Claims Examiner II - Fairfield, California, United States

To review, research, and resolve claims for all Medi-Cal claim types within established production and quality standards. · ...

+To review research and resolve claims for all Medi-Cal claim types within established production quality standards generates provider communication routes tracks claims requiring review by other staff departments processes when possible. · +Reviews researches resolves pended cla ...

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, ...

We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. · Bachelor's degree from an accredited college or university preferred. · Professional certification as applicable to line of business preferred. · ...

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, ...

The company offers an opportunity for a Senior Claims Examiner position in California Workers' Compensation. · Manage a caseload of lost time claims. · ...

Description · Please make sure that you complete all the questions and navigate to the end of the application to sign the application. · JOB SUMMARY: · Investigates, evaluates, disposes, and settles moderately complex to complex/high exposure claims. Includes the investigation, e ...

Investigates, evaluates, disposes and settles complex claims. Includes investigation and evaluation of coverage. · Processes complex claims consistent with clients' policies. · Analyzes claim exposure and determines a plan of action to mitigate the claim. · ...

Description · This position will be Hybrid · BE SURE TO SIGN THE APPLICATION WHEN YOU APPLY · JOB SUMMARY: · Investigates, evaluates, disposes and settles moderately complex to complex/high exposure claims. Includes the investigation, evaluation and determination of coverage, com ...

+Job summaryBy joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. · We invite you to grow your career with us, experience our caring culture, and enjoy work-life b ...

By joining Sedgwick, you'll be part of something truly meaningful. It's what our colleagues do every day for people around the world who are facing the unexpected. · ...

By joining Sedgwick you'll be part of something truly meaningful It's what our colleagues do every day for people around the world who are facing the unexpected We invite you to grow your career with us experience our caring culture and enjoy work-life balance Here there's no lim ...

· Overview · To support the Claims Department in maintaining pended claims and claim adjustments within established guidelines. Reviews and processes complex claims, and supports claims examining. · Responsibilities · Researches and processes claim adjustment requests. · Partici ...

· Overview · To supervise the Medi-Cal Claims Specialists and Examiners. Ensures delivery of highest level of customer service to the community and its medical providers. · Responsibilities · Supervises the Medi-Cal claims specialists and examining staff. Daily supervision of th ...

· 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. · Responsibilities · Train all levels of staff on all claim types on-site or ...

The City of Fairfield is accepting applications for Human Resources Technicians. This recruitment will remain open until February 17, 2026. · Human Resources supports the unique needs of all City departments through recruitments, employee orientation and trainings, · performance ...

The County invites all qualified candidates to apply for positions; however pursuant to Government Code Section 21221(h) and 21224, hiring restrictions may apply to California Public Sector Pension Plan Retirees. · ...

The City of Fairfield is accepting applications for Human Resources Technicians who will support various employee programs and provide excellent customer service to employees and local communities.Prepare job announcements and review applications for employment. · Respond to ques ...

The City of Fairfield is accepting applications for Human Resources Technicians. The selected candidate will support various employee benefit programs, conduct new employee orientations, process new hire paperwork and interact with benefit plan providers and employees. · Prepare ...

The City of Fairfield is accepting applications for Human Resources Technicians who are key to supporting the unique needs of all City departments through recruitments, employee orientation and trainings. · ...