- Sedgwick (Sacramento, CA)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead - Workers Compensation CA Experience **PRIMARY PURPOSE:** To… more
- Sedgwick (Sacramento, CA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | Roseville, CA (CA Claims Exp. Required) **PRIMARY ... PURPOSE** : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving… more
- Sedgwick (Sacramento, CA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically difficult ... surety and surety bond claims ; to provide resolution of highly complex nature and/or...coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned… more
- Sedgwick (Sacramento, CA)
- …mainly Australia. If this does not apply to you please use the 'Apply' option.** Claims Examiner - Liability IF YOU CARE, THERE'S A PLACE FOR YOU HERE For a ... Sedgwick supports and resolves property, general, auto, product and professional liability claims . We help our clients maintain brand protection in times of crisis.… more
- Sedgwick (Rancho Cordova, CA)
- …Loved Workplace(R) Forbes Best-in-State Employer (Hybrid & Onsite) Workers Compensation Claims Handling Positions - California Jurisdiction Are you looking for an ... inclusion. **This posting is a pipeline to include several Workers Compensation claims handling positions within the state of California. Candidates will be… more
- Sedgwick (Sacramento, CA)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Professional Liability Claims Advisor | Remote (Must be in California) **Experience** **Juris ... executive, cyber, professional liability, error and omissions, and complex liability claims ; to provide resolution of highly complex nature and/or severe injury… more
- Sedgwick (Roseville, CA)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | Roseville or Long Beach, CA California workers' compensation ... claims handling experience required **PRIMARY PURPOSE** : To analyze...coding is correct. + Refers cases as appropriate to supervisor and management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- Sacramento County (Sacramento, CA)
- Liability and Property Insurance Supervisor Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/4458114) Apply Liability and Property Insurance ... Supervisor Salary $105,026.40 - $127,660.32 Annually Location Sacramento, CA...all the boxes that describe your experience with administering claims . + None. + Administering claims as… more
- Sutter Health (Sacramento, CA)
- **Organization:** Sutter Health Plan - Valley **Position Overview:** The Supervisor , SHP Operations, EDI will be responsible for the following: - EDI file processing ... daily - Team and internal first point of contact - daily - Working supervisor role maintains reduced scope of current file processing workload - daily -… more
- Highmark Health (Sacramento, CA)
- …are met. Represent the department in compliance audits as it relates to the supervisor functions. + Act as subject matter expert for benefit plan and claims ... processing + Research and investigate any privacy or compliance concerns (CMS, HIPAA, internal policy, etc).Complete root cause analysis and address remediation process with impacted employees. + Participate in process improvement initiatives as appropriate,… more
- Dignity Health (Rancho Cordova, CA)
- …Administration or related field. + Knowledge of professional billing regulations, claims and billing procedures. + Experience with IDX Practice Management System ... + Knowledge of Google Suite **Pay Range** $34.50 - $49.04 /hour We are an equal opportunity/affirmative action employer. more
- Travelers Insurance Company (Rancho Cordova, CA)
- …reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims by completing essential… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality...independent decisions on most assigned cases without involvement of supervisor . + Openness to the ideas and expertise of… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …reserving, negotiating and resolving assigned serious and complex General Liability claims . Provides quality claim handling throughout the claim life cycle (customer ... manage staff. **What Will You Do?** + CLAIM HANDLING: + Directly handle assigned severe claims when Travelers has coverage of $2 million or less and file exposure is… more
- Marriott (Sacramento, CA)
- …by jurisdiction. This position is responsive to Marriott's associates, Marriott Claims Services, business units, Risk Management and community health resources. ... for optimal outcomes. + Arrange provider interface with business units and claims administration as needed. **Injured Workers** + Contact injured/ill worker by… more
- Mathematica (Sacramento, CA)
- …large secondary data sources such as Medicaid (T-MSIS, TAF) administrative claims data to effectively answer research questions and guide decision-making about ... and practical knowledge of administrative healthcare data (eg commercial claims , hospital claims , and Medicare or Medicaid...obtain work outside CMS. Staff will work with their supervisor to get re-staffed, however if they are unable… more
- Dignity Health (Rancho Cordova, CA)
- …and service. **Responsibilities** **Position Summary:** Under the supervision of the A/R Supervisor the A/R Billing Rep II is responsible for providing timely and ... efficient follow-up with all payer types for all unpaid claims consistent with the Mission and Philosophy of Dignity Health Medical Foundation. **Qualifications**… more
- CROSSMARK (Vacaville, CA)
- …clean and secured in the agreed upon area of the backroom. * When Supervisor is absent, communicate with store management about the upcoming events and the execution ... of past events in their store. * When Supervisor is absent, be the point person for all...the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related… more
- Evolent Health (Sacramento, CA)
- …for assigned health plan regarding the accurate and timely submission of claims /statements. + Works with management to obtain corporate financial goals and ... to payers and customers in a timely manner. + Researches and resubmits claims without response or denied in established time frame. + Resolves billing payment… more
- Sedgwick (Sacramento, CA)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor . + Identifies ... their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more… more