896 jobs found in california

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Combine two of the fastest - growing fields on the planet with a culture of performance, collaboration, and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making Healthcare data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing  your life’s best work.SM The  Senior Recovery / Resolution Analyst  will work with a team on researching issues to determine feasibility of reducing medical costs through prospective solutions of claim system processes and claim business rules. This position is full-time (40 hours/week) Monday - Friday. Employees are required to work our normal business hours of 8:00am – 5:00pm in residing time zone. It may be necessary, given the business...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) If you are located in Ontario, CA, you will have the flexibility to telecommute* as you take on some tough challenges.  Primary Responsibilities: Accurately process institutional claims Responsible for editing and adjusting of claims per the EDI daily audit report Analyze and adjudicate claims to ensure accurate payment Interpret Fee for Service (FFS) and capitated provider contracts Review...

Summary The primary focus of the Client Administrator is to provide technical support to Client Executives and to clients in maintaining Business Insurance insurance policies in accordance with the objectives and procedures outlined by the Business Insurance Procedures Manual and by the Director, Client Services. Essential Duties & Responsibilities Process paperwork for new and renewal business to include: Applications and other documents required for a submission Binders Certificates of Insurance Policies Invoices Finance Agreements Endorsements Audits Perform account reconciliation. Review Loss Runs and Claim Status Reports.  Order any missing  loss runs or request updated loss runs as needed for marketing submission. Prepare Summary Of Insurance. Have good verbal and written communication skills for both client and internal communication. Maintain client files.  File all documentation in ImageRight per regions filing guidelines. Manage Tasks...

Department: Employee Health & Benefits Status: Non-Exempt Reports To: Client Service Executive Summary Work directly with Client Service Team (Client Managers, Client Executives and Principals) to provide a high level of client support in response to routine client requests and needs, act as liaison with carriers, and maintain client and carrier information.  Essential Duties & Responsibilities Support the Client Service Team with the renewal process. Gather client census data, current / renewal plan design and rate information, historical claims experience data, and any additionally related materials required to prepare RFP for client renewals and prospective groups. For specifically assigned clients, provide Benefit Service Associates with RFP information and respond to questions for clarification if needed.  For all other client RFP’s, follow processes and procedures to market clients for renewal process. Analyze market proposals received to verify...

Gallagher is a global leader in insurance, risk management and consulting services. We help businesses grow, communities thrive and people prosper. We live a culture defined by The Gallagher Way , our set of shared values and guiding tenets. A culture driven by our people, over 30,000 strong, serving our clients with customized solutions that will protect them and fuel their futures. Position Summary: The Branch Client Service Manager II is accountable for delivering high quality and efficient service to both internal and external clients through the day-to-day account management of an assigned group of accounts within a Branch that consistently meets or exceeds CSO revenue benchmark expectations. This role reports directly into either the Branch Client Service Director or the Branch Client Service Supervisor. Key Responsibilities: The Branch Client Service Manager II directly contributes to key business outcomes such as client retention, client satisfaction,...

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. It’s that time, isn’t it? You’re ready for the next step forward and an opportunity to build on your skills.  And it just so happens that there’s never been a better time to get on the team at UnitedHealth Group . We’ve built one of the world’s most effective and respected claims processing teams. And that’s where you come in. We’ll look to you to maintain our reputation for service, accuracy and providing a positive claims experience. We’ll back you with the great training, support and opportunities you’d expect from a Fortune 10 company leader. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:00am - 5:00pm). It may be necessary, given the business need, to work occasional overtime.  *All Telecommuters will be required to...

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. It’s that time, isn’t it? You’re ready for the next step forward and an opportunity to build on your skills.  And it just so happens that there’s never been a better time to get on the team at UnitedHealth Group . We’ve built one of the world’s most effective and respected claims processing teams. And that’s where you come in. We’ll look to you to maintain our reputation for service, accuracy and providing a positive claims experience. We’ll back you with the great training, support and opportunities you’d expect from a Fortune 10 company leader. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:00am - 5:00pm). It may be necessary, given the business need, to work occasional overtime.  *All Telecommuters will be required to...

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. It’s that time, isn’t it? You’re ready for the next step forward and an opportunity to build on your skills.  And it just so happens that there’s never been a better time to get on the team at UnitedHealth Group . We’ve built one of the world’s most effective and respected claims processing teams. And that’s where you come in. We’ll look to you to maintain our reputation for service, accuracy and providing a positive claims experience. We’ll back you with the great training, support and opportunities you’d expect from a Fortune 10 company leader. This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of (8:00am - 5:00pm). It may be necessary, given the business need, to work occasional overtime.  *All Telecommuters will be required to...

*Ideal candidates will be located in Oxnard, Ventura & Thousand Oaks CA* Sign On Bonus In addition, you will receive a special sign-on bonus in the amount of $5,000.00 (less applicable taxes) in your first or second pay.Should you voluntarily terminate your employment prior to one year of service, you will be required to repay a prorated portion of the sign-on bonus, based on the number of months worked. Job Summary: Responsible for creating a comprehensive estimate of damages for 1st and 3rd party material damage claims leading to the proper disposition. This role is utilized as a peer mentor having mastered our processes and obtained technical expertise. Key Responsibilities: Exhibits mastery estimating fundamentals in order to create estimates of damages on 1st and 3rd party material damage losses of all severities Applies mastered content in interpretations of all policy types written by the company and assists leadership in formal and ad hoc training...

Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond expectations in the continuous pursuit of a better way. Position Summary: Investigates, evaluates, disposes and settles the most complex claims and highest exposures with minimal supervision. Includes the investigation, determination and evaluation of coverage, liability and damages, and the setting of proper reserves. Incumbents at this level typically hold claims reserve and settlement authority of up to $10,000 liability and/or $25,000 workers compensation or greater. Essential Duties & Responsibilities: Exercises proper judgment and decision making to analyze the claims exposure, to determine the proper course of action and to appropriately settle the...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)   Positions in this function research and investigate key business problems through quantitative analyses of utilization and healthcare costs data. Provides management with statistical findings and conclusions. Identifies potential areas for medical cost improvements and alternative pricing strategies. Provides data in support of actuarial, financial and utilization analyses. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.     Primary Responsibilities:  Develop and improve quantitative data analytics and set performance targets Lead projects to completion by...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)   Positions in this function research and investigate key business problems through quantitative analyses of utilization and healthcare costs data. Provides management with statistical findings and conclusions. Identifies potential areas for medical cost improvements and alternative pricing strategies. Provides data in support of actuarial, financial and utilization analyses. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.     Primary Responsibilities:  Develop and improve quantitative data analytics and set performance targets Lead projects to completion by...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)   Positions in this function research and investigate key business problems through quantitative analyses of utilization and healthcare costs data. Provides management with statistical findings and conclusions. Identifies potential areas for medical cost improvements and alternative pricing strategies. Provides data in support of actuarial, financial and utilization analyses. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.     Primary Responsibilities:  Develop and improve quantitative data analytics and set performance targets Lead projects to completion by...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) The Manager Underwriting will develop and implement departmental procedures and maintain high quality standards to ensure Underwriting efficiencies. This individual will develop departmental control expenses within the budget and oversee the assignment of underwriting authority to their reports. They will establish controls to monitor ability to accept risks and determine pricing. The Underwriting Manager will establish audit and monitoring procedures to ensure adequate review of underwriting files. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S., preferably in Connecticut, (Eastern time zone hours (EST) )...

Department: Employee Health & Benefits Status: Exempt Reports To: Client Service Executive Summary The Client Manager provides advice and assistance requiring technical and industry knowledge and client service skills to meet client needs and resolve difficulties.  Client Managers may occasionally perform in the capacity of a Client Executive Service for specifically assigned accounts to oversee the preparation of and providing renewal and new business presentations.  Essential Duties & Responsibilities Act as the initial point of contact for Clients, Carriers and others on the Client Service Team in the following areas: RFP review and preparation. Analysis of utilization reports, carrier reports and claims data and trends. COBRA, HIPAA and coordination of 5500 data. Work closely with and instruct carrier representatives to ensure smooth implementation of new plans. Ensure required plan information and materials are sent to the client in a timely...

At EY, you’ll have the chance to build a career as unique as you are, with the global scale, support, inclusive culture and technology to become the best version of you. And we’re counting on your unique voice and perspective to help EY become even better, too. Join us and build an exceptional experience for yourself, and a better working world for all. Account Manager (FSO) Our Markets function brings together business, sector and account knowledge along with EY competencies and solutions to meet unique client needs.  The Business Development Organization shares and drives an integrated growth strategy across the largest accounts, the industry sectors, solutions and services, demonstrating and achieving a market leadership through a client centric culture. The opportunity The Global Account Manager plays a critical account-focused role within the Business Development organization.  They work cross-functionally to drive and activate effective account management, bring...

Summary The primary focus of the Client Administrator is to provide technical support to Client Executives and to clients in maintaining Business Insurance insurance policies in accordance with the objectives and procedures outlined by the Business Insurance Procedures Manual and by the Director, Client Services. Essential Duties & Responsibilities Process paperwork for new and renewal business to include: Applications and other documents required for a submission Binders Certificates of Insurance Policies Invoices Finance Agreements Endorsements Audits Perform account reconciliation. Review Loss Runs and Claim Status Reports.  Order any missing  loss runs or request updated loss runs as needed for marketing submission. Prepare Summary Of Insurance. Have good verbal and written communication skills for both client and internal communication. Maintain client files.  File all documentation in ImageRight per regions filing guidelines. Manage Tasks...

  Zurich North America is currently hiring a Workers Compensation Staff Legal Secretary to join our team!   The Staff Legal Secretary performs a broad range of administrative and secretarial support for insurance defense.  Zurich is open to hiring talent in the following location: Pasadena, CA.     Responsibilities:  Organizes and maintains all electronic and paper files relating to litigation and administrative matters. Applies knowledge of legal document formats to various Workers Compensation documents. Providing administrative support to 2 attorneys such as answering the phone, scheduling, and maintaining calendars, etc. Responding to inquiries from and interacts with customers, clients, adjusters, counsel, and witnesses.  Drafting legal pleadings, correspondence, and other documents as directed.  Maintaining accurate systems for assigned attorneys' cases.  Organizing and maintaining case files and documentation,...

This position will be located in our Woodland Hills or Rancho Cordova, CA office with ability to work from home a couple of days a week handling claims for California.   The Claims Specialist, with moderate direction will handle  California  Workers Compensation Claims of moderate to high exposure and complexity. This position will resolve claims according to Best Practices and within authority limits by following established protocols to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service.  They will regularly communicate with customers and brokers and may be dedicated to handle claims for specific accounts.     Client Externally Focused - The job’s core deliverables rely on delivering service to external clients and/or customers. Typically involves building relationships and promoting the company.   We are currently considering talent for our...

About Gallagher: Gallagher is one of the world's largest insurance brokerage, risk management services and human capital consulting firms. Every day our clients and prospects face massive challenges across a range of issues. Gallagher's advisors understand an organization and how hard they work to deliver on promises. We act as a global partner to our clients in protecting, restoring, and rebuilding their organization to be sure they are poised for growth and success. Our employees are fueled by teamwork, creativity, and an entrepreneurial spirit. On a global scale, we provide a full range of retail and wholesale property and casualty brokerage and alternative risk transfer services, extensive employee benefit consulting, and actuarial services. Gallagher also offers claims and information management, risk control consulting and appraisal services, human resource consulting, and retirement services to clients around the world. Gallagher was the only insurance brokerage company...