...Job Description
Job Description Vivo HealthStaff is searching for a Utilization Review RN for a hybrid position for a health plan in San Francisco. It is a hybrid position with 1-2 days per week on-site required.
Collaborates with the physician, nurse case manager...
Suggested
2 days per week
1 day per week
Qualifications:
Loan Reviewer
US Citizenship required
Level 2 Peraton Screening will be run along with the usual Client process
Responsibilities:
Conduct loan file transaction testing to determine regulatory credit risk grades by analyzing repayment capacity, including...
Suggested
...Overview
Responsible for managing complex liability claims, employment & civil rights claims to their conclusion in the most cost-effective... ..., financial, and property & liability.
What You'll Do
* Review assigned claims within the PLCA guidelines.
* Prepare...
Claims
Holiday work
Remote job
...Job Description
Job Description Summary
The Claims Analyst is responsible for completing requests for certificates of insurance... ...and ensure all emails and inquiries are addressed timely.
Review Incident Reports and determine if an Insurance Claim needs to be...
Claims
...You can make a difference in the San Francisco community. San Francisco Health Plan is seeking a full-time Claims Examiner.
The Claims Examiner is responsible for claims processing, adjudication, and research. In addition, this position keeps current on claim processing...
Claims
Holiday work
Full time
Work experience placement
...Job Description
Job Description
DigiStream Investigations Inc.
Position: Claims Investigator (Fluent Spanish-Speaking Preferred, English-Bilingual)
Starting Compensation: $30.00
Weekly Hours : Full-time, 40 hours per week
Home Office Location: Sacramento...
Claims
Hourly pay
Full time
Home office
...passion for the business.
Withum is seeking an experienced health claims auditor possessing in-depth knowledge of group health and... ...being paid in compliance with regulations and plan documents
Reviewing client's claims adjudication internal controls policies and...
Claims
Contract work
...Job Description
Job Description Reporting to the Manager of Clinical Operations, the Concurrent Review & Care Transition Nurse is a registered nurse or licensed vocational nurse that is passionate about making a difference in the lives of individual members and improving...
Suggested
Hourly pay
Holiday work
Weekend work
Day shift
...over 130+ locations in 27 states and growing!
Overview:
The Claims Administrator, Risk Management position maintains all auto/... ...complies with applicable regulations.
Responsibilities:
Review incident reports. Request additional information, supporting documents...
Claims
Holiday work
Full time
Temporary work
Part time
Local area
Flexible hours
As an auto damage claims adjuster , you'll serve as Progressive's point of contact with customers - directing and making decisions regarding... ...claim payments and resolution of claims without payments
Review and determine validity of any supplement requests
Must-...
Claims
Temporary work
Work experience placement
Local area
Flexible hours
...lawyer to read your health plan), and intuitive web design.
The Claims team is responsible for the adjudication of all of the claims... ...skilled engineers
Provide input on technical designs and code reviews
Help support our production operations
Help push forward the...
Claims
Work experience placement
Immediate start
2 days per week
3 days per week
...Job Description
Job Description Title: Claims Processor 1 Department: Claims
Bargaining Unit: 153 Grade: 16
Position Type: Non-Exempt Hours per Week: 40
Position Summary
The Claims Processor provides customer service and processes routine health...
Claims
Local area
Shift work
TITLE: Medical Biller & Claims Processor
DEPARTMENT: Finance
REPORTS TO: Director, Finance
LOCATION: 730 Polk Street, San Francisco... ...community services integration. The position is responsible for the review and submission of claims for all of Project Open Hand’s...
Claims
Full time
Contract work
Temporary work
...valued and respected. This is a unique opportunity for accomplished attorneys to work on sophisticated matters primarily supervising Review Attorneys that are performing second-level review or quality control on high volumes of complex litigation documents. This is a...
Suggested
Remote job
Flexible hours
...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in San Leandro, California.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Duration: 12 weeks
~36 hours per week...
Suggested
Weekly pay
Holiday work
Shift work
...-size:12.0pxspan style=font-family:Arial, Helvetica, sans-serifspan style=color:#1d2d3eZurich is currently looking for a RCIS Crop Claims Field Adjuster I to join our Rural Community Insurance Services (RCIS) team. RCIS is one of the leading crop insurance providers in...
Claims
Hourly pay
Permanent employment
Full time
Local area
Work from home
Home office
Outdoor
Work alone
...Contra Costa County is seeking two (2) Workers' Compensation Claims Adjuster II to join our Risk Management team. The County Workers... ...settlement of claims by Stipulations and Compromise and Release
* Reviewing and documenting diaries, reserves, and pertinent claim...
Claims
Permanent employment
Full time
Temporary work
Local area
Immediate start
Remote job
...Job Description
Job Description Title: Customer Service Claims Processor Department: Customer Service
Bargaining Unit: 29 Grade: 17
Position Type: Non-exempt Hours per Week: 40
Internal Posting Deadline: 04/26/2024
Position Summary:
The Customer...
Claims
Local area
...Job Description
Job Description We are seeking a dedicated Property Claims Specialist to join an established insurance brokerage in a Remote position. This role is perfect for professionals who enjoy engaging with clients and are experienced in handling property claims...
Claims
Local area
Remote job
...Description: Through comprehensive assessment and analysis, adjudicates managed healthcare claims/bills, authorizatons and referrals, for payment or denial within contract agreement and/or regulatory requirements. Performs these duties using industry standard knowledge...
Claims
Full time
Contract work
Shift work
