JobotNewWorkers' Compensation Defense Attorney JobotWorkers' Compensation Defense AttorneySan Francisco, CA$100,000–$210,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.
Oro Loma Sanitary DistrictNewCollection System Manager Oro Loma Sanitary DistrictCollection System ManagerSan Lorenzo, CA$160,332–$214,860 / yearEXAMPLES OF JOB DUTIES: Plan, develop, and implement a preventive maintenance program for the collection system; develop, audit, and update the Sewer System Management Plan (SSMP) and act as legally responsible official (LO) for certifying SSO reports; assist with budget preparation; supervise employees, evaluate their performance, and impose discipline; manage insurance claims related to the collection system; and perform other duties as assigned. To apply: https://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=15103cd6-c3ba-4567-ac76-31499f411077&ccId=19000101_000001〈=en_US&jobId=589440.
Sentry InsuranceNewTerritory Underwriter Specialist Sentry InsuranceTerritory Underwriter SpecialistSan Francisco, CA$144,720–$217,200 / yearMinimum of 5 years related work experience, with multi-line middle market underwriting experience handling accounts in construction, manufacturing, wholesale, real estate, and service industries preferred. As a Territory Underwriter Specialist, you’ll market & underwrite Sentry’s products & services to select Commercial Lines independent agents & brokers in a defined territory.
Zurich Insurance Company Ltd.Underwriting Specialist or Executive Underwriter, Core Contract Surety Zurich Insurance Company Ltd.Underwriting Specialist or Executive Underwriter, Core Contract SuretySan Francisco, CA$75,000–$165,000Specifically, you will underwrite and analyze new and renewal Surety business utilizing The Zurich Way of Underwriting Framework within delegated authority levels on assignments of higher technical complexity ensuring a high-level service to customers. Our Underwriters are Client Externally Focused and the job’s core deliverables rely on delivering service to external clients and/or customers.
Ellisor GroupNewQC Operations Analyst Ellisor GroupQC Operations AnalystSan Francisco, CA$80,000–$150,000 / yearClient is re-writing the risk model for the non-QM mortgage market by combining data analytics, proprietary risk intelligence, and Loan Defect Insurance to turn mortgage manufacturing risk into quantifiable, insurable outcomes for lenders, investors, and RMBS issuers. • Coordinate transferring of loan file documentation between sellers and counterparties, requesting, tracking, and preparing documentation packages ahead of QC review and TPR submission.
Joseph Michaels InternationalNewDirector, Enterprise Risk & Insurance Joseph Michaels InternationalDirector, Enterprise Risk & InsuranceSan Francisco, CADirector, Enterprise Risk & InsuranceLocation: San Francisco Bay Area Headquarters (primarily on-site)A leading organization in the Bay Area is seeking a highly experienced leader to guide strategies that safeguard assets, manage exposures, and maintain financial resilience through effective risk and insurance oversight. Key factors often include offering competitive compensation (salaries, benefits, perks) and fostering a customer-centric approach that drives long-term success through innovation.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in South San Francisco, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in South San Francisco, CaliforniaSouth San Francisco, CAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in San Francisco, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in San Francisco, CaliforniaSan Francisco, CAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Pleasant Hill, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Pleasant Hill, CaliforniaPleasant Hill, CAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Fairfield, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Fairfield, CaliforniaFairfield, CAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in American Canyon, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in American Canyon, CaliforniaAmerican Canyon, CAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Napa, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Napa, CaliforniaNapa, CAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Pinole, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Pinole, CaliforniaPinole, CAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Richmond, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Richmond, CaliforniaRichmond, CAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in San Leandro, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in San Leandro, CaliforniaSan Leandro, CAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in San Rafael, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in San Rafael, CaliforniaSan Rafael, CAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Rohnert Park, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Rohnert Park, CaliforniaRohnert Park, CAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Martinez, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Martinez, CaliforniaMartinez, CAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Albany, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Albany, CaliforniaAlbany, CAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Castro Valley, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Castro Valley, CaliforniaCastro Valley, CAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in San Bruno, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in San Bruno, CaliforniaSan Bruno, CAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Lafayette, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Lafayette, CaliforniaLafayette, CAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Sebastopol, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Sebastopol, CaliforniaSebastopol, CAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Danville, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Danville, CaliforniaDanville, CAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Berkeley, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Berkeley, CaliforniaBerkeley, CAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Daly City, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Daly City, CaliforniaDaly City, CAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Fremont, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Fremont, CaliforniaFremont, CAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Oakland, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Oakland, CaliforniaOakland, CAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Pacifica, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Pacifica, CaliforniaPacifica, CAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Hercules, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Hercules, CaliforniaHercules, CAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Hayward, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Hayward, CaliforniaHayward, CAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Alameda, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Alameda, CaliforniaAlameda, CAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Sonoma, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Sonoma, CaliforniaSonoma, CAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Novato, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in Novato, CaliforniaNovato, CAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in San Mateo, California MileHigh Adjusters Houston IncIndependent Insurance Claims Adjuster in San Mateo, CaliforniaSan Mateo, CAFull timeHow We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.
The Doctors CompanyClaims Administrative Specialist The Doctors CompanyClaims Administrative SpecialistNapa, CA$46,436–$60,947 / yearQualifications: • Experience in insurance or healthcare industry preferred • Excellent oral and written communication skills • Demonstrates organizational skills and attention to detail • Strong customer service skills and ability to work on a high performing team • Proficiency within Microsoft suit of products, including Word, Excel, and Outlook • Ability to follow departmental procedures with a high degree of accuracy and detail • Ability to prioritize workload to meet pertinent deadlines and response dates • Ability to handle confidential personal health information in accordance with company policy and PHI rules & regulations • Ability to support internal and external stakeholders with diverse backgrounds and personalities. You will also provide clerical, administrative, and technical assistance to the assigned claims staff; maintain specific, timely, accurate coding and file updates to support data warehouse searches for claims processing and TDC research projects.
Lee Hecht HarrisonWorkers Compensation Claims Specialist Lee Hecht HarrisonWorkers Compensation Claims SpecialistSan Francisco, CARemote$80,000–$100,000 / yearLHH is working with a leading organization is seeking a Senior-level Workers' Compensation Claims Specialist to manage a high-volume California desk with a strong focus on litigated claims. This is a fully remote, direct hire opportunity for an experienced adjuster who thrives in a fast-paced environment and can independently drive claims to resolution.
Johnson Service GroupNewSenior Workers' Compensation Claims Examiner (FULL Remote - Perm) - CA Johnson Service GroupSenior Workers' Compensation Claims Examiner (FULL Remote - Perm) - CAConcord, CARemote$50.25–$55.89 / hourThe Senior Claims Examiner will adjust workers compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements. Must possess a current Experienced Indemnity Claims Adjuster Designation, provided by an insurer, as defined in California Code of Regulations, Title 10, Chapter 5, Subchapter 3, Section 2592.01(f) .
Partnership HealthPlan of CaliforniaClaims Trainer Partnership HealthPlan of CaliforniaClaims TrainerFairfield, California$32.51–$39.01 / hourMaintain current knowledge of Partnerhsip Claims Policy and Procedures for all lines of business, Medi-Cal Provider Manual, Title 22 regulations, Knox Keene regulations, and CMS Medicare regulations. Overview: Train examiner and customer service level I staff on all related claim types for all Partnership lines of business using AMISYS Advance system and Claims Operating Instruction Memorandums.
Johnson Service GroupSr Examiner - 4850 Workers' Compensation Claims (Full Remote - Northern CA)(Perm) Johnson Service GroupSr Examiner - 4850 Workers' Compensation Claims (Full Remote - Northern CA)(Perm)Pleasant Hill, CARemote$98,000–$103,500 / yearThe Senior Claims Examiner will adjust police and fire 4850 workers compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements. The Senior Claims Examiner will adjust workers compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements.
Johnson Service GroupSr Examiner - 4850 Workers' Compensation Claims (Full Remote - Southern CA)(Perm) Johnson Service GroupSr Examiner - 4850 Workers' Compensation Claims (Full Remote - Southern CA)(Perm)Pleasant Hill, CARemote$98,000–$103,500 / yearThe Senior Claims Examiner will adjust police and fire 4850 workers compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements. The Senior Claims Examiner will adjust workers compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements.
CollectiveHealth IncLead Full Stack Software Engineer, Claims CollectiveHealth IncLead Full Stack Software Engineer, ClaimsSan Francisco, CA$168,000–$210,000 / yearTeam Collaboration: Work closely with cross-functional teams, including developers, and product managers, to gather requirements and ensure solutions meet business needs. Lead full-stack development and support of services across backend (Java/Spring Cloud), integration platforms (Kafka, Mulesoft), and frontend (React/Angular/GraphQL etc.).
Zenith American SolutionsCustomer Service Claims Processor Zenith American SolutionsCustomer Service Claims ProcessorSan Francisco, CAFull timeThe Customer Service Claims Processor is focused on providing customer service via call handling to participants, beneficiaries, union locals and providers regarding eligibility, benefits and claims status in conjunction with claims processing as business needs dictate. We are currently looking for a dedicated, energetic employee with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day.
Zenith American SolutionsSupervisor, Claims Zenith American SolutionsSupervisor, ClaimsSan Francisco, CAFull timeZenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide. We are currently looking for a dedicated, energetic employee with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day.
Computer Task Group, IncEpic PB Claims Computer Task Group, IncEpic PB ClaimsSan Mateo, California$75–$85 / hourDescription: CTG is seeking a certified Epic Professional Billing (PB) Claims Build Analyst with 3+ years of hands-on build experience to support the design, configuration, and optimization of Epic billing and claims workflows. About Us: CTG, a Cegeka company, delivers IT and business solutions that enhance clients’ digital agility, empowering them to seize new opportunities and overcome any challenge.
Partnership HealthPlan of CaliforniaClaims Customer Service Representative I Partnership HealthPlan of CaliforniaClaims Customer Service Representative IFairfield, California$24.13–$29.56 / hourTo accurately research and process paper and electronic medical, outpatient, ancillary, long term care, CHDP, encounter data and paper crossover/other coverage claims within established time frames, applying appropriate program policies related to claims processing and analysis. Overview: To research and resolve provider telephone and written inquiries within established time frames, accurately screen claims, and participate in provider meetings and projects.
Washington Hospital Healthcare SystemContracts and Legal Claims Specialist Washington Hospital Healthcare SystemContracts and Legal Claims SpecialistFremont, CA$50.42–$68.08 / hourSubpoena intake and management for the healthcare system, ensuring timely and accurate response to subpoenas and related data requests and coordinating with legal counsel and internal departments and external vendor to manage the subpoena lifecycle Daily management of the health system's Public Record Request website and coordinate with the appropriate stake holders and legal counsel to ensure compliance with regulatory requirements for responding to requests. The Contracts and Legal Claims Specialist is also responsible for coordinating claims and legal matter in collaboration with Vice President, outside legal counsel, insurance carriers and internal stakeholders.
Pyramid Consulting, IncOracle Healthcare Business Consultant (Python / Claims) Pyramid Consulting, IncOracle Healthcare Business Consultant (Python / Claims)Foster City, CA$55–$60 / hourBy applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Develop scalable datasets, data models, and reporting structures supporting healthcare operations and claims analysis .
Partnership HealthPlan of CaliforniaClaims Examiner II Partnership HealthPlan of CaliforniaClaims Examiner IIFairfield, California$30.38–$36.46 / hourFollows established Partnership policies and procedures, Partnership Claims Operating Instruction Memorandums, State of California Medi-Cal Provider Manual guidelines, Title 22 regulations, and CMS guidelines when resolving pended claims. The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform.
San Francisco Health PlanManager, Claims Operations San Francisco Health PlanManager, Claims OperationsSan Francisco, CA$140,000–$150,000 / yearSFHP is chosen by eight out of every ten San Francisco Medi-Cal managed care enrollees and its 175,000+ members have access to a full spectrum of medical services including preventive care, specialty care, hospitalization, prescription drugs, and family planning services. Established in 1997, San Francisco Health Plan (SFHP) is an award-winning, managed care health plan whose mission is to provide affordable health care coverage to the underserved low and moderate-income residents in San Francisco County.