- Highmark Health (Sacramento, CA)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- Highmark Health (Sacramento, CA)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent develops and uses ... of financial exhibits. This is an entry level position, with oversight by Senior Underwriters and/or Management until the individual is acclimated to the Company… more
- Dignity Health (Rancho Cordova, CA)
- …are vital to maintaining excellence in care and service. **Responsibilities** The Senior Claims Examiner responsibilities include Quality Review of Claims ... processing and the accuracy of member denial letters. The Senior Claims Examiner reviews all provider payment...overpayments and repayments associated with contractual agreements through the stop loss carrier third party liabilities health… more