California WC Adjuster Specialist

Your Role The Risk Adjustment Provider Partnership team supports all functions within the risk adjustment program, working with cross-functional teams at Blue Shield and Provider Groups. The Risk Adjustment Consultant, reporting to the Manager, will work with operational and clinical leaders to improve recapture rates, understand clinical suspects, and...

At Blue Shield of California, we are seeking a skilled Clinical Risk Adjustment Strategist to join our team. In this role, you will have the opportunity to make a significant impact on the success of our Risk Adjustment Program.Company OverviewOur company is a leading health insurance provider in California, dedicated to delivering high-quality care to our...

Your Role The Risk Adjustment Provider Partnership team supports all functions within the risk adjustment program, working with cross-functional teams at Blue Shield and Provider Groups. The Risk Adjustment Consultant, reporting to the Manager, will work with operational and clinical leaders to improve recapture rates, understand clinical suspects, and...

Your Role The Risk Adjustment Provider Partnership team supports all functions within the risk adjustment program, working with cross-functional teams at Blue Shield and Provider Groups. The Risk Adjustment Consultant, reporting to the Manager, will work with operational and clinical leaders to improve recapture rates, understand clinical suspects, and...

Your RoleThe Risk Adjustment Provider Partnership team supports all functions within the risk adjustment program, working with cross-functional teams at Blue Shield and Provider Groups. The Risk Adjustment Consultant, reporting to the Manager, will work with operational and clinical leaders to improve recapture rates, understand clinical suspects, and...

Your Role The Risk Adjustment Provider Partnership team supports all functions within the risk adjustment program, working with cross-functional teams at Blue Shield and Provider Groups. The Risk Adjustment Consultant, reporting to the Manager, will work with operational and clinical leaders to improve recapture rates, understand clinical suspects, and...

Your Role The Risk Adjustment Provider Partnership team supports all functions within the risk adjustment program, working with cross-functional teams at Blue Shield and Provider Groups. The Risk Adjustment Consultant, reporting to the Manager, will work with operational and clinical leaders to improve recapture rates, understand clinical suspects, and...

Your Role The Risk Adjustment Provider Partnership team supports all functions within the risk adjustment program, working with cross-functional teams at Blue Shield and Provider Groups. The Risk Adjustment Consultant, reporting to the Manager, will work with operational and clinical leaders to improve recapture rates, understand clinical suspects, and...

Your Role The Risk Adjustment Provider Partnership team supports all functions within the risk adjustment program, working with cross-functional teams at Blue Shield and Provider Groups. The Risk Adjustment Consultant, reporting to the Manager, will work with operational and clinical leaders to improve recapture rates, understand clinical suspects, and...

Your Role The Risk Adjustment Provider Partnership team supports all functions within the risk adjustment program, working with cross-functional teams at Blue Shield and Provider Groups. The Risk Adjustment Consultant, reporting to the Manager, will work with operational and clinical leaders to improve recapture rates, understand clinical suspects, and...

Your Role The Risk Adjustment Provider Partnership team supports all functions within the risk adjustment program, working with cross-functional teams at Blue Shield and Provider Groups. The Risk Adjustment Consultant, reporting to the Manager, will work with operational and clinical leaders to improve recapture rates, understand clinical suspects, and...

Your Role The Risk Adjustment Provider Partnership team supports all functions within the risk adjustment program, working with cross-functional teams at Blue Shield and Provider Groups. The Risk Adjustment Consultant, reporting to the Manager, will work with operational and clinical leaders to improve recapture rates, understand clinical suspects, and...

Your Role The Risk Adjustment Provider Partnership team supports all functions within the risk adjustment program, working with cross-functional teams at Blue Shield and Provider Groups. The Risk Adjustment Consultant, reporting to the Manager, will work with operational and clinical leaders to improve recapture rates, understand clinical suspects, and...

Claims Casualty AdjusterJob SummaryThe Claims Casualty Adjuster handles low to moderate-complexity claims involving material damage, property, and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include liability investigation, coverage evaluation and...

Your Role The Risk Adjustment Provider Partnership team supports all functions within the risk adjustment program, working with cross-functional teams at Blue Shield and Provider Groups. The Risk Adjustment Consultant, reporting to the Manager, will work with operational and clinical leaders to improve recapture rates, understand clinical suspects, and...

Claims Casualty AdjusterJob SummaryThe Claims Senior Casualty Adjuster handles moderate to high complexity claims involving material damage, property and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include liability investigation, coverage...

Claims Senior Auto AdjusterThe Claims Senior Auto Adjuster supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of material damage, property damage, and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include...

Claims Senior Casualty AdjusterThe Claims Senior Casualty Adjuster handles moderate to high complexity claims involving material damage, property and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include liability investigation, coverage evaluation,...

About the RoleThis position requires a seasoned professional with expertise in risk adjustment strategies and analytics to drive business growth and improve financial performance.The Risk Adjustment Strategy Developer will collaborate with cross-functional teams to design, develop, and implement comprehensive risk adjustment strategies that enhance our...

Job OverviewWe are seeking an experienced Claims Senior Casualty Adjuster to handle complex insurance claims involving material damage, property and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements.Salary RangeThe starting pay range for this position is $36.70 - $48.93 per...