- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Claims Review Representative makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative performs advanced administrative/operational/customer… more
- Sedgwick (Long Beach, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Liability Claims Representative - Auto Exp. Required Are you looking for an ... or equivalent combination of education and experience or successful completion of Claims Representative training required. **TAKING CARE OF YOU** + Flexible… more
- Sedgwick (Sacramento, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative | Auto | Remote Are you looking for an opportunity to ... YOU AN IDEAL CANDIDATE?** Join our team as a Claims Representative focused on Property Damage and...and commercial lines policies and endorsements + Ability to review and assess Property Damage estimates, total loss evaluations,… more
- Guidehouse (El Segundo, CA)
- …Required** **:** None **What You Will Do** **:** The **Insurance Patient Account Representative ** **(Hospital Claims )** is an extension of a client's business ... TX offices and three days from home._** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare/Medicaid + Insurance Follow-up + Customer Service… more
- Sedgwick (Sacramento, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigated Claims Manager | Staff Attorney | Public Entity Pooling | Hybrid Are you ... **?** Do you bring 8+ years of experience collaborating with outside counsel and claims examiners to oversee litigated claims ? Have you worked with pooling… more
- Ryder System (Sacramento, CA)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The ... Director Claims directs...to verify the legitimacy of an interview or Ryder representative , please contact Ryder at ###@ryder.com or ###. **Current… more
- Medtronic (Los Angeles, CA)
- …connected, compassionate world. **A Day in the Life** The Principal Insurance and Claims Management role is a newly created expert and highly specialized position ... at all levels to gather information for insurance placement, facilitates claims resolution between internal and external stakeholders, provides transparency and… more
- Guidehouse (San Marcos, CA)
- **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The **Cash ... Supervisor before putting payments on an unapplied invoice. + Review of statements. + Review billing statements in lockboxes for address corrections and credit… more
- The County of Los Angeles (Los Angeles, CA)
- CONSUMER AND BUSINESS AFFAIRS REPRESENTATIVE I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4580006) CONSUMER AND BUSINESS AFFAIRS ... REPRESENTATIVE I Salary $52,664.88 - $70,977.84 Annually Location Los...fair outcome through our consumer protection programs, including Small Claims Advisor, dispute resolution and mediation programs, immigration legal… more
- Sedgwick (West Hills, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Representative Sr. **Senior Disability Representative - Make a Meaningful ... do you._** **We're not just a global leader in claims management; we're a team driven by empathy, expertise,...your moment.** **WHAT YOU'LL DO** **As a Senior Disability Representative , you'll be the go-to guide for individuals navigating… more
- Sedgwick (West Hills, CA)
- … system. + Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims . + Evaluates and arranges appropriate ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Representative **Our teams connect! We collaborate in office and have a hybrid… more
- Sedgwick (West Hills, CA)
- … system. + Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims . + Evaluates and arranges appropriate ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Disability Representative Sr **PRIMARY PURPOSE** : Provides disability case management and complex… more
- Travelers Insurance Company (Diamond Bar, CA)
- …Will You Do?** + Independently manage a caseload of General Liability claims . + Conduct thorough investigations, including policy review , liability, damages, ... beacon of hope that guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating heart of our promise to… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …of the Manager Professional Billing & Coding, the Billing & Collections Representative II (BCII) is responsible for the resolution of all outstanding balances ... not limited to; Commercial, Medi-Cal and Managed Care professional claims . This position is responsible checking status of unpaid...and Remittance Advice (RA). As well, they are to review CCI or payor specific coding edits and take… more
- CDM Smith (Rancho Cucamonga, CA)
- …**Business Unit:** TSU **Job Description:** We are seeking a Construction Representative (CM/Inspector) to provide field oversight and inspection services, ensuring ... with contract documents and coordinate required special inspections. Prepare and review daily construction reports, track major deliveries, and maintain photographic… more
- The County of Los Angeles (Los Angeles, CA)
- …AND BUSINESS AFFAIRS REPRESENTATIVE I/EMERGENCY APPOINTMENT HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/5133631) CONSUMER ... AND BUSINESS AFFAIRS REPRESENTATIVE I/EMERGENCY APPOINTMENT HOMELESSNESS Salary $52,664.88 - $70,977.84 Annually...on consumer laws, labor laws, real estate matters, small claims court procedures, dispute resolution, housing and tenant protection,… more
- Guidehouse (San Marcos, CA)
- …San Marcos office and three days from home._** **Essential Job Functions** + Hospital Claims + Account Review + Appeals & Denials + Medicare/Medicaid + Insurance ... **Job Family** **:** Patient Account Representative **Travel Required** **:** None **Clearance Required** **:**...with UB04, appeals & denials. + Hospital or EOB claims emphasis + PC skills in a Windows environment… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …Compensation Claim Professional Trainee, you will handle all aspects of a workers compensation claims . In this role, you will learn how to help our customers and ... needed for quality claim handling including investigating, evaluating, negotiating, and resolving claims on losses of lesser value and complexity and provide claim… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …can be frustrating and we are here to help. The Customer Service Representative 's primary role is to support relationships with members, providers and health plans. ... codes, CPT Codes, HCPC Codes, Health Plan benefits, or claims Positive, friendly demeanor Superb listening skills with natural...We would love you to join our team! Please review the requirements below and apply if qualified. Minimum… more
- Elevance Health (Walnut Creek, CA)
- **Utilization Management Representative I** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person ... to 5:05 PM Pacific. Training hours may vary. The **Utilization Management Representative I** is responsible for coordinating cases for precertification and prior… more