Jobs near Oakland: 9,177
RS
Relevance Score ranked on: CLAIMS
Claims Adjudicator II
Walnut Creek
Adjusts and Adjudicates multiple lines of business for first pass in a timely manner to ensure compliance to departmental and regulatory turn-around time and quality standards. Reviews claims and makes payment/adjustment determination to ensure all components, ie., member, provider, authorization, cl...
Search Terms: Claims, Processing, Medical, Healthcare, Business Services
85.2
10mi
Updated: June 20
EDI Unit Assistant / Electronic Data Interchange - Medical Claims
Emeryville
The EDI Unit Assistant position in the EDI is responsible for all aspects of EDI production for UCSF Medical Center Patient Financial Services (PFS), Medical Group Business Services (MGBS), UCSF Benioff Children’s Hospital Oakland (BCHO), Hospice by the Bay, Community Connect and UCSF Physicians Grou...
Search Terms: Electronic, Claims, Medical, Assistant, Data
83.3
5.2mi
Updated: June 16
Claims Account Manager, NAC
San Francisco
Work with our TPA’s to ensure proper claims handling and service delivery, which includes:Performing claims oversight on claims with an expected value over $50,000 for guaranteed cost policies and at 50% of the retention for deductible and self insured business. Attend mediations and trials. Granting...
Search Terms: Account Manager, Claims, Workers Compensation, Manager, Service Manager
82.5
11mi
Updated: May 21
Large Loss Property Field Claims Adjuster (CA)
San Francisco
At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities that will put customers at the center of what we do best – protecting and restoring their dreams when they need us most. We're leveraging our expertise, technology and new ways o...
Search Terms: Field, Claims, Adjuster, Property, Manufacturing
82.4
11mi
Updated: May 19
Property Claims Field Trainee Ideal candidate in East Bay - Alameda or Contra Costs County California
Fremont
If you're passionate about helping people restore their lives when the unexpected happens to their homes and providing the best customer experience, then our Mercury Insurance Property Claims team could be the place for you! Upon completion of the trainee program, ideal candidates will transition int...
Search Terms: Field, Claims, Property, Trainee, Customer Experience
81.9
19mi
Updated: June 03
Workers' Compensation Claims Examiner
Concord
To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requ...
Search Terms: Claims, Worker, Compensation, Examiner, Client Relations
81.7
16mi
Updated: May 22
Business Analyst II - Claims
WALNUT CREEK, 2121 N CALIFORNIA BLVD, 7TH FL
Analyzes business needs to determine optimal means of meeting those needs. Determines specific business application software requirements to address specific business needs. Works with programming staff to ensure requirements will be incorporated into system design and testing. Acts as liaison with u...
Search Terms: Business Analyst, Business Operations, Claims, Business, Analyst
80.4
10mi
Updated: June 22
Workers Compensation Claims Team Lead | Concord, CA (Hybrid)
Concord
To supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; an...
Search Terms: Workers Compensation, Team Lead, Claims, Claims Supervisor, Worker
77.8
16mi
Updated: May 22
Field Commercial Property Adjuster
Oakland
AmTrust Financial Services, a fast-growing commercial insurance company, is seeking a Property Claim Technical Field Adjuster to respond to the needs of our customers in the Southeast. As part of the Property line of business, the Property Claim Technical Field Adjuster is responsible for investigati...
Search Terms: Property Adjuster, Commercial, Field, Adjuster, Property
70.2
0mi
Updated: June 19
Claim Specialist - Property Field Inspection
San Francisco
This position is for a Property Field Inspection Claim Specialist, handling accidental and weather-related homeowners, commercial, and large loss claims. You will be the first point of contact to meet with our insureds, explain coverage, estimate damages, and help them through the claims process whil...
Search Terms: Field, Inspection, Specialist, Property, Claims
67.4
13mi
Updated: June 22
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