- Stanford Health Care (Palo Alto, CA)
- …Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle Denials Management ... and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, coding professionals, and external… more
- 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
- Otsuka America Pharmaceutical Inc. (San Francisco, CA)
- …everyday health. In its evolved customer engagement model, a Neuroscience Specialist engages healthcare providers (HCPs) using in-person, virtual, and digital tools, ... patient care and provide a superior experience. The Neuroscience Specialist will report directly to the respective Area Business...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Sedgwick (San Francisco, 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
- CDM Smith (San Francisco, 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 (El Cerrito, 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
- Sedgwick (San Francisco, CA)
- …in Financial Services & Insurance Bill Review Trainer - Hearing Specialist **This position will be responsible for negotiating California Worker's Compensation ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… 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
- CDM Smith (San Francisco, CA)
- …ID:** 40481BR **Business Unit:** FSU **Job Description:** The FEMA Costing Specialist : * Conducts preliminary damage assessments (PDAs) in the field for ... structure damaged by a disaster. * Reviews, evaluates and analyzes applicant-provided cost claims for reasonableness and accuracy as related to the scope of work. *… more
- CDM Smith (San Francisco, CA)
- …**Business Unit:** FSU **Job Description:** The FEMA Disaster Management Construction Specialist : * Schedules and conducts site inspections with applicants, performs ... projects and meets regularly on the status. * Evaluates applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates… more
- Terumo Medical Corporation (San Francisco, CA)
- Field Clinical Specialist , Silicon Valley Date: Oct 17, 2025 Req ID: 4313 Location: San Francisco, CA, US Company: Terumo Medical Corporation Department: TIS Sales - ... (QA), and by ensuring all promotional messaging (ie branding strategies, product claims , etc.) and materials (ie literature) discussed or presented to customers are… more
- Robert Half Office Team (San Francisco, CA)
- Description We are looking for an experienced Benefits Specialist to join our team in San Francisco, California. In this long-term contract position, you will play a ... handling various benefit functions, including medical coverage, dental, disability claims , and transportation services. * Familiarity with regulatory requirements… more
- Saia, Inc (San Jose, CA)
- …and ensures a positive customer experience. + Investigates freight issues, manages claims processes, and applies policies to resolve disputes fairly and efficiently. ... issues promptly in accordance with company procedures to minimize potential claims . + Identifies recurring service issues and recommends improvements to enhance… 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
- CDM Smith (San Francisco, CA)
- …**Business Unit:** FSU **Job Description:** CDM Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical ... in evaluating and analyzing financial data related to disaster-related claims , including property damage, business interruption, and other loss categories. The … more
- Zurich NA (San Francisco, CA)
- …multinational customers. This role will be filled at either a Underwriting Specialist or Executive Underwriter level. The hiring manager will determine the ... Working within broad limits and authorities on highly complex assignments Underwriting Specialist Basic Qualifications: + High School Diploma or Equivalent and 3 or… 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
- Stanford University (Stanford, CA)
- …and Recreation is currently accepting applications for the position of Insurance Specialist , reporting to the Associate Athletic Director, Sports Medicine, you will ... established criteria and communicate discrepancies in real time. + Process/assist with claims for dental care and durable medical equipment (DME)/orthopedic brace. +… more
- Insight Global (Berkeley, CA)
- …a healthcare client of ours in Berkeley, CA. We're seeking a seasoned Leave of Absence Specialist to join our HR operations team on a 5 to 6 month contract. This ... You'll manage a high-volume caseload of employee leaves and workers' comp claims , ensuring compliance, empathy, and precision every step of the way. Responsibilities… more
