Your Role The Federal Employee Program (FEP) Care Management team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with their care including a multidisciplinary team and the member's treating physicians. The Registered Nurse Case Managemen

Your Role The Care Management team will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager will report to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures including coordination o

Claims Manager TPA Remote Job Locations US CA LOS ANGELES Job ID 2024 3803 Category Claims Type Regular Division Surplus & Specialty Crum & Forster Company Overview Crum & Forster (C&F) with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial

Gather data and File third party property damage claims, third party injury claims, automobile accident claims, property claims, and workers compensation claims with the carrier. Attend all claims reviews, track action items and provide follow up reports. Work with director of risk, claims manager, and legal counsel on litigated claims. Maintain a temporary disability log

Apply if looking for Flexibility and Financial Freedom

Apply if looking for Flexibility and Financial Freedom

Apply if looking for Flexibility and Financial Freedom

Apply if looking for Flexibility and Financial Freedom

Apply if looking for Flexibility and Financial Freedom

Must have High school diploma, GED or equivalent required, Two year degree preferred. Minimum of 3 years previous experience working for a Health Plan, IPA, or other Managed Care Organization. Minimum of 2 years previous direct experience that included verifying and maintaining provider information and provider contract configuration in a managed care transaction system .

Senior Claim Examiner Workers Compensation (CA) Requisition ID 2024 25313 Job Locations US CA Brea Position Type Regular Full Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary GREAT WORK FROM HOME CAREER OPPORTUNITY! Seeking candidates with experience managing CA WC claims! SIP is a requirement! Bonus Opportunities! Multiple

Senior Claim Examiner Workers Compensation (CA) Requisition ID 2024 25333 Job Locations US CA Brea Position Type Regular Full Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary GREAT WORK FROM HOME CAREER OPPORTUNITY! Seeking candidates with experience managing CA WC claims! SIP is a requirement! Bonus Opportunities! Multiple

Take on an important role within an award winning health organization. Help ensure the efficient operation of a complex health system. Take your career to the next level. You can do all this and more at UCLA Health. You will receive urgent, routine, pre service, and retro authorization requests, as well as process prior authorization requests with accuracy and timeliness.

Who We Are Join a team that puts its People First! Since 1889, First American (NYSE FAF) has held an unwavering belief in its people. They are passionate about what they do, and we are equally passionate about fostering an environment where all feel welcome, supported, and empowered to be innovative and reach their full potential. Our inclusive, people first culture has e

Working under the direction of the Director, Business Applications & Analytics, this position is responsible for performing alpha and numerical data entry and data verification functions according to established procedures using Teleform, member research in IDX, and mailing of correspondence. The Claims Verifier will perform duties in accordance with guidelines set forth