Claims Examiner
Randstad
Claims Examiner
The claims examiner reports directly to the claims manager. They are primarily responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500 claims that are received from PHP affiliated medical groups and hospitals for HMO patients.
Education/Experience/Training:
- High school graduate or equivalent required. Must have physical proof on hand if background check is unable to verify your education.
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Claims Examiner in Whittier, CA vacancy
- ...Claims Examiner – Days LOCATION: 9557 Greenleaf Avenue, Whittier, CA SHIFT: Monday - Friday - 07:00am - 03:30pm PLEASE NOTE ORIENTATION TIME MAY DIFFER THAN SHIFT TIMES LISTED DURATION - 13 weeks 2 YEARS EXPERIENCE REQUIRED - MUST BE ABLE TO VERIFY HS DIPLOMA...SuggestedContract workWork at officeMonday to FridayShift work
$24 per hour
...Job Opportunity Contract role. Contract to hire potential for the right candidate! The claims examiner reports directly to the claims manager. They are primarily responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500 claims...SuggestedContract workWork at office- ...Whittier, CA Contract Duration: 3+ months contract Responsibilities: Review, adjudicate, and process medical claims for HMO patients Work closely with affiliated medical groups and hospitals Evaluate provider reimbursement terms and flag non-contracted...SuggestedContract work
$22.99 per hour
POSITION SUMMARY: The claims examiner reports directly to the claims manager. They are primarily responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500 claims that are received from PHP affiliated medical groups and hospitals...SuggestedHourly payPermanent employmentContract workTemporary workWork experience placementWork at officeLocal areaShift work- ...Job Title Job Overview: Requirement/Must Have: ~1+ years of experience in workers' compensation claims management. ~ Strong verbal and written communication skills. ~ Ability to communicate effectively with stakeholders. Responsibilities: Analyzes...Suggested
- ...Descriptions: 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,...Full timeWork at office
- ...Job Title Job 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 within service expectations...Remote work
$28 - $32 per hour
...applicants Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Department: Ops - Claims Ops Compensation: $28.00 - $32.00 / hour Description Job Title: Claims Examiner III Department: Ops - Claims Ops What You'll Do Analyze, process, research, adjust and adjudicate...Hourly payFull timeWork at office- ...Job Description Intro: Are you an experienced Claims Examiner looking for a new opportunity with a prestigious healthcare company? Do you have claims adjudication or facility claims experience in healthcare? Do you want the chance to advance your career by joining a rapidly...Contract work
$64.97k - $111.6k
...that matter most. Grow Your Skills, Grow Your Potential Responsibilities Join our team as a Property Field Inspection Claim Specialist and showcase your expertise in handling accident and weather-related claims for homeowners, commercial properties, and...Work experience placementWork at officeLocal areaRemote workWork from homeFlexible hours$80k - $95k
...The Senior Claims Specialist will report directly to the Director of Risk Management. Duties include overseeing and monitoring the timely response and proper handling of General Liability, Auto and Property claims on behalf of Superior Grocers. Moreover, attendance of...For contractorsWork experience placementWork at office- ...General Liability Claims Examiner II The General Liability Claims Examiner II role is to investigate and resolve liability, auto, property and first party claims. This position resolves claims in accordance with state specific guidelines. The Examiner analyzes claim...Permanent employmentFull timeLocal area
- State Farm is hiring a Property Field Inspection Claim Specialist in Whittier, California. In this role, you will handle accident and weather-related claims for homeowners and commercial properties. Key responsibilities include conducting inspections, collaborating with...Remote jobWork from homeFlexible hours
- Overview Cash/Claims Processor needs 3 years vision billing experience Hybrid Interview onsite Qualifications Vision claims coding and billing and cash apply 3 years vision billing experience Knowledgeable in continuous improvement and problem solving Responsibilities...
- A prestigious healthcare company is seeking an experienced Claims Examiner to join their team. In this role, you will conduct claims analyses, adjudicate medical claims, and verify patient eligibility. The ideal candidate has 2-5 years of claims examining experience, a...
- ...A dynamic insurance claims adjusting firm in California is seeking Independent Insurance Claims Adjusters to join their team. This fulfilling career offers extensive training for both seasoned professionals and newcomers, allowing you to make a meaningful impact while...Flexible hours
- ...A leading claims adjusting firm is seeking Independent Insurance Claims Adjusters due to increased demand in storm recovery. The role offers comprehensive training, flexibility, and competitive compensation. Candidates should be Licensed Claims Adjusters with prior experience...
- SUMMARY The Administrator is responsible for the overall daily management and operation of the clinic. The Administrator reports directly to first line regional operational management which may be an Area Director, Regional Director, or Vice President of Operations...Full timePart timeWork at officeLocal area
$85k - $105k
...Workers Compensation Claims Examiner 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...Work at officeRelocation packageFlexible hours- ...Claims Examiner Days Must have listed claims reimbursement experience. Must have DOFR. Must have processed lab claims. Will need 3 supervisor references to submit. Onsite interview required. Location: 9557 Greenleaf Avenue, Whittier, CA. Shift: Monday - Friday - 07:...Monday to FridayShift work
- ...Job Title Job Description: Must have listed claims reimbursement experience Must have DOFR Must have processed lab claims Responsibilities: The claims examiner reports directly to the claims manager. They are primarily responsible for the processing...Contract workWork at office
$68.64k - $85.8k
...exceptional care, despite any challenges, goes beyond just a job; it's a calling that drives us forward every day. Job Overview The Claims Operations Analyst is responsible for the compilation and scrubbing of claims data to analyze, track, and trend various aspects of...Flexible hours$80k - $90k
...Workers Compensation, Claims Examiner 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...Work at officeFlexible hours$90k - $125k
...Job Description General Liability Claims Adjuster Job Summary Seeking a highly skilled and experienced General Liability Claims Adjuster to join a team. This role involves managing a diverse portfolio of claims, including litigated cases, for school districts...Work at office3 days per week$20 - $22 per hour
...Customer Service Representative. This role involves verifying delivery orders, ensuring data accuracy, and assisting with customer claims. The position promises a competitive salary of $20.00 - $22.00, depending on market conditions and final negotiations. Benefits include...Flexible hours- Pacer Group is looking for a Claims Compliance Analyst in Whittier, California. This role involves maintaining positive relationships with health plans and providers, coordinating audit activities, and providing results on non-compliant claims. Candidates should have experience...
$48k - $55k
...Responsibilities: To provide Absence case management and claim adjudications, based on medical documentation and the applicable Disability/FMLA/Paid Family Leave interpretation, including determining benefits due and making timely payments and adjustments....Temporary work- Claims Compliance Analyst Position Summary: Maintains positive working relationships with our internal and external customers, health plans, providers and/or members by seeking a partnership approach that will meet the company goals and vision. The Claims Compliance Analyst...
- A healthcare management firm located in California is seeking a Cash/Claims Processor with at least 3 years of vision billing experience. The role involves managing cash application processes, training associates, and ensuring timely payment application. This position...
$54k - $103k
...DESCRIPTION This individual contributor role operates under moderate direction and within defined authority limits to manage commercial claims of moderate to high complexity and exposure within the General Liability line of business. The position is responsible for...Work experience placementWork at officeLocal areaFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Examiner. Be the first to apply!
Related searches
- insurance claims processor Whittier, CA
- claims consultant Whittier, CA
- remote medical claims processor Whittier, CA
- claims analyst Whittier, CA
- claims assistant Whittier, CA
- claims processor Whittier, CA
- claim examiner Whittier, CA
- claim specialist Whittier, CA
- medical claims auditor Whittier, CA
- claim handler

