- 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
- Kelly Services (Ontario, CA)
- …fits your lifestyle isn't always easy. That's where Kelly(R) comes in. We're seeking ** Claims Specialist - Workers Compensation** to work in a leading provider ... your life. Why you should apply to be a ** Claims Specialist - Workers Compensation** : Opportunity...management. Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. **This job might be… 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)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Medical Malpractice (LTC) **PRIMARY PURPOSE** : To analyze ... **QUALIFICATION** + Performs other duties as assigned. + Supports the organization's quality program(s). **Experience** Six (6) years of claims management… more
- Sedgwick (Los Angeles, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Environmental Claims Specialist **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 management within… 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
- Insight Global (Burbank, CA)
- …customer service representative for the Health Fund. The Senior Participant Service Specialist /Analyst will process health insurance claims and answers calls ... the customer (participant, providers, physicians, hospitals etc.) Adhere to eligibility, claims and call policies and procedures while making sound claim/call… 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
- 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
- US Pacific Fleet (CA)
- …plan, develop, organize, administer, evaluate, and manage a comprehensive contract quality assurance program for conforming contractor quality systems ... to contract requirements. + You will identify and provide contractor availability, quality and management performance assessments to the contracting officer for use… more
- WelbeHealth (Los Angeles, CA)
- **Plan Operation Audit Specialist ** WelbeHealth is a value-based healthcare organization that's transforming the future of senior care by providing an all-inclusive ... healthcare and social services needed to thrive. The Plan Operations Audit Specialist will be accountable for validating various system configurations to ensure… 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
- Cedars-Sinai (CA)
- …Corporation's Consumer Choice Award 19 years in a row for providing the highest- quality medical care in Los Angeles. We provide an amazing benefits package that ... Hospitals! **What will I be doing in this role?** The Revenue Cycle Specialist III works under general supervision and following established practices, policies, and… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist II - Patient Financial Services Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4940099) Apply Medical Billing ... Specialist II - Patient Financial Services Salary $49,302.23 -...direction, the incumbent is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance… more
- City National Bank (Los Angeles, CA)
- *PAYMENTS CLAIM SPECIALIST * WHAT IS THE OPPORTUNITY? The Payment Claims Specialist is responsible for the investigation and processing of payment fraud ... claims and disputes with precision and quality ....of miss/near miss opportunities etc. A successful Payment Claim Specialist will be able to navigate multiple technologies while… 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
- Travelers Insurance Company (Sacramento, CA)
- …claims , as well as General Liability Coverage B claims and E&O claims involving Life Sciences insureds. + Provide quality customer service and ensure file ... and/or complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B claims and E&O… more
- Scripps Health (San Diego, CA)
- …who thrives in a fast-paced environment and has a passion for insurance and medical claims . As a Patient Account Specialist , you will be responsible for the ... one of the most respected healthcare organizations nationwide.** As a Patient Account Specialist , you will be supporting the Billing Services department at our 4S… more