Senior Claims Analyst

Position Overview:The Senior Claims Examiner plays a crucial role in ensuring the integrity and accuracy of claims processing within the organization.Key Responsibilities:1. Conduct comprehensive quality reviews of daily claims processed by Claims Examiners.2. Oversee data entry tasks related to claims processing to maintain high standards of accuracy.3....

Position Overview:The Senior Claims Examiner plays a crucial role in ensuring the integrity and accuracy of claims processing within the organization.Key Responsibilities:1. Conduct thorough Quality Reviews of daily claims processed by Claims Examiners.2. Oversee Data Entry tasks related to claims processing to maintain high standards of accuracy.3. Evaluate...

**Job Summary**Zurich Insurance Group is seeking a highly experienced Senior Claims Adjuster to join our General Liability large loss technical claims team. As a Senior Adjuster, you will work with a high level of autonomy and decision-making to manage your claims caseload while providing technical claims service excellence, policy interpretation and...

OverviewDignity Health Medical Foundation established in 1993 is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California Arizona and Nevada. Today Dignity...

Our client, a National Insurance Carrier, is looking for a Mid-level or Senior Workers' Compensation Adjuster for their Direct Hire position. This position would be hybrid and offers excellent benefits.Required Qualifications:3+ years of handling CA Workers' Compensation ClaimsDetermines compensability and/or coverage issues for workers compensation loss...

Position Overview: The Senior Credit and Collections Analyst is responsible for managing debt recovery processes by utilizing advanced negotiation skills and established business protocols to create payment arrangements and define payment terms. This role involves issuing complex communications to solicit payments, including making outbound calls for various...

Your Role The Clinical Pharmacy Operations team is dedicated to enhancing the development, execution, coordination, and evaluation of pharmacy initiatives aimed at delivering high-quality and cost-effective care to members of Blue Shield of California. The Experienced Business Analyst will report directly to the Senior Pharmacist Manager within the...

Job SummaryGallagher Bassett is seeking a highly skilled Claims Adjuster Senior General and Auto Liability to join our team. As a key member of our claims team, you will be responsible for investigating, evaluating, and settling complex claims and highest exposures with minimal supervision.Key ResponsibilitiesInvestigate and evaluate complex claims and...

Your RoleThe Contract Compliance and Pricing Analytics Team is responsible for performing an in-line audit for all negotiated provider contracts.The Contract Configuration Analyst, Associate will report to the Contract Compliance Manager.In this role, you will:Conduct audits and run test claims to ensure future claims will be paid correctly based on the...

Your RoleThe Contract Compliance and Pricing Analytics Team is responsible for performing an in-line audit for all negotiated provider contracts.The Contract Configuration Analyst, Associate will report to the Contract Compliance Manager.Your ResponsibilitiesConduct audits and run test claims to ensure future claims will be paid correctly based on the...

Your Role The Clinical Pharmacy Operations team is dedicated to the advancement, execution, coordination, and evaluation of pharmacy initiatives aimed at delivering high-quality and cost-effective care to members of Blue Shield of California. The Experienced Business Analyst will report directly to the Senior Pharmacist Manager within the Clinical...

Your Role The Clinical Pharmacy Operations team is dedicated to the creation, execution, coordination, and evaluation of pharmacy initiatives aimed at delivering high-quality and cost-effective care to members of Blue Shield of California. The Experienced Business Analyst will work under the guidance of the Senior Pharmacist Manager within the Clinical...

Your Role The Clinical Pharmacy Operations team is dedicated to enhancing the design, execution, coordination, and evaluation of pharmacy initiatives aimed at delivering high-quality and cost-effective care to members of Blue Shield of California. The Experienced Business Analyst will work under the guidance of the Senior Pharmacist Manager within the...

About the RoleWe are seeking a highly skilled Utilization Management Nurse, Senior to join our team at Blue Shield of California. As a key member of our Utilization Management team, you will play a critical role in ensuring our members receive the highest quality care while maintaining cost-effectiveness.Your Key ResponsibilitiesPerform prospective,...

Your RoleThe Utilization Management division is responsible for evaluating inpatient admissions for our members, ensuring adherence to established guidelines for recognized standards of care.The Senior Utilization Management Nurse will report directly to the Nurse Manager of Utilization Management.In this capacity, you will be assigned a roster of inpatient...

Your Role The Clinical Pharmacy Operations team is dedicated to enhancing the development, execution, coordination, and evaluation of pharmacy initiatives aimed at delivering high-quality and cost-effective care to members of Blue Shield of California. The Experienced Business Analyst will report directly to the Senior Pharmacist Manager within the...

Job Title: Investigative Services ManagerWe are seeking a highly skilled and experienced Investigative Services Manager to join our team at Travelers. As a key member of our organization, you will be responsible for managing a team of investigators to achieve regional or national results.About UsAt Travelers, we are committed to taking care of our customers,...

About the RoleThe Travelers Indemnity Company is seeking a highly skilled and experienced Regional Director of Major Case Investigations to join our team. As a key member of our Investigative Services department, you will be responsible for managing a team of investigators and overseeing the investigation of complex claims.Key ResponsibilitiesInvestigation...

About the RoleThe Travelers Indemnity Company is seeking a highly skilled and experienced Regional Director of Major Case Investigations to join our team. As a key member of our Investigative Services department, you will be responsible for managing a team of investigators and overseeing the investigation of complex claims.Key ResponsibilitiesInvestigation...

Salary: $5,925 - $8,873 Monthly Location: Rancho Cucamonga City Hall, CA Job Type: Full Time Department: Human Resources Join the City of Rancho Cucamonga The City of Rancho Cucamonga is recognized as a premier employer, offering a unique opportunity for individuals seeking to make a significant impact in their community. We are currently seeking qualified...