- ICW Group (Pleasanton, CA)
- …everyday! Learn more about why you want to be here! **PURPOSE OF THE JOB** This Claims Specialist is responsible for handling complex claims with a focus on ... claims to an equitable resolution within Company standards. The Claims Specialist works with a sense of urgency, understands insurance coverage concepts, and… more
- Insight Global (Pleasanton, CA)
- Job Description Insight Global is seeking a Medicare Billing Specialist to join their clients team. The Medicare Billing Specialist is responsible for the ... accurate preparation, submission, and reconciliation of Medicare claims for outpatient mental health services. This role ensures compliance with Medicare regulations… more
- CDM Smith (Walnut Creek, CA)
- …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs… more
- Walgreens (Concord, CA)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Bayer (Oakland, CA)
- **Women's Healthcare Specialist - Oakland/East Bay, CA** **PURPOSE** Bayer is expanding in its efforts to advance its mission "Health for All, Hunger for None." The ... Women's Health Specialist (WHS) will be responsible for managing the Intrauterine...for portfolio; + Thorough understanding of competitive landscape, including Claims Data within your territory; + Ensure that all… more
- The Clorox Company (Pleasanton, CA)
- …**Your role at Clorox:** The Senior Regulatory Specialist will serve as a strategic regulatory partner ... not limited to ingredient assessments, formula reviews, product dossiers, claims , packaging labels, marketing communication materials. + Translate complex regulatory… more
- Acosta Group (Concord, CA)
- …to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you ... incur to your direct supervisor as soon as possible following an incident resulting in an injury. **QUALIFICATIONS** _Education/Experience:_ High school diploma or general education degree (GED); or one to three months' related experience and/or training; or… more
- Zurich NA (Walnut Creek, CA)
- …work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... This role will be filled at either the Underwriting Specialist or Executive Underwriter Level. The hiring manager will...and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Elevance Health (Walnut Creek, CA)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- AAA Northern California, Nevada & Utah (Walnut Creek, CA)
- …track and log all documentation received from vendors for Leave, ADA & WC Claims . Provide Team Members with necessary communication to explain the process under the ... Partners with the third party administrators, to ensure that all leaves/WC claims are accurately administered, coordinates the ADA process; verifies eligibility and… more