Healthcare Claims & Appeals Specialist (CA)
SNI Companies
SNI Companies is seeking a detail-oriented Grievance & Appeals Customer Service Representative to join the Enterprise Grievance & Appeals Department. This role will review, research, document, and resolve non-complex grievances and appeals while delivering professional, timely customer service. The ideal candidate brings strong customer service, written communication, research, analytical, and problem-solving skills, with the ability to manage sensitive healthcare-related concerns in a #J-18808-Ljbffr SNI Companies
$37.5k - $53.5k
...how often (in days) to receive an alert: Medical Claims Appeals Examiner - Onsite - West Sacramento, CA Date: Oct 4, 2026 Location: West Sacramento, CA,... ...Appeals Examiner reviews, researches, and resolves healthcare provider appeals related to medical claims and payment...SuggestedFull timeFlexible hours- Gainwell Technologies in West Sacramento, CA, is seeking a Medical Claims Appeals Examiner for an onsite role with a 6:00 a.m. to 2:30 p.m. schedule. The position focuses on reviewing, researching, and resolving provider appeals related to medical claims and payment determinations...Suggested
$25.71 - $36 per hour
Your Role The Claims operational teams are responsible for ensuring... .... The Claims Processor, Specialist will report to the Operations... ...a company designed to scale healthcare solutions. Together, these organizations... ...time Locations : Redding, CA, United States Long Beach,...SuggestedFull timePart timeWork at officeLocal areaWork from homeHome office2 days per week- Inland Empire Health Plans is seeking a Claims Specialist II - Provider Claims to support appeals, complex claim adjustments, and provider disputes. The role emphasizes accurate processing of provider claims and handling escalated inquiries for the call center. You will...Suggested
- Inland Empire Health Plans is seeking a Claims Specialist I - Provider Claims to evaluate and process professional and institutional medical... ...coverage and payment levels while handling provider disputes and appeals with timely resolution letters. Ideal candidates bring four...Suggested
$62.5k - $115.5k
...personal use, gas and maintenance included). Claims inspections will include onsite and... ...ideal candidate will live in the Sacramento, CA area. Relocation assistance may be... ...you! As a Property Contents, Field Claims Specialist, you’ll assist with the investigation and...Full timeTemporary workPart timeCasual workLive inWork at officeLocal areaRemote workWork from homeRelocation packageFlexible hoursNight shift3 days per week$95k - $105k
...expertise in product design, loss control and claim services has made National Interstate one... ...a California Senior Workers Comp Claims Specialist to join their team. Essential Job... ...such as Associate in Claims (AIC). Prefer CA Work Comp Experience Scope of Job/Qualifications...Remote jobFull timePart timeLive out$19.31 per hour
Dental Claims Specialist (Auditor) Location: Rancho Cordova, CA (Onsite) Schedule: 8 Hour shift: Monday – Friday, between 5:00 AM – 5:00 PM (Regular Overtime... ...designed to help you build high-demand skills in healthcare administration. Key Responsibilities:...Hourly payPermanent employmentTemporary workWork experience placementWork at officeLocal areaMonday to FridayShift work$80k - $100k
...Subscriber Perk Credit building made easy Build credit while adjusting claims. Lock in 80% off credit building tools. Pie's mission is to... ...claims experience is required. Claims experience working in CA is required. Strong communication (written and verbal) skills, to...Full timeRemote work$20 - $21 per hour
...Claims Examiner I Location: Sacramento, CA (Hybrid Eligible) About the Opportunity Seeking two detail-oriented and motivated Claims Examiner I... ...This is an excellent opportunity for individuals with healthcare administration, medical claims processing, or insurance...Hourly payTemporary workLocal area$25.48 - $41.09 per hour
The Workers’ Compensation Claims Specialist floater manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims...Hourly payMinimum wageFull timeWork at officeLocal areaRemote workFlexible hours- ..., and Liability (P & L) self insurance program, coverage, rates, claim status, excess coverage; do other related work as required. Requirements... ...Resources office located at 1330 Truxtun Ave., Bakersfield, CA 93301. The documents will be scanned and emailed to the candidate...Work at office
$29.35 - $47.28 per hour
The WC Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the...Hourly payMinimum wageFull timeWork at officeLocal areaRemote workFlexible hours$63.4k - $95k
## Claims Examiner Workers Compensation I CA experienced required I RemoteApplylocations: US Telecommutertime type: Full timeposted on: Posted Yesterdayjob requisition id: R72505By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues...Remote jobFlexible hours$20.13 - $28.18 per hour
Your Role The Blue Shield of California Claims teams process claims and adjustments for Blue... ...Stellarus, a company designed to scale healthcare solutions. Together, these organizations... ...Schedule : Full time Locations : Redding, CA, United States El Dorado Hills, CA,...Full timePart timeWork at officeLocal areaWork from homeHome office2 days per week- ...Workers' Compensation Claims Adjuster Under general supervision, to perform responsible and technical functions pertaining to the County... ...Resources office located at 1330 Truxtun Ave., Bakersfield, CA 93301. The documents will be scanned and emailed to the candidate...Work at office
$63.8k - $78k
...someone who possesses those skills to assist our clients through the claims process and to help them return to normalcy after a loss. No... ...an in‑office position that will work out of our Rancho Cordova, CA office, located at 10850 Gold Center Drive. A work from home option...Temporary workWork at officeWork from homeVisa sponsorshipWork visa$22 - $25 per hour
...Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Associate - Workers Compensation | Rancho Cordova, CA or Orange, CA (On-Site) Are you looking for an opportunity to join a global industry leader where you...Work at officeLocal areaFlexible hours- ICW Group is seeking a Claims Specialist to handle complex workers’ compensation claims with a focus on delivering exceptional service to policyholders, attorneys, and stakeholders. The role requires navigating complex litigation, reserving, and settlement strategies while...
$85k - $95k
...Workers Compensation Claims Examiner - CA | On-Site or Remote 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...Remote jobWork at officeLocal areaFlexible hours- CorVel seeks a Senior Workers' Compensation Claims Specialist to handle complex, high-profile WC claims, coordinating with case managers and attorneys, managing subrogation, and negotiating settlements. This is a remote position and must reside in California. The role emphasizes...Remote job
$90k - $110k
...Job Description CA Workers' Compensation Claims Adjuster Summary Seeking an experienced CA Workers' Compensation Claims Adjuster with strong communication and organizational skills. The ideal candidate brings extensive claims handling experience, holds (or is...Remote work- ...in the SDMC Section, the Health Program Specialist I (HPSI) will serve as a skilled technical... ...policies and the respective implementation of claiming policies in the Short Doyle Medi-Cal... ...Antuna (***) ***-**** ****@*****.***.ca.gov Please direct requests for Reasonable...Permanent employmentFull timeContract workWork at officeRemote work
$35.82 - $50.24 per hour
...field operations across the Sacramento, CA Territory. This territory includes, Sacramento... ..., helping ensure accurate and timely claim resolution. If you have strong specialty... ...VelaPoint, Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing,...Hourly payContract workWork at officeWork from homeVisa sponsorshipWork visa$59.9k - $98.2k
...Zurich is seeking an experienced Litigation Claims Specialist to join its Commercial General Liability team. At Zurich North America Claims,... ...NJ, Rocky Hill, CT; Omaha, NE; Overland Park, KS; Sacramento, CA or New York, NY. This is an excellent opportunity to advance your...Full timeTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorship- ...Workers Compensation Claims SpecialistAre you looking for an opportunity to join a fast-... ...opening for a Workers Compensation Claims Specialist within the West Region!As a Workers Compensation... ...twice a month. Candidates residing in CA and WA will be considered in all...Work experience placementRemote work
- ...Senior Workers Compensation Claims Specialist Are you looking for an opportunity to join a fast-growing company that consistently outpaces... ...required to work onsite twice a month. Candidates residing in CA and WA will be considered in all locations and may be eligible...Work experience placementRemote work
$19.31 per hour
...Dental Claims Specialist (Auditor) Location: Rancho Cordova, CA (Onsite) Schedule: 8 Hour shift: Monday Friday, between 5:00 AM 5:00 PM (Regular Overtime Required) Pay Rate: $19.31 / hour Expand Your Dental Expertise in a Supportive, Growth-Focused Role Are you an experienced...Monday to FridayShift work- ...Claims Adjuster Specialist Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already... ...Cordova, San Diego, Sherman Oaks, Woodland Hills, and Torrance, CA Duties & responsibilities: Determines coverage and...Work at office
$21.2 - $34.69 per hour
## Attorney-Represented Bodily Injury Claims Adjuster - PST/MST (Remote)Applyremote type:... ...Remote Location Specificlocations: USA - CA (Remote)time type: Full timeposted on: Posted... ..., Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro...Remote jobContract workCurrently hiringWork at officeWork from homeVisa sponsorshipWork visa
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