- 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)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Casualty Claims Specialist **PRIMARY PURPOSE** **:** To handle losses or claims ... to determine insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews, telephones, or corresponds with claimant and… more
- Public Consulting Group (Chula Vista, CA)
- …+ Assessments and Feasibility Studies PCG is seeking highly motivated and dependable Claims Specialist payment processing clerk with an interest in public ... service who can work in our San Diego, CA Stage 1 Child Care Payment Services operation. The clerks will be responsible for accurately distributing child care payments to child care providers and working with CalWORKs families to access child care. These staff… 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
- 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
- Sedgwick (San Diego, 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
- Robert Half Accountemps (San Luis Rey, CA)
- …Our healthcare client in San Luis Rey is seeking a proactive Collections Specialist to manage outstanding patient and insurance balances within the revenue cycle ... environment. Key Responsibilities: + Follow up on unpaid insurance claims and patient balances to ensure timely reimbursement. +...billing and posting teams to correct errors and resubmit claims . + Review EOBs and identify opportunities to improve… 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
- CDM Smith (San Diego, 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
- Sleep Data (San Diego, CA)
- Fulfillment Specialist - HST Lincoln, RI (http://maps.google.com/maps?q=6+Blackstone+Valley+Place+Lincoln+RI+USA+02865) Apply Job Type Full-time Description Are you ... the complex process from diagnosis to treatment. The Fulfillment Specialist - HST is responsible for setting up home...+ Responsible for troubleshooting issues with shipping including filing claims with shipping carriers such as USPS, UPS, and… 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
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Reporting to the Director of Claims and Systems Administration and functioning as an independent, the Compliance Specialist 's primary function is to ... of degree. 5 years of Managed Care experience PREFERRED QUALIFICATIONS: The Compliance Specialist is a service oriented individual with a high degree of integrity… more
- CDM Smith (San Diego, 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
- Robert Half Accountemps (San Marcos, CA)
- …services organization, is seeking a meticulous and patient-focused Accounts Receivable Specialist to join their growing accounting team. In this role, you'll ... AR or billing experience, healthcare experience preferred. + Understanding of insurance claims and payment posting. + Strong Excel and accounting system proficiency… more
- CDM Smith (San Diego, 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
- Sharp HealthCare (San Diego, CA)
- …**Shift Start Time** **Shift End Time** Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate; Certified Health Care Compliance ... DRG coding and CPT coding classification. + Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate -PREFERRED + Certified Health… 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
- Scripps Health (San Diego, CA)
- …and professional visits using appropriate systems. Conducts concurrent and/or retrospective claims data reviews for physician services, coding and abstracting all ... * Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) from American Health Information Management Association (AHIMA). *Preferred… more
- Philips (San Diego, CA)
- …product line at luminary sites in North America. + Will be the expert MRI specialist in an assigned technical or clinical application area, build a network in the ... solutions, and IP for product development and generate evidence to support claims through scientific publications. + Be hands-on, be able to independently run… more