Insurance Verification Specialist jobs in Monterey, CA

Insurance Verification Specialist is responsible for the pre-verification of insurance for patients being admitted into the hospital for care. Ensures insurance coverage by telephone, resolves any issues with coverage and escalates complicated issues to a supervisor or manager. Being an Insurance Verification Specialist interviews patients and completes all paperwork necessary to ensure the admitting process is efficient and all hospital and regulatory policies are in compliance. May require a bachelor's degree in area of specialty. Additionally, Insurance Verification Specialist typically reports to a supervisor or manager. To be an Insurance Verification Specialist typically requires 2 to 4 years of related experience. Gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. (Copyright 2024 Salary.com)

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Quality Verification Transmission Specialist, Expert (Moss Landing)
  • pacificgastest.valhalla.stage
  • Salinas, CA FULL_TIME
  • Requisition ID # 70244 

     

    Job Category : Maintenance / Construction / Operations 

    Job Level : Individual Contributor

    Business Unit: Electric Operations

    Job Location : Salinas

     

    Department Overview

     

    The Electric Operations Transmission Compliance Team provides oversight for Operations and Planning (O&P) and Critical Infrastructure Protection (CIP) electric transmission regulatory requirements per FERC, NERC, and WECC. This includes ensuring that all NERC O&P and CIP Standard compliance requirements are known, have documented processes, and that evidence of compliance exists. The Transmission Compliance department is the primary liaison between PG&E Electric Operations Line of Businesses and WECC, NERC, and FERC Regulatory agencies. Additionally, the Transmission Compliance Team is the primary liaison with FERC, NERC, and WECC for audits, events, data requests, self-reports, etc.

     

     

    Job Summary

     

    The Electric Quality Verification (QV) Specialist conducts field assessments on PG&E’s electric transmission, substation, and distribution facilities to improve reliability by performing quality verification activities. These work assessments may focus on verifying the quality of:

    • Substation inspection and maintenance activities in accordance with Substation Maintenance & Construction Manual (SMC Manual) TD-3322M, NERC Standards FAC-003, PRC-005, CIP-006, CIP-014, FAC-501-WECC and California Utilities Commission CPUC G.O. 174 Inspection Activities / Record Keeping & Retention
    • Construction work performed by construction crews in conjunction with emergency and planned Line Corrective (LC notifications to ensure facilities are repaired/constructed per the requirements of PG&E Construction Standards and CPUC G.O. 95. Ensure accuracy and completion of construction documentation and proper order closure.
    • Ability to travel within the PG&E service territory
    • Perform quality verification of inspections performed in substations prior to CPUC, CAISO, WECC audits
    • Serve as Company liaisons to external regulatory agencies (CPUC, CAISO, WECC, NERC)
    • Overhead (OH) and underground (UG) inspections as required by CPUC GO 165.
    • Construction work performed by division construction crews in conjunction with emergency and planned Electric Corrective (EC) notifications to ensure facilities are repaired/constructed per the requirements of PG&E Construction Standards and CPUC G.O. 95 and 128
    • Compliance and construction supervisors completed work verifications of the inspectors and crews completed work.
    • Construction jobs, the associated documentation and proper order closure.

     

     

    Job Responsibilities

     

    • Works independently, utilizing advanced knowledge of electric utility regulatory standards including FERC, NERC, WECC, CAISO and CPUC general orders to complete deep reviews and analysis of maintenance construction work.
    • Considered a technical expert in substation or transmission, or distribution line and regularly referenced by the LOB
    • Provides comprehensive recommendations for leadership.
    • Partners with PG&E internal leaders on identifying root causes, trends, process improvements and in implementing solutions.
    • Provides assistance and coaching to lower level peers, including on the job training for new Senior Specialists. Handles questions regarding more complex verification situations.  Acts as a technical resource for Compliance, Substation and Construction field supervisors.
    • Validates quality of completed work by maintenance and construction crews and compliance inspectors using advanced knowledge of maintenance and construction standards and CPUC general orders.  Leads cross-functional special projects or initiatives.  Is the go-to lead and subject-matter expert. 
    • Facilitates post verification review meetings.  Summarizes and presents complex findings to leaders.  Uses advanced communication skills to determine appropriate content for target audience.  Conveys findings and recommendations seeking buy in on recommendations.  Develops new methods for communicating issues, concerns and best practices.
    • Understands, demonstrates, and coaches lower level peers on all company and regulatory safety practices and requirements.
    • Responsible for resolving gaps between external requirements and internal standards.
    • Establishes new processes for emergent quality verification audit requests
    • Facilitates updates to Call book with new calls that requires research of FERC, WECC, NERC, CAISO, and CPUC General Orders and maintenance and Construction Standards
    • Conduct quality verification audits in Divisions where a Specialist has vacated
    • Trains all electric lines of business on all PG&E maintenance and construction and inspection standards
    • Leads safety discussions in the field or service centers with Electric Transmission Superintendents, Supervisors, Crew Foremen, Crews, QA Specialist line crews, Compliance Inspectors, and supervisors
    • Interfaces with Senior Leadership to discuss audit scope and relevant audit results.

     

     

    Qualifications

     

    Minimum

    High school or GED.

    Minimum of 7 years of relevant experience in engineering, manufacturing, construction, field maintenance operations, or related electric utility experience

    California Driver’s License.

    Qualified Electrical Worker (QEW).

    Completion of a federal or state sanctioned line worker apprenticeship with approved supporting documentation (e.g. IBEW Journeyman Lineman A Ticket) and/or union or union-affiliated sponsored line worker apprenticeship or equivalent

     

    Desired

    Bachelor’s degree in related field.

    Previous PG&E experience as a, Journey Lineman, Substation Lead, Journeyman Electrician, Field Engineer Technician, M&C Coordinator, Quality Auditor.

    Experience in substation maintenance & construction, or transmission line maintenance & construction, quality assurance or quality control/verification auditing

    Previous PG&E experience as a Compliance Inspector, Journey Lineman, Field Engineer Technician, M&C Coordinator, Quality Auditor.

    Experience in compliance inspection, distribution maintenance & construction, quality assurance or quality verification auditing.

    Experience in conducting root cause investigations

     

  • 10 Days Ago

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Agri Business Underwriting Specialist
  • Capital Insurance Group
  • Monterey, CA FULL_TIME
  • Why CIG? At Capital Insurance Group we offer our employees more than just a job. We foster career growth, provide opportunities to give back to our communities, and help you take the next step in your...
  • 12 Days Ago

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Insurance Agent (Sales, Customer Service)
  • Freeway Insurance
  • Salinas, CA FULL_TIME
  • *UP TO A $3,500 Sign-On Bonus!We provide all of our licensed agents with lead opportunities, in person, over the phone, and online to truly maximize commission potential. Continue your insurance caree...
  • 1 Month Ago

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Insurance Sales Account Specialist - Training Provided!
  • Aflac
  • Salinas, CA CONTRACTOR,FULL_TIME
  • This is a truly rewarding Business-to-Business position that offers one of the strongest compensation structures in the industry, flexible schedules with no nights, weekends or holidays. Are you ready...
  • 8 Days Ago

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Senior Software Verification Engineer- Operations
  • Joby Aviation
  • Marina, CA FULL_TIME
  • Joby OverviewLocated in Northern California, the team at Joby Aviation is driven by our goal of creating an affordable, all-electric air transportation system. Imagine a piloted air taxi that takes of...
  • 1 Month Ago

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Insurance Agent (Sales, Customer Service)
  • Freeway Insurance Services America, LLC
  • Salinas, CA FULL_TIME
  • Sign-On Bonus Opportunity of up to $3,500* Pay Range: $50000 - $110000 / year Our Perks: Unlimited/Uncapped commission Lucrative incentive sales plans, bonuses and sales contests No Cold Calling- We h...
  • 29 Days Ago

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0 Insurance Verification Specialist jobs found in Monterey, CA area

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Travel Nurse RN - Home Health - $1,826 per week
  • Hiring Now!
  • Monterey, CA
  • Fusion Medical Staffing-Home Health is seeking a travel nurse RN Home Health for a travel nursing job in Monterey, Calif...
  • 4/23/2024 12:00:00 AM

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Travel Radiology Technologist - $3,171 per week
  • Hiring Now!
  • Monterey, CA
  • PHP is seeking a travel Radiology Technologist for a travel job in Monterey, California. Job Description & Requirements ...
  • 4/23/2024 12:00:00 AM

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Event Coordinator
  • California State University
  • Monterey, CA
  • Event Coordinator Job no: 533668 Work type: Staff Location: Monterey Bay Categories: Unit 7 - CSUEU - Clerical and Admin...
  • 4/22/2024 12:00:00 AM

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Senior Billing Operations and Rate Analyst
  • Central Coast Community Energy
  • Monterey, CA
  • Salary : $91,548.00 - $140,844.00 Annually Location : Monterey, CA Job Type: Full-Time 1 Remote Employment: Flexible/Hyb...
  • 4/22/2024 12:00:00 AM

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Human Resources Analyst
  • Central Coast Community Energy
  • Monterey, CA
  • Salary : $74,904.00 - $115,237.00 AnnuallyLocation : Monterey, CAJob Type: Full-Time 1Remote Employment: Flexible/Hybrid...
  • 4/22/2024 12:00:00 AM

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Code Compliance Specialist
  • City of Santa Cruz, CA
  • Santa Cruz, CA
  • Salary : $6,072.00 - $8,544.00 Monthly Location : City of Santa Cruz, CA Job Type: Regular Full-Time Job Number: 24-076 ...
  • 4/21/2024 12:00:00 AM

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Travel Vascular Sonographer - $3,362 per week
  • Hiring Now!
  • Monterey, CA
  • PHP is seeking a travel Vascular Sonographer for a travel job in Monterey, California. Job Description & Requirements Sp...
  • 4/21/2024 12:00:00 AM

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Driver
  • MV Transportation
  • Seaside, CA
  • Overview: If you reside in California, please see our California Applicant Privacy Policy for more information about our...
  • 4/1/2024 12:00:00 AM

Founded on June 3, 1770, Monterey (Spanish: Monterrey) was the capital of Alta California under both Spain and Mexico until 1850. Monterey hosted California's first theater, public building, public library, publicly funded school, printing press, and newspaper. Monterey was the only port of entry for taxable goods in California. In 1846, the U.S. flag was raised over the Customs House, and California became part of the United States after the Mexican–American War. The city is located in Monterey County in the U.S. state of California, on the southern edge of Monterey Bay on California's Cent...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Insurance Verification Specialist jobs
$41,129 to $51,817
Monterey, California area prices
were up 2.5% from a year ago

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The section work experience is an essential part of your insurance verification specialist resume.
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Insurance Verification Specialist in Laramie, WY
Wide experience with all public and private health insurance practices and policies.
February 04, 2020
Insurance Verification Specialist in Mobile, AL
Key skills listed on a resume include – insurance claims expertise, experience working with insurance companies; extensive knowledge of different types of coverage and policies, excellent multitasking skills, and the ability to maintain accurate patient insurance records.
January 20, 2020