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claims in Central Valley

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  1. Watson Data Scientist at IBM

    Experience managing budget, claim, and capital. Ready to change the way the world works?...

  2. Data Entry Clerk at Unity Health System

    Maintain a working knowledge and understanding of payer contract formats and requirements for claim entry. The Data Entry Clerk is responsible for picking up...

  3. Project Manager - Solar Energy at The Conti Group

    Maximizes cash flow by aggressively adhering to the project invoicing schedule and ensures the team accurately documents and submits all receivables, quantity...

  4. Rmbsmt/Compliance Spec I at Sacred Heart Medical Group

    Applies the appropriate diagnostic and procedural code to patient health records for purposes of document retrieval, analysis and claim processing....

  5. Claims Representative I - III - Multi State - 8/24 at Anthem, Inc.

    Keys, processes and/or adjusts health claims in accordance with claims policies and procedures. Researches and analyzes claims issues....

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    1. Legal Assistant

      The Law Office of Wm. Todd Berry continues to grow and is seeking an experienced paralegal/legal assistant with at least 3 years experience in workers' compensation.The candidate must be proficient in interviewing injured workers, signing up new clients, filing Applications for Adjudication of Claim and Declarations of Readiness to Proceed with the WCAB and scheduling depositions. They must ...

    2. Case Manager

      Responsible for health care management and coordination within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum.Coordinates and monitors Alignment Healthcare member's progress and services to ensure consistent cost ...

    3. DATA COLLECTION ASSOC-PT

      Overview: Responsible for collecting and transmitting data gathered from designated retail stores primarily using a hand-held scanning device. Take direction from the Supervisor and other management individuals. Responsible for meeting defined standards of work volume, quality, accuracy, completeness, and timeliness. Maintain a positive relationship with employees and customers as a ...

    4. Insurance Associate

      A career with AAA Northern California, Nevada and Utah is unique, just like you. We're a mission-driven Member services organization. We have a saying here at AAA that we aspire to be America's most trusted organization absolutely famous for doing the right thing . With more than four million Members, our purpose is to bring peace of mind to Members so that they can enjoy life more. We work ...

    5. DATA COLLECTION ASSOC-PT

      Overview: Responsible for collecting and transmitting data gathered from designated retail stores primarily using a hand-held scanning device. Take direction from the Supervisor and other management individuals. Responsible for meeting defined standards of work volume, quality, accuracy, completeness, and timeliness. Maintain a positive relationship with employees and customers as a ...

    6. Automotive Technician Mechanic Inspector

      Inspectors needed in your area.Automotive inspectors travel to repair facilities in order to verify failed engine components related to a warranty claim. Through an inspection report, inspectors document failures and extent of damage and provide support for their findings with digital photos. Inspectors also provide a recommendation of needed repairs. This information is vital for our ...

    7. Claims Lead

      Requisition 52 & 85: A Claims Lead is responsible for oversight of claims staff and escalating to the claims supervisor. Claims lead is also responsible to process claims in accordance with internal guidelines and contractual arrangements; is an example to the claims team for behavior standards and maintains exceptional customer service to both internal and external customers. High school ...

    8. Claims Analyst

      Requisition 71:Provides functional support, including data analysis and report writing, for the Claims Department. Serves as operational support to the Claims Management team, as well as, a liaison between business users and technical teams to identify, analyze and translate needs into specifications. Supports the deployment of new or modified business systems and processes where there is an ...

    9. Auto Appraiser

      ~~About SCA Appraisal Company:SCA is a claims management firm that has been a leading provider to the insurance industry since 1979.SCA is looking to partner with Independent Auto Appraisers that can adhere to industry standards, provide excellent customer service, and manage multiple client guidelines/relationships. If you are interested in opening up your own company, or grow your existing ...

    10. Auto Appraiser/Estimator

      ~~About SCA Appraisal Company:SCA is a claims management firm that has been a leading provider to the insurance industry since 1979.SCA is looking to partner with Independent Auto Appraisers that can adhere to industry standards, provide excellent customer service, and manage multiple client guidelines/relationships. If you are interested in opening up your own company, or grow your existing ...

    11. Claims Adjudicator

      Requisition 73 & 87 High school diploma. 1-3 years previous claims processing/billing experience in an HMO or managed care environment required. Ability to understand provider contracts and initiate contractual adjustments to claims and process for payment. Must have good understanding of various coding concepts (ICD9, HCPCS, CPT, etc.) A good working knowledge of managed care concepts and ...

    12. Commercial Billing Manager

      Client seeking a Commercial Billing Manager who will be responsible for the accurate and timely billing of all patient accounts, daily operations of the billing staff, and working with hospital departments among the different Healthcare Facilities.   Relocation assistance available!   Qualifications: Minimum three (3) years of experience in billing, preferably in a hospital setting. Prior ...

    13. Auto Appraiser/Estimator

      ~~About SCA Appraisal Company: SCA is a claims management firm that has been a leading provider to the insurance industry since 1979. SCA is looking to partner with Independent Auto Appraisers that can adhere to industry standards, provide excellent customer service, and manage multiple client guidelines/relationships. If you are interested in opening up your own company, or grow your ...

    14. Auto Appraiser/Estimator

      ~~About SCA Appraisal Company: SCA is a claims management firm that has been a leading provider to the insurance industry since 1979. SCA is looking to partner with Independent Auto Appraisers that can adhere to industry standards, provide excellent customer service, and manage multiple client guidelines/relationships. If you are interested in opening up your own company, or grow your ...

    15. Auto Appraiser/Estimator

      ~~About SCA Appraisal Company: SCA is a claims management firm that has been a leading provider to the insurance industry since 1979. SCA is looking to partner with Independent Auto Appraisers that can adhere to industry standards, provide excellent customer service, and manage multiple client guidelines/relationships. If you are interested in opening up your own company, or grow your ...

    16. Auto Appraiser/Estimator

      ~~About SCA Appraisal Company: SCA is a claims management firm that has been a leading provider to the insurance industry since 1979. SCA is looking to partner with Independent Auto Appraisers that can adhere to industry standards, provide excellent customer service, and manage multiple client guidelines/relationships. If you are interested in opening up your own company, or grow your ...

    17. Auto Appraiser/Estimator

      ~~About SCA Appraisal Company: SCA is a claims management firm that has been a leading provider to the insurance industry since 1979. SCA is looking to partner with Independent Auto Appraisers that can adhere to industry standards, provide excellent customer service, and manage multiple client guidelines/relationships. If you are interested in opening up your own company, or grow your ...

    18. Revenue Cycle Analyst

      The Revenue Cycle Analyst is responsible for continual analyses of departmental charge capture process, medical record documentation and corresponding billing and payment information to assess accuracy of charge capture, documentation and coding processes.   The Revenue Cycle Analyst works with departmental Managers from all areas of the Hospital and Clinics to assess the effectiveness of ...

    19. Retail - Bilingual Sales Agent - Titan Insurance

      Overview: Titan Insurance has an immediate opening for a Insurance Sales Agent. If you enjoy working with the public, are sales oriented, outgoing, professional, detail-oriented and looking for a career opportunity then this is an opportunity for you. This position requires candidates that are bilingual in Spanish / English only. As an Insurance Sales Agent, you will be responsible for the ...

    20. Retail - Sales Agent - Titan Insurance

      Overview: Titan Insurance has an immediate opening for a Insurance Sales Agent. If you enjoy working with the public, are sales oriented, outgoing, professional, detail-oriented and looking for a career opportunity then this is an opportunity for you. As an Insurance Sales Agent, you will be responsible for the sale of insurance products and handling all customer contacts received either by ...

    21. Automotive Warranty Administrator/Chrysler Certified

        AUTOMOTIVE WARRANTY ADMINISTRATOR/CHRYSLER CERTIFIED JOB DESCRIPTION The Automotive Warranty Administrator performs a wide range of administrative and office support duties associated with vehicle warranties.  He or she ensures the dealership is paid for all warranty work in an accurate and timely fashion by preparing, flagging, submitting and following up on each claim.  The ...

    22. Human Resource Manager

      Our client whose world-class belief in "paying it forward" seeks a Human Resource Manager to add to their team! If you have strong interpersonal skills, able to work independently, can manage multiple tasks and projects, can communicate (orally and written) very well, and have strong computer skills this may be your opportunity. Your tasks will be: Create and implement of Human Resource ...

    23. Insurance Associate

      A career with AAA Northern California, Nevada and Utah is unique, just like you. We're a mission-driven Member services organization. We have a saying here at AAA that we aspire to be America's most trusted organization absolutely famous for doing the right thing . With more than four million Members, our purpose is to bring peace of mind to Members so that they can enjoy life more. We work ...

    24. Claims Specialist

      Claims Specialist Full Time Temp French Camp, CA Claims Specialist opportunity for a leading health plan serving the San Joaquin Valley. Position is full time temp, with possibility of temp to hire. Compensation: $14-16/hour based on experience Conditions of Work: Monday-Friday, flexible business hours Team-based office environment. Ongoing Temp position Job ...

      1. Billing Rep I - CBO / PE Central Processing / FT Rotating at PE Central Processing

        Researches and interprets commercial and government payers rules and regulations to ensure timely adjudication of claims....

      2. Property Claims Field Specialist I at Mercury Insurance Group

        Regularly monitor progress and expense of ongoing claims. Recommends claims which exceed personal authority limit to supervisor for approval....

      3. Manager I Grievance/Appeals, Iowa at Anthem, Inc.

        3-5 years leadership experience in grievance & appeals, claims or customer services in the healthcare industry;...

      4. Product Manager I at Guardian Life Insurance Company

        Troubleshoot service, systems and claim issues and work with our partners to resolve. Product and network development are the key ways that the Dental business...

      5. Dental Hygienist Investigator I/II/III - Potential To Work From Home at Anthem, Inc.

        Knowledge of claims and benefits management in a managed care organization, familiarity with health care industry and issues, contracts, cost containment...