Claims Manager jobs - Sacramento, CA

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Jul 19 Mgr I Provider Network Management/Relations - 86235SY WellPoint Rancho Cordova, CA

ensure hospitals and ancillary providers claims are paid accurately, timely, and on ... and efficiently; resolves escalated claims/operations issues. * Evaluates the... more

Jul 19 Claims WFM Analyst l / ll / Sr - Telecommute (90089) WellPoint Rancho Cordova, CA

The **Claims WFM Analyst II** is responsible for all of the duties of a Claims WFM Analyst ... The **Claims WFM Analyst Senior** is responsible for all of the duties of a Claims WFM Ana... more

Jul 18 Claims Examiner and Provider Relations Rep Medical Professionals Sacramento, CA

of the Claims Management staff, this Claims Examiner position is responsible for ... DMHC regulations, facility and professional claims practices. Provider Relations... more

Jul 17 Director, Claim Support Services Sacramento, CA

Services and Claims Projects. Oversee Claims Support Services and Claims Projects. ... data to deliver business. solutions ensuring claims payment and quality. Monitor... more

Jul 16 Sr. Business Process Manager Blue Shield of California El Dorado Hills, CA

Manager is part of the Pharmacy Benefit & Claims Operations team within BSC Pharmacy ... Business Process Manager will report to the Director of Pharmacy Benefits & Claims Operati... more

Jul 16 Claim Examiner III - Workers Compensation (CA) - Broadspire Crawford & Company Folsom, CA

appraisals and settle claims utilizing claims best practices. Set reserves and ... and determines if coverage applies to claims submitted. Investigate claims to... more

Jul 16 FEP Clinical Support Coordinator Case Management Department Blue Shield of California El Dorado Hills, CA

call center experience, authorizations or claims processing. Requires moderate experience in basic computer functions and software applications. Ability to use multiple... more

Jul 16 Staff Services Manager I Calpers Sacramento, CA

general direction of the Staff Services Manager II (SSM II), the Staff Services Manager I ... Disability Leave (NDI) Insurance Claims, leave accounting, Management Information... more

Jul 15 Medical Only Claims Examiner - Workers Compensation Lwp Claims Solutions Sacramento, CA

POSITION SUMMARY Investigates claims by interviewing employers, injured workers, medical providers and witnesses Gathers information, determines compensability and resolves all... more

Jul 15 Management Trainee - Entry Level / Full Time Next Evolution Marketing Sacramento, CA

ENTRY, LEVEL, ADMINISTRATION, BUSINESS, CLAIMS, PROFESSIONAL, AGENCY, PHONE, TALK, ... SERVICE ASSOCIATE, CUSTOMER RELATIONSHIP MANAGER, CUSTOMER SUPPORT, ACCOUNT EXECUTIVE,... more

Jul 10 Claims Clerk II Rancho Cordova, CA

storing the daily mail received within the claims department. This position is also responsible for archiving completed claims, filing when needed, sending out various... more

Jul 10 Telephonic Nurse Case Manager Allied Managed Care Sacramento, CA

of injured workers in attempt to control claims costs through proactive coordination ... providers, injured workers, employers and claims staffThis is a home based position... more

Jul 09 Social Worker - HUD/VASH Case Manager - Auburn CBOC U.S. Department of Veterans Affairs Auburn, CA

The incumbent is responsible for program oversight, monitoring and administration, serving as the primary contact with local Public Housing Agencies (PHAs) and providing case... more

Jul 08 Business Consulltant/Analyst - Claims Sacramento, CA

of a new Claims system, Tapestry AP Claims, to process and administer claims for ... OPPORTUNITIES INCLUDE (at all levels): Claims Delivery Managers Claims Configuration... more

Jul 07 Surveillance Claim Investigator Position Bonnamy & Associates Sacramento, CA

Surveillance Claim Investigator Position Surveillance Claim Investigator Job DescriptionBonnamy & Associates, L.L.C. is a leading provider of risk management solutions in its 32nd... more

Jul 05 Workers' Compensation Claims Adjuster - Experience Required Insurance Recruiting Specialists Roseville, CA

Workers' Compensation Claims Adjuster Job ID: DM-SimplyHired-ZZZ-00J-05 Location: ... Compensation experience handling indemnity claims * Experience with reserve management,... more

Jul 05 Workers' Compensation Claims Analyst Insurance Recruiting Specialists Sacramento, CA

Workers' Compensation Claims Analyst Job ID: DW-SimplyHired-ZZZ-004-06 Location: ... of workers’ compensation claims. Additional responsibilities for the Workers’... more

Jul 05 Workers' Compensation Claims Examiner - Experience Required Insurance Recruiting Specialists Sacramento, CA

Workers' Compensation Claims Examiner Job ID: SZ-SimplyHired-ZZZ-00H-07 Location: ... Claims handling experience * Experienced Claims Adjuster Designation (Continued... more

Jul 05 Claims Investigator Globaloptions Services Sacramento, CA

Claims Investigator - Sacramento, CA GlobalOptions Services is an international ... claims. We are currently seeking experienced claims investigators throughout Sacramento,... more

Jul 05 Claims Investigator - Sacramento Globaloptions Services Elk Grove, CA

Claims Investigator - Sacramento, CA GlobalOptions Services is an international ... claims. We are currently seeking experienced claims investigators throughout Sacramento,... more

Jul 03 Claims Configuration Analyst - Sacramento, CA(225269) Kaiser Permanente Sacramento, CA

of a new Claims system, Tapestry AP Claims, to process and administer claims for ... all levels): * Claims Delivery Managers * Claims Configuration Analysts * Project... more

Jul 01 Claims Investigation Supervisor - Sacramento Globaloptions Services Rancho Cordova, CA

Claims Investigation Supervisor - Sacramento, CA GlobalOptions Services is an ... Maintain constant communication with the Manager of Investigations regarding each... more

Jun 30 Human Resources Manager (working title: Workers' Compensation Manager) (Revised as of 7/2/14) City of Sacramento Sacramento, CA

laws, administrative regulations, and claims adjusting procedures. Public ... writing. Workers’ compensation claims administration software. Recent workers’... more

Jun 28 Patient Relations/Risk Manager - Ontario, Oregon Saint Alphonsus Health System Sacramento, CA

Patient Relations/Risk Manager Saint Alphonsus Medical Center, Ontario, Oregon Duties and ... trending patterns. Analyzes allegations of claims against the organization, complaints... more

Jun 27 Administrative Manager Zurich North America Rancho Cordova, CA

to a Friend View My Account Administrative Manager Position ID 32457 Location(s) CA - ... 4 or more years of Legal administrative or Claims related experience. 1.Excellent... more

Jun 26 Senior Claims Examiner-Workers Compensation Crawford & Company Folsom, CA

property damage appraisals and settles claims utilizing claims best practices. ... Technical claims investigations/settling experience with 5-8 years experience in Claims or... more

Jun 26 Claims Examiner - Workers Compensation Sedgwick CMS Rancho Cordova, CA

evaluation.Negotiates settlement of claims within designated authority.Calculates and ... ensures timely and cost effective claims resolution.Coordinates vendor referrals... more

Jun 26 Claims Investigation Supervisor Globaloptions Services Sacramento, CA

Claims Investigation Supervisor - Sacramento, CA GlobalOptions Services is an ... Maintain constant communication with the Manager of Investigations regarding each... more

Jun 25 Sr Claim Examiner - Liability (CA) - Broadspire Services - 4 Crawford & Company Folsom, CA

property damage appraisals and settles claims utilizing claims best practices. ... Settles claims promptly and equitably and issues company drafts in payments for claims wit... more

Jun 25 Senior Project Manager Roseville, CA

The PM/CM Division of ARCADIS is hiring a Senior Project Manager for our Northern Californ ... prescribed time frame. The Senior Project Manager performs primary responsibilities... more

Jun 24 Medical Claims Review Nurse Job Yoh Staffing Sacramento, CA

Provide timely medical review of claims and claims appeals related to CPT, HCPCS and/or ... Perform retroactive review of claims requiring medical review, edits, and... more

Jun 16 Auto Liability Claims Specialist Zurich North America Sacramento, CA

authority limits. May handle multi-party claims. Regularly communicates with customers ... to effectively present information to manager, claimants and customers 10. more

May 28 Sr Account Manager (Sales) Express Scripts Sacramento, CA

for issue resolution in eligibility, claims, implementations, participant materials, ... activity and operations. The Sr Account Manager is responsible for tracking operational... more

May 19 General Liability Claims Specialist Zurich North America Sacramento, CA

authority limits. May handle multi-party claims. Regularly communicates with customers ... to effectively present information to manager, claimants and customers 10. more

May 05 (RN) Manager, Utilization Management Rancho Cordova, CA

Dayton, Utilization Review LVN The Manager of Utilization Management (UM) is responsible ... experience preferred). Clinical claims review experience highly desired. - BSN/BS/BA... more

Apr 26 Sales & Marketing Manager-Morton's Landry's Restaurants Sacramento, CA

career opportunity for a Sales & Marketing Manager with upscale/fine dining management experience!!The professional we seek for this exciting opportunity will achieve revenue... more

Apr 08 Asset Protection Manager in Training WM Walmart Woodland, CA

in one of the following areas: accounting, claims, inventory control, systems/upc, personnel, or loss prevention/asset protection in a multi-department environment OR 2 years... more

Apr 08 AP Manager in Training WM Walmart Military Woodland, CA

in one of the following areas: accounting, claims, inventory control, systems/upc, ... in an asset protection related field. Job Role AP Manager in Training-WM Location... more

Jan 20 Director of Risk Management E-health Jobs Sacramento, CA

and reporting incidents, losses and claims reported. Maintains departmental system databases and generates a variety of statistical reports. Adheres to policies, procedures and... more

More Job Postings from the Web
Jul 24 Project Manager PM/CM – Seller-Doer (Water/WW) Jacobs Engineering Sacramento, CA

Job Title Project Manager PM/CM – Seller-Doer (Water/WW) Location Sacramento, CA, US P ... schedules, and issues * Assist in Claims mitigation * Assist in Dispute resolution *... more

Jul 23 Claims Supervisor Philadelphia Insurance Companies Roseville, CA

the day-to-day handling and settlement of claims, the processing and tracking of ... oversees the investigation of insurance claims. Assures that corporate claims... more

Jul 23 Claims Communication / Change Mgmt Manager Esurance Rocklin, CA

Claims Communication / Change Mgmt Manager Location US-CA-Rocklin Job ID 9962 Options ... Manager Responsibilities: As a Claims Communication and Change Management Manager... more

Jul 23 Claims Supervisor (Rancho Cordova) Health Net Rancho Cordova, CA

of member claims. The Supervisor of Claims must proactively identify issues and ... Supervises the processing of claims adjudication and adjustments,... more

Jul 22 Medical Claims Data Entry Operator - Project Based Xerox West Sacramento, CA

Xerox is the world's leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large... more

Jul 22 Regional Safety Manager Energi Sacramento, CA

claims, broker services and agents. Claims field investigation and sight review for ... Conduct field investigation of loss claims for industry related claims. Oversee job sites... more

Jul 22 Quality Assurance Manager Addastaff Sacramento, CA

?TITLE: Quality Assurance Manager ?LOCATION: Sacramento, CA ?DURATION: Contract to Hire ? ... ? -Experience testing insurance based Claims Processing systems -IT Certifications... more

Jul 22 Associate Claim Representative - Western Workers' Compensation Claim Center - Rancho Cordova, CA or Phoenix, AZ Hartford Sacramento, CA

tools. Process Report Only claims, verify coverage and policy corrections in SOURCE and ... Hartford has also paid claims related to some of America’s largest disasters, including... more

Jul 22 Claims Supervisor - General Liability Philadelphia Insurance Roseville, CA

Job Description Job Title: Claims Supervisor - General Liability Job ... oversees the investigation of insurance claims. Assures that corporate claims... more

Jul 21 Environmental Claims Supervisor Capstone Search Group Sacramento, CA

friendly organization. Environmental Claims Supervisor Responsibilities • Coverage ... and Reporting Environmental Claims Supervisor Requirements • JD, CPCU, ARM... more

Jul 21 STAFF SERVICES MANAGER I State Personnel Board Sacramento, CA

claim processes and related training. Claims (461-241-4800-005): Under the ... and oversight/management of programs such as claims, regulations, billing, or budgets. more

Jul 21 P&C Account Manager ( 2 Openings) Alliant Insurance Services Sacramento, CA

collections; Participates in the claims process as directed by management, including claim submission, follow-up and overall communication; Provides technical guidance to staff... more

Jul 20 Property Claims Supervisor Thebestirs, Insurance Recruiting Specialists Rancho Cordova, CA

Claims Supervisor to their Sacramento area claims operation. The successful candidate ... position will report to the Claims Branch Manager and be responsible for staff... more

Jul 17 Inside Auto Liability Claim Professional-Rancho Cordova/Sacramento, California Job Travelers Rancho Cordova, CA

and expense management. Promptly manage claims by completing essential functions ... authority. Negotiate disposition of claims with insureds and claimants or their... more

Jul 16 STAFF SERVICES MANAGER I (02012) Calpers Sacramento, CA

general direction of the Staff Services Manager II (SSM II), the Staff Services Manager I ... Disability Leave (NDI) Insurance Claims, leave accounting, Management Information... more

Jul 16 Workers' Compensation Claims Examiner Matrix Absence Management Roseville, CA

• Process Workers\\\' Compensation Claims determining compensability and benefits ... claim payments. • Manage subrogation of claims and negotiate settlements. • Communicates... more

Jul 16 Claims Auditor Health Net Rancho Cordova, CA

review and completion on all contested claims. Researches claim processing problems ... In-depth experience in Health Care Claims, Contracts, Benefit Application,... more

Jul 16 Claims Adjuster Work Comp Arthur J. Gallagher Risk Management Services Roseville, CA

progressive property/casualty third party claims service organizations in our industry ... Computer experience with related claims and business software. Desired: *... more

Jul 15 Claim Examiner III - Workers Compensation (CA) - Broadspire Services Crawford & Company Folsom, CA

appraisals and settle claims utilizing claims best practices. Set reserves and ... and determines if coverage applies to claims submitted. Investigate claims to... more

Jul 15 Claims Trainee Philadelphia Insurance Roseville, CA

Job Description Job Title: Claims Trainee Job ID: 1001463 Location: Roseville, ... and investigate the claims. * Property claims are handled in a fair & expeditious... more

Jul 14 WC Claims Technical Assistant Arthur J. Gallagher Risk Management Services Gold River, CA

progressive property/casualty third party claims service organizations in our industry ... Readers' Choice award for "Best Third Party Claims Administrator." If you're looking for... more

Jul 13 Insurance Medical Claims Examiners Select Family of Staffing Companies Sacramento, CA

CA Do you have experience as an Insurance Manager, Underwriter, and / or Claims Examiner? If so, we want you to join our team! Select Staffing not only has the best job... more

Jul 11 Unit Manager, Workers Compensation Claims York Risk Services Group Roseville, CA

Claims Handling Requirements: The Unit Manager (UM) will be held accountable for ... for ensuring that those claims with significant claims activity are properly... more

Jul 11 LTD Benefit Manager Aetna Sacramento, CA

established by maintaining accurate claims data and identifying applicable policy ... FUNCTIONAL EXPERIENCES Functional - Claims/Claim processing - Long Term Disability/1-3 Yea... more

Jul 10 Claims Representative - Workers Compensation Sedgwick Claims Management Services Rancho Cordova, CA

Manages workers compensation claims determining compensability and benefits ... (3) years of claims management experience or successful... more

Jul 09 Enviromental Claims Supervisor/Unit Manager General Search and Recruitment Sacramento, CA

Environmental Claims Supervisor/Team Leader Sacramento, CA Thisclient is a full-service pr ... friendly organization. Environmental Claims Supervisor Responsibilities Coverage... more

Jul 09 Claims Management Specialist Adventist Health Roseville, CA

liability claims. Ensure that all assigned claims are concluded promptly, equitably and ... the claim be within established guidelines Claims and Clinical Loss Control Full time... more

Jul 08 Commercial Casualty Claims Adjuster Nationwide Mutual Insurance Company Sacramento, CA

claims function; current guidelines in the claims function; and policy changes and ... Successful completion of required/applicable claims certification training/classes.Experie... more

Jul 08 Director, Claim Support Services Acariahealth Sacramento, CA

Services and Claims Projects. Oversee Claims Support Services and Claims Projects. ... data to deliver business. solutions ensuring claims payment and quality. Monitor... more

Jul 08 High Exposure Worker%27s Compensation Claim Consultant Hartford Mather, CA

claims. ???Manage the most complex work comp claims in the Western Work Comp Center. ... dates, and communicate the status of claims. ???Evaluate, develop and assess... more

Jul 05 Workers' Compensation Claims Manager - Experience Required Insurance Recruiting Specialists Sacramento, CA

Workers' Compensation Claims Manager Job ID: TB-CB-ZZZ-009-01 Location: Sacramento, CA ... opening for a Workers' Compensation Claims Manager at their Sacramento, CA... more

Jul 02 Auto Liability Claims Specialist Rancho Cordova, CA

authority limits. May handle multi-party claims. Regularly communicates with customers ... to effectively present information to manager, claimants and customers10. Willingness... more

Jul 02 Restaurant Front Manager - Claim Jumper Landry's Roseville, CA

Managers to join their team! Front Manager Duties: The Front of the House Manager is ... available Requirements: The Front Manager candidate must have at least 2+ years... more

Jul 02 Claims Team Member - Medi-Cal - Sutter Shared Services Sutter Shared Services Roseville, CA

MediCal, Medicaid, and/or Private) Claims standards, processes, policies, ... (Medicare, MediCal, Medicaid, Private) Claims management functions in acute and... more

Jul 01 Director, Claim Support Services Sunflower State Health Plan Sacramento, CA

Services and Claims Projects. Oversee Claims Support Services and Claims Projects. ... data to deliver business. solutions ensuring claims payment and quality. Monitor... more

Jul 01 Director, Claim Support Services Centene Sacramento, CA

Services and Claims Projects. * Oversee Claims Support Services and Claims ... Previous finance/budget experience preferred. Job : Claims Operations Primary Location :... more

Jun 29 Workers' Compensation Claim Professional Trainee-Rancho Cordova/Sacramento, California Job Travelers Rancho Cordova, CA

liability/exposure. Work closely with Unit Manager or mentor to promptly resolve claim ... Refer claims as appropriate, based on exposure and established guidelines... more

Jun 28 Claims Examiner-WC Sedgwick Claims Management Services Rancho Cordova, CA

Job Title: Claims Examiner-WC-CACity: Rancho CordovaState/Province: CaliforniaPosition Typ ... and to identify subrogation of claims and negotiate settlements.ESSENTIAL... more

Jun 28 Claims Examiner Healthcare Support Staffing Sacramento, CA

used in settling claims to ensure that claims are valid and that settlements are made ... of settled claims and an inventory of claims requiring detailed analysis. Resolving... more

Jun 27 Claims Reporting and Analytics Manager Esurance Rocklin, CA

Manager Responsibilities: As a Claims Reporting and Analytics Manager, you will ... of claims reporting analysts. Claims Reporting and Analytics Manager Do you have... more

Jun 25 Manager, Claims Information Services Sutter Health System Office Sacramento, CA

Manager Claims Information Services is responsible for development, maintenance and ... complex system(s) and/or project(s). The Manager Claims Information Services develops... more

Jun 24 Regulatory Compliance Analyst - Workers' Comp Claims Hanover Insurance Roseville, CA

Position Overview/Summary: Conducts claims wide education and training of claims regulator ... Claims Assistants and Claims Adjusters in ensuring quality work product that meets... more

Jun 24 Medical Claims Review Nurse Job Yoh Sacramento, CA

Provide timely medical review of claims and claims appeals related to CPT, HCPCS and/or ... - Perform retroactive review of claims requiring medical review, edits, and... more

Jun 18 Claims Service Specialist All State Roseville, CA

has an exceptional career opportunity for a Claims Service Specialist inRoseville, CA A ... for advancement. Becoming an Allstate Claims Service Specialist is just the... more

Jun 17 Corporate Claims Attorney Progressive Insurance Rancho Cordova, CA

Attorney will provide legal support to the Claims organization and will advise and ... and projects;* Providing functional advice and training to Claims personnel as... more

Jun 17 Inside Auto Liability Claim Professional-Rancho Cordova/Sacramento Travelers Indemnity Company Rancho Cordova, CA

and expense management. Promptly manage claims by completing essential functions ... authority. Negotiate disposition of claims with insureds and claimants or their... more

Jun 17 Restaurant Front Manager - Claim Jumper McCormick & Schmick's Roseville, CA

Managers to join their team!Front Manager Duties: The Front of the House Manager is ... availableRequirements: The Front Manager candidate must have at least 2+ years... more

Jun 17 Claims Service Specialist Allstate Roseville, CA

has an exceptional career opportunity for a Claims Service Specialist in Roseville, CA A ... a challenging and rewarding career in claims! This is your chance to use your... more

Jun 15 Medical Claims Correspondence Analyst Affiliated Computer Services West Sacramento, CA

to interpret Medi-Cal Policy Prepping of claims to internal resubmissions Monitor ... equivalent Minimum two years experience in claims examination and/or billing... more

Jun 11 Workers' Compensation Claims Manager Insurance Recruiting Specialists Sacramento, CA

opening for a Workers' Compensation Claims Manager at their Sacramento, CA ... the leading provider of insurance jobs for claims managers specializing in Workers... more

Jun 11 Risk Manager - Direct Hire Employment Pacific Staffing Sacramento, CA

Primary Job Responsibilities: The Risk Manager will be responsible for formulatinga ... and General Liability Insurance. The Risk Manager will lead the companies RM Committee... more

Jun 04 Commercial Line Market Account Manager I Nesco Roseville, CA

recommendations, client visits, claims advocacy and premium financing program ... with clients on their claims management planning and reporting.â?¢Keep current on... more

Jun 04 Workers Compensation Claims Examiner Genesis Resources Sacramento, CA

Investigates claims to determine an injured workers entitlement to Workers Compensation ... claims;  Manages a caseload of claims from inception to closing or settlement. more

May 30 Workers' Compensation Claim Professional Trainee-Rancho Cordova/Sacramento Travelers Indemnity Company Rancho Cordova, CA

liability/exposure. Work closely with Unit Manager or mentor to promptly resolve claim ... Refer claims as appropriate, based on exposure and established guidelines... more

May 29 Workers' Compensation Claims Supervisor Matrix Absence Management Roseville, CA

or high exposure claims. • Supervise claims examiners processing claims for a single ... serious vocational rehabilitation claims, questionable claims and sensitive claims as... more

May 20 Medical Claims Data Entry Operator Affiliated Computer Services West Sacramento, CA

Xerox is the world's leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large... more

May 20 AVP, Liability Claims Manager Zurich Na Rancho Cordova, CA

are currently looking for an AVP, Liability Claims Manager who will lead and direct ... class.*Title:* AVP, Liability Claims Manager*Job ID:* 31975*Location:*... more

May 18 Claims Service Adjuster (Liability) All State Rancho Cordova, CA

claims and unrepresented bodily injury claims. Candidates may obtain statements from ... advancement. Becoming an Encompass Inside Claims Service Adjuster is just the... more

Apr 25 Sr Claim Examiner - Liability - Folsom, CA - Broadspire Services Crawford & Company Sacramento, CA

authority on moderate-to-difficult claims. Reviews coverages, determines ... property damage appraisals and settles claims utilizing claims best practices. more

Apr 15 Construction Manager (101042) California State University Sacramento, CA

contract changes and resolution of all claims; - Participating in or conducting negotiations to resolve claims or disputes; - Maintaining a change order log that includes a... more

Jul 30 Workers Compensation Claims Unit Manager York Risk Services Group Roseville, CA

that their assigned team delivers a level of claims and customer service that meets and ... for subordinates o Claims Examiners Claims Assistants Administrative... more

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