- Sedgwick (Roseville, CA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Future Medical Medical Only Claims Representative Workers Compensation Are you ... + May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims . + Maintains… more
- Lincoln Financial Group (Sacramento, CA)
- …excited to bring on recent and upcoming college graduates to join our Claims Organization as Claims Specialist supporting Group Protection division. Positions ... start dates will align to May/June 2025 Graduates. The Claims Team will provide you training, mentoring, coaching and development to perform in this fast-paced … more
- Guardian Life (Sacramento, CA)
- The Long Term Disability (LTD) Claims Case Manager is responsible for making accurate decisions on assigned claims through proactive case management according to ... return to work efforts when the capability and opportunity exist. The LTD Claims Case Manager can be located in multiple locations including Bethlehem, PA; Plano,… more
- Ford Motor Company (Sacramento, CA)
- …the freedom to define and realize your dreams. With our incredible plans for the future of mobility, we have a wide variety of opportunities for you to accelerate ... you'll do ** The APD Auto Physical Damage Catastrophe Claims Adjuster/Field Service Manager is a field-based position representing...benefit of choice. You can choose what your Ford future will look like: will your story span the… more
- Kemper (Sacramento, CA)
- …negotiation skills? Kemper is looking for experienced Represented Bodily Injury Claims Adjusters for our growing teams! This specialized position focuses solely ... on the analysis & negotiation of bodily injury claims that are ordinarily assigned after the initial coverage...time limit demands + Obtain and thoroughly analyze complex medical records and data + Research and apply applicable… more
- AECOM (Sacramento, CA)
- …with clients to solve the world's most complex challenges and build legacies for future generations. There has never been a better time to be at AECOM. With ... world. Join us. **Job Description** **AECOM** is seeking a **Senior Forensic Claims Analyst** to be based in **Sacramento, CA.** **JOB RESPONSIBILITIES:** + Perform… more
- Health Advocates Network (Folsom, CA)
- …a Library of Payer reference material regarding requirements for pre-authorization, medical necessity, and documentation requirements. Works with the Revenue Cycle ... etc.) to provide information related to denials and opportunities for future denials. **Denials Analyst** ** Qualification and Requirements:** + High school… more
- Abbott (Livermore, CA)
- …billing, coding, claims processing, particularly in diagnostic laboratory services, durable medical device (DME) is highly valued.** + Must have the ability to ... spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues… more
- Travelers Insurance Company (Sacramento, CA)
- …and complex Life Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B claims and E&O ... medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B ...with respect to accuracy and adequacy of, and potential future changes to, loss reserves on assigned claims… more
- Sedgwick (Sacramento, CA)
- …medical records. + Utilizes claims , legal, and/or nursing knowledge to analyze medical records and identify future medical treatment as documented in ... coding guidelines and utilization and practice guidelines. + Reviews medical claims and completes complex file review...complex file review for Medicare Set- Asides (MSA) and future medical cost projections. + Serves as… more
- Kemper (Sacramento, CA)
- …III is responsible for the investigation of complex, large loss, and multi-injury claims that may contain elements of fraud or claims otherwise deemed ... multi-feature and attorney represented losses. Basic functions include: Investigation of claims , analysis and development of facts and evidence, and conducting… more
- Abbott (Livermore, CA)
- …spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues ... can grow the career you dream of. + Free medical coverage for employees* via the Health Investment Plan...QA, you'll have the chance to analyze and audit claims , including the billing, collections and insurance verification functions.… more
- Elevance Health (Walnut Creek, CA)
- …to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to ... + Demonstrated business writing proficiency, understanding of provider networks, the medical management process, claims process, the company's internal business… more
- ICW Group (Sacramento, CA)
- …The purpose of this job is to detect, prevent, and investigate suspected fraudulent claims for all lines of insurance, with heavy emphasis on Workers' Compensation ... claims . This position exists in order to protect company...Marketing, Underwriting, Claimants, Policyholders, Agents, Brokers, SIU, Legal and Medical Professionals, Government/Regulatory Agencies, Law Enforcement and Vendors. +… more
- Elevance Health (Walnut Creek, CA)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles,...this posting. This range may be modified in the future and actual compensation may vary from posting based… more
- Sedgwick (Sacramento, CA)
- …and to share your insights. **PRIMARY PURPOSE** **:** To handle losses or claims nationally regardless of size, including having the ability to address any complex ... a plus!). **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies, claims , and other records to determine insurance coverage. + Administers and… more
- Zurich NA (Sacramento, CA)
- …candidate will demonstrate experience with general liability. At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority ... your next career move. Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct… more
- Lincoln Financial Group (Sacramento, CA)
- …organization. This position will be responsible for reviewing, analyzing, and interpreting medical information available for disability claims . In this role you ... this role you will provide coaching and guidance to claims regarding medical management **What you'll be...each of us to take charge of our own future . **What's in it for you:** + Clearly defined… more
- Cardinal Health (Sacramento, CA)
- …and adjustments as necessary. + Financial Acumen: + Analyze benefits utilization and claims data to identify opportunities for cost savings or plan enhancements that ... Oversee the end-to-end benefits administration process, including enrollment, eligibility, and claims resolution, to deliver a positive employee experience. + Stay… more
- UIC Government Services and the Bowhead Family of Companies (Sacramento, CA)
- …other protected characteristics EOE/AA/M/F/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual ... their Descendants, based on the provisions contained within The Alaska Native Claims Settlement Act. All candidates must apply online at www.uicalaska.com, and… more