- VetJobs (Rancho Cordova, CA)
- …to assist in the resolution of highly complex claims . Mentor other Claim Professionals Participate in Telephonic and/or onsite File Reviews. Respond to ... claims . Coordinate medical and indemnity position of the claim with a Medical Case Manager. Independently handles assigned...Maximum Medical Improvement (MMI) and is receiving PPD benefits. File will close as soon as the PPD is… more
- Lexitas Legal (Rocklin, CA)
- POSITION TITLE: Claim File Service Representative LOCATION: This is a full-time, on-site position based at our Rocklin office located at 2550 Warren ... THE ROLE: Lexitas is seeking a proactive and detail-oriented Claim File Services Representative to...including medical records and subpoenas, while delivering top-tier client service . If you're a team player who thrives in… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file quality and timely coverage analysis and communication ... damage by obtaining and reviewing appropriate records and damages documentation. + Maintains claim files and documents claim file activities in accordance… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …for quality claim handling including investigating, evaluating, negotiating, and resolving claims on losses of lesser value and complexity and provide claim ... if a claim is compensable under Workers Compensation including evaluating claims for potential fraud. + Achieve a positive result by returning an injured… more
- Sedgwick (Sacramento, CA)
- …Fortune Best Workplaces in Financial Services & Insurance Commercial Trucking Auto Claims Representative (PD) **PRIMARY PURPOSE** : To analyze and process ... + Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim...required contract deadlines are met and to move the file towards prompt and appropriate resolution. + Identifies and… more
- Highmark Health (Sacramento, CA)
- … to respond to client/broker/member inquiries regarding provider contract, claim /member issues or provider file /record/directory discrepancies. Consult with ... agreement forms for execution, analyze provider changes, facilitate provider file updates and draft confidentiality agreements. Monitor financial performance of… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …and technical guidance through a continuous process of management involvement and frequent claim file review and extensive litigation management. Serve as a ... field representative for the Home Office Specialty product area, as...lines products, policy language, exclusions, ISO forms, and effective claims handling practices. + Claim management experience… more
- Highmark Health (Sacramento, CA)
- …and Dental Provider File systems. + Experience with the Customer Service inquiry system or claims processing concepts. **Knowledge, Skills and Abilities** ... updates and deletions of provider information in the Dental Provider file database. Supports the implementation of new networks, systems, software, guidelines… more
- CDM Smith (Sacramento, CA)
- …applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates in and assists with the development of the final ... specialists when appropriate throughout the process. * Obtains the applicant representative 's agreement that all disaster-related damage was described and quantified… more
- CRC Insurance Services, Inc. (Sacramento, CA)
- …guidelines, approving policy changes, maintaining workload, solving coverage issues, monitoring claims and managing written business up to and including the time ... with the firm's policies and procedures. 9. Meet or exceed company file documentation standards, comply with underwriting authority level standards and pass all… more
