Claim Examiner jobs in California

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SENIOR MEDICAL CLAIMS EXAMINER/AUDITOR

Easy Apply now by clicking the "Apply Now" buttonand sending us your resume.Salary: $60,000 - $70,000 per yearA bit about us:Our client is looking for experienced Medical Claims Examiners and Auditors for immediate, long term need...

CompanyJobot
AddressLos Angeles, CA
CategoryAccounting/Finance
Job typeFull-Time
Date Posted 7 days ago See detail

Senior Medical Claims Examiner/Auditor

Jobot

Los Angeles, CA

Easy Apply now by clicking the "Apply Now" buttonand sending us your resume.Salary: $60,000 - $70,000 per yearA bit about us:Our client is looking for experienced Medical Claims Examiners and Auditors for immediate, long term need...

Senior Claims Examiner

K2 Claims Services, Llc

San Diego, CA

$80,000.00 to $100,000.00 hourly

Adhering to state-specific regulations and K2 Claims Best Practices. Managing a range of liability claims, from straightforward to complex, such as dog bites, slip/falls, and general business disputes. Conducting thorough investi...

Claims Examiner - Workers Compensation

Nesco Resource

Long Beach, CA

$40.00 to $47.00 •

Description: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 wi...

Claims Examiner - Workers Compensation

Nesco Resource

Brea, CA

$35.00 to $46.00 •

Professional certification as applicable to line of business preferred.ExperienceFive (5) years of claims management experience or equivalent combination of education and experience required.Skills & KnowledgeSubject matter expert...

Hospital Claims Examiner - Hybrid role in El Segundo, CA

Optum

El Segundo, CA

$19.47 - $38.08 an hour

Consistently exhibits behavior and communication skills that demonstrate HealthCare Partners (HCP) commitment to superior customer service, including quality, care and concern with each and every internal and external customer. U...

Senior Claims Examiner

Alliance Member Servic

Santa Cruz, CA

$82,000 - $176,000 a year

Determines coverage(s) applicable to loss. Investigates, manages and resolves claims in a timely, unbiased and informed manner in compliance with company policies, state laws and regulatory performance standards. Sets and maintain...

Claims Examiner - Workers Compensation

Nesco Resource

Orange, CA

$40.00 to $45.00 •

Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level. The statements contained in this document are intended to describe the general nature...

Student Summer Externship - Claims Examiner Processing

Kern Health Systems

Bakersfield, CA

$19 an hour

Learn the use of the QNXT Claims Payment System. Learn what is a Medical Claim and the coding/formatting. Utilizing tools, process certain types of Medical Claims. Learn to be a team player and be able to work independently. Must...

Property Claims Examiner I - Work from Home

Mercury Insurance Services, Llc

Los Angeles, CA

$25.29 - $44.18 an hour

Provides complete, courteous, and timely customer service to aid in the settlement process and maintain customer satisfaction. Maintains knowledge of current Company policy, claim developments, procedural changes, and current valu...

Claims Examiner

Diversified Technologies Inc.

Whittier, CA

$22 - $23 an hour

Job Location:9557 Greenleaf Avenue. Description:JOB TITLE: Claims Examiner Days. EDUCATION/EXPERIENCE/TRAINING:. High school graduate or equivalent required. Must have physical proof on hand if background check is unable to veri...

Claims Examiner I

Apollomed

Monterey Park, CA

Performs through review of pended claims for billing errors and/or questionable billing practices that might include duplicate billing and unbundling of services. Processes non-institutional claim types for all line of business (M...

Claims Examiner I

Astrana Health

Monterey Park, CA

Performs through review of pended claims for billing errors and/or questionable billing practices that might include duplicate billing and unbundling of services. Processes non-institutional claim types for all line of business (M...

Stop Loss Medical Claims Examiner

Alliant Insurance Services

San Diego, CA

$72,000 - $110,000 a year

Establishes proof of loss by reviewing medical documentation presented, requesting additional information from sources such as administrators, brokers, hospitals, physicians, etc.;. Reviews claims using a variety of file/informati...

Claims Examiner II

Partnership Healthplan Of California

Fairfield, CA

$24.73 - $30.29 an hour

Reviews, researches, and resolves pended claims for Medi-Cal types: medical, ancillary, long term care, CHDP, encounter data, other coverage, and batch claims within established production and quality standards. Completes claims f...

Claims Examiner

Promisecare Management

Hemet, CA

$17 - $21 an hour

Interprets contract coverage for medical HMO claims. Review and interpret provider contracts to properly adjudicate claims. Review and interpret Division of Financial Responsibility (DOFR) for claims processing. Perform delegated...

Claims Examiner - Workers Compensation

Nesco Resource, Llc

Rancho Cucamonga, CA

PRIMARY PURPOSE: 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 cla...