- Magellan Health Services (San Diego, CA)
- …abandonment rate, talk time). Comfortable adapting to change. General Job Information Title Claims Resolution Specialist Grade 20 Work Experience - Required ... ensure all pertinent information is recorded both for ease of resolution by the Claims Department and service continuation for the customer. + Processes… more
- ICW Group (San Diego, CA)
- … claims to an equitable resolution within Company standards. The Claims Specialist works with a sense of urgency, understands insurance coverage concepts, ... members with opportunities to contribute, develop, and belong. **PURPOSE OF THE JOB** This Claims Specialist is responsible for handling complex claims with… more
- Sedgwick (San Diego, CA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist , Medical Malpractice, Prof. Lia. (West Coast, United States) ... complex or technically difficult long term care and medical malpractice claims ; to provide resolution of highly complex nature and/or severe injury claims ;… more
- Sedgwick (San Diego, CA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Environmental Claims Specialist **Job Description Summary** To analyze complex or ... technically difficult environmental claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within… more
- Hologic (San Diego, CA)
- Accounts Receivable Specialist 2 San Diego, CA, United States Biotheranostics provides comprehensive and proprietary diagnostic solution for metastatic cancer. The ... with a high level of knowledge, skills and experience, Accounts Receivable Specialist performs a variety and full range functions related to Biotheranostics customer… more
- Sharp HealthCare (San Diego, CA)
- …staff. Conducts contract analysis related to contract performance by examining appropriate claims and other applicable data. + Problem resolutionAct as a liaison to ... ensure timely problem/issue resolution between Health Plans, Hospitals, SCMG, and Providers. Accountable as a liaison between providers and SCMG departments for… more
- Sharp HealthCare (San Diego, CA)
- …relationship while protecting Sharp Healthcare's interests. The LR Sr. Specialist (non-attorney) role is responsible for processing union grievances up ... contract bargaining, grievance processing and arbitrations, and has authority to negotiate resolution of disputes on behalf of the enterprise.May lead a team to… more