Claims Examiner: Healthcare Claims & Denial Resolution
Career Advocates
A healthcare organization in Los Angeles is seeking a Claims Examiner responsible for researching and resolving claims, reviewing denials, and ensuring compliance with regulations. The ideal candidate will analyze claims, identify process improvements, and assist in reporting billing trends. Strong communication skills and familiarity with the Medi-Cal program are preferred. This role offers an opportunity to contribute to departmental improvement initiatives and ensure regulatory adherence. #J-18808-Ljbffr Career Advocates
Vacancy posted 3 days ago
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$116k - $165k
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Los Angeles, CA4 days ago- ...Healtcare Claims Analyst Location: Burbank, CA - Hybrid (local candidates only)... ...to support participants, providers, and healthcare partners. This role handles claims processing... ...and benefits research, issue resolution, process improvement, and staff training...SuggestedFull timeWork at officeLocal areaMonday to Friday
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Pasadena, CA15 days ago $73.05k - $156.96k
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Los Angeles, CA23 days ago - ...Job Title: Claims Examiner - Workers Compensation Location (On-site, Remote, or Hybrid?): Remote in CA Contract Duration: Contract... ...through well-developed action plans to an appropriate and timely resolution. Negotiates settlement of claims within designated...Contract workRemote work
TechLink+
Pasadena, CA5 days ago $25 - $27 per hour
Patient Account Representative, Denials Employment Type: Temporary (conversion potential... ...determine appropriate appeal strategy for each claim. Draft and submit formal written... ...Requirements Minimum 2 years of experience in healthcare billing, collections, or denials...Permanent employmentContract workTemporary workLocal area- Responsibilities Resolve claims by investigating losses through collecting and analyzing... .... Determine insurance coverage by examining claim information, policies, and other records... ...coverage determination claims resolution liability assessment benefits coordination...Work at office
$21.2 - $34.69 per hour
Telephone Claims Adjuster - National General National General is a part of The Allstate... ...Management, Claims Administration, Claims Resolution, Claims Review, Insurance Claims... ...VelaPoint, Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro...Contract workWork at officeVisa sponsorshipWork visa$34 per hour
...Claims Examiner III Location: Pasadena, CA (Hybrid considered after training once performance... ...: Temp to perm Position Overview: A healthcare IPA is seeking an experienced Claims... ...and adjusted claims Claims pricing, denials, and payment determinations Key Responsibilities...Hourly payPermanent employmentTemporary workMonday to FridayNew Leaf Staffing, Inc.
Pasadena, CA15 hours ago- Career Strategies is seeking a Claims Specialist/Analyst to be a customer-facing role in a Health Organization. You will process health... ...County area to be considered. Requires bachelor’s degree in healthcare-related field and 4+ years in claims and heavy call center work...Remote work
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...JOB TITLE: Claims Examiner, Public Entity DEPARTMENT: Claims Services LOCATION: Onsite - Downtown LA COMPANY OVERVIEW: Venbrook... ...claims for public entity clients from assignment through resolution. In this role, you will apply your expertise in litigated auto...Temporary workFor subcontractorWork at officeFlexible hoursVenbrook
Los Angeles, CA2 days ago- ...complex, multi-discipline coverage and claims that have been referred to the special investigation... ...with fraud outcomes to validate whether denial is appropriate* Updates files with... ..., Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing,...Contract workWork at officeRemote workWork from homeVisa sponsorshipWork visa
$23 - $26 per hour
Sycamores in Los Angeles is seeking a Claiming Analyst to manage electronic claiming functionalities within the Electronic Health Record System. This role involves ensuring the accuracy of claims, resolving eligibility issues, and maintaining ‘highest level’ customer service...Hourly pay- The Claims Examiner will be responsible for researchingand resolving pending claims, reviewing claim denials requiring manualreview, and ensuring timely processing in compliance with policies,procedures, and regulatory guidelines. The role involves determiningclaim payments...
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$400k
...Responsibilities Under the supervision of the Vice President of Claims, the Senior Claims Examiner is responsible for managing all aspects of workers’... ...complex and litigated matters, from inception through resolution. This role actively supports and participates in the...Full time- ...Claims Examiner - Workers Compensation | Glendale, CA - Hybrid Are you looking for an opportunity to join a global industry leader where... ...well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the...Work at officeFlexible hours
$80k - $90k
...brands? Primary Purpose of the Role To analyze Workers Compensation claims on behalf of our valued clients to determine benefits due,... ...through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the...Remote jobFlexible hours$23 - $26 per hour
Claiming Analyst - Revenue Cycle Management Job Description Posted Friday, May 22, 2026 at 10:00 AM JOB SUMMARY : Sycamores provides a... ...Health Record System will include but is not limited to working denials, processing voids and claims. DUTIES AND RESPONSIBILITIES...Hourly payWork experience placementLocal area$28 - $32 per hour
...CA 91754 Department: Ops - Claims Ops Compensation: $28.00 - $... ...Description Job Title: Claims Examiner III Department: Ops - Claims... ...plan claims inquiries and give resolution in a timely manner Review... ...least 3 years of applicable healthcare claims adjudication experience...Hourly payFull timeWork at office$28 - $30 per hour
...continuum of services to empower children, youth, and families in Southern California to lead fulfilling lives. Position Overview The Claims Specialist - Quality Assurance and Compliance (QAC) manages client information and funding eligibility of clients billed through...Hourly payContract workWork at officeWorldwide- ...Care Community Health Center in Los Angeles is seeking a Billing Specialist responsible for managing account payments, submitting claims, and following up with insurance companies. The ideal candidate should have experience in medical billing, strong communication skills...
$100k
...designed to meet the unique coverage and claims-handling needs of businesses. The Argo... ...ensuring accurate, timely, and cost-effective resolution. Work Environment - This is a 100% in-... ...(including language use restrictions), denial of family and medical care leave,...For contractorsWork at officeLocal area- Next step in progression could include Lead Senior Claims Examiner or Claims Supervisor ATHENS ADMINISTRATORS Explore the Athens Administrators... ..., and make appropriate recommendations and solutions for resolution Ability to be trustworthy, dependable, and team-oriented...Full timeWork at officeLocal areaImmediate startRemote workMonday to FridayFlexible hours1 day per week
- A healthcare provider in Los Angeles is seeking an Authorization and Claims Analytics Data Analyst III to lead complex analytic projects and deliver actionable insights critical to healthcare operations. The role requires strong expertise in SQL, advanced proficiency in...
$67k - $126k
...$67000.00 - $126000.00 Job Category: Claims Description Are you looking for an... ...origin experts and independent medical examiners. Refers to claim to subrogation group... ...claims to ensure a timely and cost-effective resolution; attends trials as a representative of...Full timeWork experience placementLocal areaRemote workLiberty Mutual Insurance
Los Angeles, CA2 days ago
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