Claims Examiner I

Job Description

Job Description

Claims Examiner I

Location: Sacramento, CA (Hybrid Eligible)

About the Opportunity

Seeking two detail-oriented and motivated Claims Examiner I professionals to support their Claims Department on a temporary basis. This is an excellent opportunity for individuals with healthcare administration, medical claims processing, or insurance experience who thrive in a fast-paced environment and are committed to accuracy and quality service.

Key Responsibilities

• Review and process medical claims accurately and efficiently.
• Verify claim information for completeness and compliance with applicable guidelines.
• Research and resolve claim discrepancies, errors, and exceptions.
• Apply benefit and eligibility information when adjudicating claims.
• Maintain productivity and quality standards while meeting processing deadlines.
• Communicate with internal departments regarding claim-related inquiries when needed.
• Document processing decisions and maintain accurate records.
• Follow established policies, procedures, and regulatory requirements.

Qualifications

• High school diploma or equivalent.
• Strong attention to detail and data accuracy.
• Excellent organizational and time management skills.
• Ability to work independently and manage multiple priorities.
• Proficiency with computer systems and data entry.
• Strong written and verbal communication skills.

• Previous healthcare claims processing experience.
• Experience in medical billing, insurance claims, benefits administration, or healthcare operations.
• Knowledge of healthcare terminology and claims adjudication processes.
• Familiarity with health insurance regulations and benefit plans.

• Reliable, adaptable, and able to learn quickly.
• Committed to delivering accurate and timely work.

• Schedule & Work Environment: Hybrid work arrangement available.

Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.

Pay Details: $20.00 to $21.00 per hour

Search managed by: Savannah Mckillip

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

Military connected talent encouraged to apply

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to -privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance

Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.