monthly Timeliness Report ... Financial Compliance Auditor III Claims Job Category: Accounting/Finance Department: Financial Compliance Location:...that purpose. Job Summary The Financial Compliance Auditor III Claims is responsible for various tasks within the Financial… more
- Travelers Insurance Company (Riverside, CA)
- …Identifies and refers claims with Major Case Unit exposure to the manager . + Performs administrative functions such as expense accounts, time off reporting, etc. ... supervision, this position is responsible for handling first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal… more
- Elevance Health (Los Angeles, CA)
- **Performance Quality Analyst III ( Claims ** ) **Location** : This role requires associates to be in-office 1 days per week, fostering collaboration and connectivity, ... Alternate locations may be considered. The **Performance Quality Analyst III ( Claims ** ) is responsible for driving service quality excellence by evaluating… more
- Guidehouse (San Marcos, CA)
- …**:** None **What You Will Do** **:** The **Billing Supervisor - Healthcare Claims ** is responsible for the daily operations of billing and works closely with ... processes. The Billing Supervisor reports directly to an Operations Manager or Director level position and may perform any...to departments daily. + Maintain logs by department for claims issues in hold status. + Daily electronic and… more
- Aston Carter (Corona, CA)
- …or customer service, or internship experience preferred Job Description The Chain Claims Assistant will manage and organize the department's email inbox for incoming ... duplicate or problematic invoices, providing customer service support to the Claims team and internal departments, and offering miscellaneous support to the… more
- Datavant (Sacramento, CA)
- …clinical data to supplement traditional sources of de-identified real world data (eg, claims ). As the Retrieval Solutions Delivery Manager , you will be ... responsible for the successful execution of projects and ensuring that our life sciences customers are realizing value. Through your deep understanding of our customers and products, you will meaningfully contribute to updates that need to occur to ensure that… more
- Travelers Insurance Company (Walnut Creek, CA)
- …. Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity where ... **What Is the Opportunity?** Under general supervision, manage Workers' Compensation claims with lost time to conclusion and negotiate settlements where appropriate… more