Medical 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 2 weeks 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...

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...

Medical Claims - Call Center Representative

Scufcw Trust Fund

Cypress, CA

Handle all general telephone and walk-in inquires including but not limited to status, complaints, eligibility, benefits, etc.2. Perform other job related duties/special projects as assigned.Qualifications: High School diploma or...

Claims Examiner - Workers Compensation

Bcforward

Sierra Madre, CA

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...

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...

Remote Medical Claim Review LVN - Work PST Hours

Molina Healthcare

Long Beach, CA

$21.60 - $46.81 an hour

Performs clinical/medical reviews of retrospective Medical Claim Reviews, Medical Claims and previously denied cases, in which an appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims p...

Retired Law Enforcement or Medical Examiner

Valor Technical Cleaning Llc

Los Angeles, CA

$200,000 - $250,000 a year

Sales Rep averages $225k+ at plan (Base + Commission). Equity incentive structure after 1 year of successful market growth.. Presidents Club International Trip for top performers.. Dental insurance. Flexible schedule. Health insur...

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...

Senior Medical Claim Adjuster

Scufcw Trust Fund

Anaheim, CA

Interface and effectively manage participants, providers, vendors and other external clients when required in person or via email, telephone or other written.8. Adhere to the companys attendance policy.Qualifications:High Schoo...

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...

CA Medical Only Claims Specialist

Corvel Corporation

Folsom, CA

$15.98 - $25.69 an hour

Receives claims, confirms policy coverage and acknowledgement of the claim. Determines the validity and compensability of the claim. Establishes reserves and authorizes payments within established reserving authority limits. Commu...