- Trustmark (Sacramento, CA)
- …colleagues, clients and communities. Responsible for reviewing and processing claims including, identifying irregularities and reviewing for accuracy, and ... Care (LTC), Disability and Critical Care. Key Accountabilities + Identifies claims that need additional reviews, initiates and implements the appropriate reviews.… more
- Sedgwick (Sacramento, CA)
- …and Casualty Underwriter (CPCU), Associate in Risk Management (ARM), Associate in Insurance Claims (AIC), Certified Professional in Health Care Risk Management ... limited to Bachelor of Science in Nursing, Legal Nurse Consultant , Associate in Claims (AIC), Chartered Property...cost containment principles + Extensive knowledge and comprehension of insurance coverage + Claims expertise in errors… more
- Deloitte (Sacramento, CA)
- Senior Consultant , Operations & Technology Transformation, Insurance , Guidewire Integration & Configuration What we do Operations and Technology Transformation ... development of junior staff. Your role As a Senior Consultant you will bring considerable technical expertise to deliver...working in one of the following sub service areas: Insurance Products, Underwriting, Claims , Billing & Payments,… more
- Sedgwick (Sacramento, CA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Risk Services Consultant (Hybrid OR Remote in CA) **This position is open to a hybrid ... requires overnight stays. **PRIMARY PURPOSE:** The Risk Control Services Consultant will manage and provide risk control services to...The role also serves as a liaison to vendors, insurance markets, and other parties and support the development… more
- Deloitte (Sacramento, CA)
- …this role ends on January 31, 2025 Work you'll do As an OTT Insurance Transformation Senior Consultant , you will bring technical expertise to deliver effective ... Senior Consultant , Operations and Technology Transformation, Guidewire Application Java...years of experience working in one of the following Insurance sub service areas: User experience, Integration, Claims… more
- Sedgwick (Sacramento, CA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Litigation Consultant **PRIMARY PURPOSE** : To address and handle high end cases with ... Ten (10) years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and experience required.… more
- Sedgwick (Sacramento, CA)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Hearing Consultant | Remote (Must Reside in CA) **PRIMARY PURPOSE** : To ... dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account,...change the duties of the position at any time. \# claims Sedgwick is an Equal Opportunity Employer and a… more
- Lincoln Financial Group (Sacramento, CA)
- …Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for reviewing, ... analyzing, and interpreting medical information available for disability claims . In this role you will act as a...and solutions across four core businesses - annuities, life insurance , group protection and retirement plan services. As of… more
- Centene Corporation (Sacramento, CA)
- …corporate teams. Act as the first line of contact for providers/hospitals on claims projects and other non-routine claim issues. Oversee and leads claim root cause ... procedure interpretation. Researches, analyzes and resolves complex problems with claims development and finalization, focusing on continuous process improvement.… more
- Evolent (Sacramento, CA)
- …SAS, SQL, or similar analytical software to analyze clinical authorization and healthcare claims data + Using analytical tools to integrate various data sources to ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more
- Travelers Insurance Company (Sacramento, CA)
- …and providing expertise in adjusting large, complex Boiler and Machinery first party claims both in the United States and on occasion, internationally. In addition, ... marketing and communication activities with a variety of groups including, primary insurance carriers and in some cases, their large customers. **What Will You… more
- Sedgwick (Sacramento, CA)
- …Medicare Set- Asides (MSA) and future medical cost projections. + Serves as a consultant to Medicare Compliance Nurses on claims . + Applies clinical knowledge ... documentation of the findings and analysis of medical records. + Utilizes claims , legal, and/or nursing knowledge to analyze medical records and identify future… more
- Aston Carter (Concord, CA)
- …and employee check-in interviews and prepare reports of findings. + Respond to unemployment claims and attend hearings on behalf of the company. + Ensure all I-9 ... filing paperwork, communicating with the employee, physician, and workers compensation insurance provider. + Periodically update the Injury and Illness Prevention… more