- Deloitte (Sacramento, CA)
- Manager/ Specialist Master, Operations & Technology Transformation, Insurance, Guidewire Integration & Configuration What we do Operations and Technology ... contributing to the development of junior staff. Your role As a Manager/ Specialist Master you will bring considerable technical expertise to deliver effective… more
- Deloitte (Sacramento, CA)
- Manager/ Specialist Master, Operations and Technology Transformation, Guidewire Data Architect What we doOur Operations and Technology Transformation team ... on January 31, 2025 Work you'll do As an OTT Insurance Transformation Manager/ Specialist Master, you will bring technical expertise to deliver effective solutions to… more
- Travelers Insurance Company (Rancho Cordova, CA)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site… more
- CVS Health (Sacramento, CA)
- …convenient and affordable. **Position Summary** Performs routine quality audits for network operations and claim testing for PPO Network creation. **Required ... a proven track record or proficiency in the competencies noted. Experience with claims testing, and a working knowledge of PPO's. Knowledge of CPT codes Knowledge… more
- Travelers Insurance Company (Sacramento, CA)
- …growth in our National Property business for a Sr. Risk Control Property Specialist . The position is available in multiple locations and will support our field ... and helping identify needs for Technical Training of Regional Specialist Consultants (RSCs), and Staff. This job serves as...assigned to business units, with the broker/agent community, with Claim , with other Risk Control staff, and with clients.… more
- Molina Healthcare (Sacramento, CA)
- …managed care experience + Experience in one or more of the following: Claims , Provider Services, Provider Network Operations , Hospital or Physician Billing, or ... and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system… more
- HealthEdge Software Inc (Sacramento, CA)
- …root-cause issues are identified and addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The ... **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and...healthcare edits that drive cost savings and accuracy in claims processing. The successful candidate will be responsible for… more
- Ford Motor Company (Sacramento, CA)
- …Escalation Manager is the Ford lead for our California buyback review/approval operations for Ford and Lincoln customers/California Operations /and CRC buyback ... experience. + Work closely with the Ford Regional Escalation Specialist to provide oversight and direction to the California...Provide training and direction to a team of Consumer Claims Analysts located in California + Ensure that all… more