- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Division Support Specialist Under the general supervision of the Supervisor, Professional Billing & Coding, responsible for compiling & providing daily, ... monitor & report on work queue activity, encounter management, monitor electronic claims rejections & staff productivity reports. Compile & review monthly billing… more
- ICW Group (San Diego, 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
- Sedgwick (San Diego, 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
- Philadelphia Insurance Companies (Mission Viejo, CA)
- …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Specialist to join our team! Summary: Investigate, evaluate and settle more complex first ... and third party commercial auto insurance claims . A typical day will include the following: Thoroughly...investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Travel is… 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
- ICW Group (San Diego, CA)
- …and workflows for Audit & Compliance program. + Works closely with training specialist and claims management staff to correct deficiencies and address technical ... purpose of this job is to supervise functions of claims internal controls and to monitor team activities with...is responsible for the development and execution of the Claims audit program, identifying trends and promoting continuous improvement.… more
- Guidehouse (San Marcos, CA)
- …Required** **:** None **What You Will Do** **:** The **Cash Applications Specialist ** - Under general supervision and according to established policies and ... procedures, performs a variety of duties related to the payment posting function of the Management Services Organization (MSO). Such duties may include, but are not limited to, the following: 1) Processes and/or posts deposits, payments, denials, and… more
- Sedgwick (San Diego, CA)
- …Best Workplaces in Financial Services & Insurance Senior Estimate Review Specialist **PRIMARY PURPOSE** **:** To review all estimates and supporting documentation ... services. + Monitors, assists, tracks, and provides approval for all claims that are re-inspected by the Carrier. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES**… more
- Hand Family Companies (San Marcos, CA)
- HR Specialist Job Details Job Location San Diego - San Marcos, CA Position Type Full Time Education Level 4 Year Degree Salary Range $25.00 - $30.00 Hourly Job Shift ... Day Job Category Human Resources Description The Human Resources Specialist is a key contributor to the daily operations of the organization, reporting directly to… more
- CDM Smith (San Diego, 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 (Escondido, 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
- Magellan Health Services (San Diego, CA)
- …(RAPIDS) sites. + Serves as ID Card/Common Access Card (CAC) customer service specialist trained and certified by the Defense Manpower Data Center (DMDC). + Delivers ... in one of the following disciplines: Military Pay, Military Personnel, Travel Claims or Navy Transportation. Substitutions for HR background can be from similar… more
- Charles River Laboratories (San Diego, CA)
- …feel passionate about. **Job Summary** We are seeking an Enironmental Health & Safety Specialist to join our Insourcing Solutions team, located in San Diego, CA. As ... the EH&S Specialist , you will be responsible for: managing EHS programs...in the investigation of injuries resulting in lost time claims and/or safety violations and property damage. Make recommendations… more
- Molina Healthcare (San Diego, CA)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... care experience + Experience in one or more of the following: Claims , Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar.… more
- US Marine Corps (San Diego, CA)
- …budgets; assisting in developing financial plans, obligating funds, liquidating travel claims ; maintaining stock of office supplies, making arrangements for special ... budgets, assisting in developing financial plans; obligating funds, liquidating travel claims ; maintaining stock of office supplies. Skill to deal with employees… more
- UNUM (San Diego, CA)
- …+ Support pre-sale, preparation of presentations, customer/broker call prep, benchmarking, claims experience and competitor analysis through Unum's internal tools. + ... Provide Request For Proposal questionnaire support on large cases and create quote package for rep and broker under the direction of the sales rep. + Through reporting, data and analysis, support local marketing initiatives that drive and promote specific… more
- Sharp HealthCare (San Diego, CA)
- …1 **Shift Start Time** **Shift End Time** Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate; Other; Certified Health Care ... DRG coding and CPT coding classification. + Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate -PREFERRED + Certified Health… more
- USAA (San Diego, CA)
- …and appraise low complexity (drivable, material loss, auto physical damage) auto claims in accordance with the terms and conditions of the contract, corporate ... when appropriate. + Maintains accurate and current claim file documentation throughout the claims process for low complexity claims . + Explains coverage, assists… more
- UIC Government Services and the Bowhead Family of Companies (San Diego, CA)
- …Engineer, Master + Network Engineer + C2 Network Engineer + Lab Management Specialist + Automated Cloud Services Specialist + Project Manager Bowhead seeks ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- UIC Government Services and the Bowhead Family of Companies (San Diego, CA)
- …Mechanic + Ground Support Equipment Worker + Machinist, Maintenance + Petroleum Supply Specialist + Order Clerk II + Painter, Automotive + Production Control Clerk + ... II + Technical Publication Librarian + Tool and Parts Attendant + Warehouse Specialist **El Centro, CA (ELCEN)** + Aerospace Structural Welder + Aircraft Mechanic II… more
