- Sedgwick (Sacramento, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr . Claims Specialist , Medical Malpractice | Professional Liability ... | California **PRIMARY PURPOSE** : To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex nature and/or… more
- Zurich NA (Sacramento, CA)
- Sr Supplier Medical Process Specialist 128416 Zurich North America is seeking am experienced Sr . Supplier Medical Process Specialist to join our ... flexible work arrangements, commitment to work/life balance, and outstanding culture. As a Sr . Supplier Medical Process Specialist , you will manage supplier… more
- Sedgwick (Sacramento, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Estimate Review Specialist **PRIMARY PURPOSE** **:** To review all ... services. + Monitors, assists, tracks, and provides approval for all claims that are re-inspected by the Carrier. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES**… more
- CVS Health (Sacramento, CA)
- …dollar amount level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine coverage, ... Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance… more
- Centene Corporation (Sacramento, CA)
- …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** The Senior Pharmacy Resolution Specialist will act as a subject matter ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- Sedgwick (Sacramento, CA)
- …and accurate reports to assist the litigation management team in analysis of claims to meet client-specific, program or company senior management needs + ... Best Workplaces in Financial Services & Insurance Legal Support Specialist | Hybrid Sacramento CA **PRIMARY PURPOSE** **:** To...provide analysis and legal support to the litigation and claims management team. To be responsible for maintaining and… more