- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Quality Specialist is responsible for ensuring the accuracy and quality of claims processing within a ... corrective actions to improve overall claims accuracy and efficiency. The Claims Quality Specialist will work closely with the Claims Research… more
- Zurich NA (Sacramento, CA)
- Sr. Claims Specialist (Workman's Compensation) 128616 Zurich is seeking an experienced Senior Workers Compensation Claims Specialist to join our team. We ... work arrangement, depending on your location. The Senior Workers Compensation Claims Specialist will handle multi-party commercial line Workman's Compensation… more
- Zurich NA (Sacramento, CA)
- Claims Specialist II (Workers Compensation) 128028 Zurich North America is seeking a skilled and experienced Claims Specialist II to join our dynamic ... and flexibility, we'd love to hear from you. The Workers Compensation Claims Specialist will handle multi-party commercial line Workman's Compensation … more
- Zurich NA (Sacramento, CA)
- Marine Claims Senior Claims Specialist 126574 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and ... and 6 or more years of experience in the Claims and/ or Litigation Management area.OR + Juris Doctor...+ Ability to leverage trend and relationships to provide high- quality customer service + Well-versed in identifying, understanding and… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Research Specialist will oversee and manage research efforts related to claims overpayments, underpayments, ... and working collaboratively with providers and internal departments to enhance claims processes and improve financial outcomes. **Essential Functions:** - To… more
- Sedgwick (Los Angeles, CA)
- …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 severe injury claims ;… more
- Cedars-Sinai (Los Angeles, CA)
- …environment that fuels innovation. **Req ID** : 13216 **Working Title** : Revenue Cycle Specialist III (PB Claims ) **Department** : CSRC PB - Group 3 CSMCF ... Award 19 years in a row for providing the highest- quality medical care in Los Angeles. We provide an...I be doing in this role?** The Revenue Cycle Specialist III works under general supervision and following established… more
- 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 ... upon the date the action occurs. + Issue corrections identified during the Quality Review Process, communicating findings to Loss Specialist for remediation.… more
- Providence (Mission Hills, CA)
- …the Claims Director, provide an effective education program to advance the quality and production level of the Claims Department by developing and delivery ... claims training programs that continuously improves the Claims Department performance to meet the NSS strategic goals. Coordinate, plan, prepare, schedule,… more
- C&S Wholesale Grocers, Inc. (Lathrop, CA)
- **Position Overview** As a Claims Investigator, you will be researching shortage claims based on calls received from our customer locations. These investigations ... Description** **Description** + This position will report directly to the Claims Manager and conduct detailed investigations by recovering all documentation… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Examiner III is an advanced-level role responsible for the detailed and accurate processing, review, and adjudication ... of complex healthcare claims . This position requires expert knowledge of ...work experience will be considered. + Certified Medical Reimbursement Specialist (CMRS), or similar certification is preferred. + CPC… more
- Actalent (Valencia, CA)
- Description The Quality Regulatory Affairs Specialist will be a key contributor to ensuring full compliance with regulatory standards while upholding the highest ... from development to commercialization. + Collaborate with R&D and Quality teams to assess formulations and claims ...and Quality teams to assess formulations and claims for regulatory compliance. + Collaborate with internal teams… more
- ManpowerGroup (Los Angeles, CA)
- Our client, aerospace manufacturing organization is seeking a Quality Specialist to join their team. As a Quality Specialist , you will be part of the ... abilities which will align successfully in the organization. **Job Title:** Quality Specialist **Location:** Chatsworth, CA **Pay Range:** $33 **Shift:**… 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, ... the denial management process for coding-related denials, triage denied claims to distinguish coding-related denials versus clinical-related denials, evaluating … more
- CVS Health (Sacramento, CA)
- …+ Executes both routine and non-routine business support tasks for the Sr Quality Specialist area under limited supervision, referring deviations from standard ... support. + Acts as a subject matter expert on Quality Specialist workflows, policies, systems requirements, and...and decision making skills + College degree preferred + Claims experience + DG system experience **Education** + High… more
- The County of Los Angeles (Los Angeles, CA)
- Program Specialist III, CEO - Workers' Compensation Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/5097980) Apply Program Specialist III, ... The Opportunity We are pursuing qualified candidates to fill Program Specialist III, CEO positions within the Chief Executive Office's Workers' Compensation… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist III/IV - Behavioral Health Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5037514) Apply Medical Billing ... Specialist III/IV - Behavioral Health Salary $52,216.65 - $73,565.49...IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance… more
- Sedgwick (Sacramento, CA)
- …medical management of claims ; ensures appropriate recommendations are made on claims . + Consistently achieves appropriate quality audit scores. + Acts as ... Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims… more
- Guidehouse (San Marcos, CA)
- …Required** **:** None **What You Will Do** **:** The **Cash Applications Specialist ** - Under general supervision and according to established policies and ... when confronted with emergency, critical, unusual or dangerous situations. + Demonstrate the quality work ethic of doing the right thing the right way. + Maintain… more
- Travelers Insurance Company (Sacramento, CA)
- …evaluate, reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly...file exposure is greater than $2 million. + Provide quality customer service and ensure file quality … more