- Dignity Health (Rancho Cordova, CA)
- …are vital to maintaining excellence in care and service. **Responsibilities** The Senior Claims Examiner responsibilities include Quality Review of Claims ... processing and the accuracy of member denial letters. The Senior Claims Examiner reviews all provider payment inquiries received by telephone fax and mail… more
- Sedgwick (Sacramento, CA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Bodily Injury Claims Examiner | Remote | Dedicated Client | Complex Claims ... Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Sedgwick (Sacramento, CA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner Workers Compensation - Hybrid Schedule **PRIMARY PURPOSE** : ... To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and… more
- Sedgwick (Sacramento, CA)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Auto - Commercial Trucking I Remote (Pacific or ... Mountain Time Zone) Handling claims for large commercial trucking account **PRIMARY PURPOSE** :...To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and… more
- Sedgwick (Sacramento, CA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner Workers Compensation Are you looking for an opportunity to ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high… more
- Health Advocates Network (Folsom, CA)
- …as a general knowledge of Commercial, HMO, and Medicare Advantage claims , authorization, and documentation requirements. + Proficient in computer skills including ... Microsoft Office Applications. **Benefits We Offer:** + Competitive pay rates, Referral opportunities, Comprehensive health, prescription, dental, vision, life, and disability plans, and more! **To apply for this job now or to find out more about other… more
- Dignity Health (Rancho Cordova, CA)
- …distributing work assignments. This position will perform the duties of the Senior Claims Examiner when needed. These duties include compliance reporting to the ... the manager. **Qualifications** **Minimum Qualifications:** + 5 years as a senior claims examiner in all functional areas + High School Diploma or equivalent… more
- Sedgwick (Roseville, CA)
- …training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a ... with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and… more
- Sedgwick (Sacramento, CA)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner , client, injured worker, attorney and supervisor. + Identifies ... their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more… more
- ICW Group (Sacramento, CA)
- …lost time. This position exists to reserve, manage, and bring Workers' Compensation claims to an equitable conclusion within the company standards and best practices ... RESPONSIBILITIES** Receives and reviews information related to Medical Only claims . + Communicates via mail, phone, and email with...10, Chapter 5, Sub Chapter 3, requires Medical Only Examiner Certification. + Medical Only Examiner must… more
- ICW Group (Sacramento, CA)
- …pertinent regulations. This job investigates, reserves, and assesses Workers' Compensation claims within the Company standards and best practices guidelines. This ... + Communicates with insureds to obtain information necessary for processing claims . + Contacts and/or interviews injured workers, doctors, medical specialists,… 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