38 Claims Processing job openings in the Carson, California area

« Carson job listings index · Administrative & Clerical

Job listings, help wanted ads and employment postings (last updated on Friday, February 27)

Claims Adjuster III-Ops

Monster.com

CA-Long Beach, Claims Adjuster III-Ops Woodland Hills, CA JOB SUMMARY: Researches complex and high dollar adjustment requests on previously processed claims for multiple product lines and supports the supervisor with day to day functions of the team. ESSENTIAL DUTIES AND RESPONSIBILITIES:
· Researches/adjusts all difficult, complex requests for overpayment, underpayment, refund, and contract issues to ensure com … MORE INFO

Claims Examiner II-Ops

Monster.com

CA-Long Beach, Claims Examiner II-Ops Woodland Hills, CA JOB SUMMARY: Processes or re-prices claims for multiple products and complex specialties. Performs research and analysis using the necessary systems, to ensure claims are properly processed, as well as for problem solving. Participates in projects. Uses computerized system for tracking, information gathering, and/or troubleshooting. Works closely with Supe … MORE INFO

Claims Adjuster I-Ops

Monster.com

CA-Long Beach, Claims Adjuster I-Ops Woodland Hills, CA JOB SUMMARY: The Claims Adjuster I researches adjustment request on previously adjudicated claims for multiple product lines. ESSENTIAL DUTIES AND RESPONSIBILITIES:
· Researches/adjusts all requests for overpayment, underpayment, refund, and contract issues to ensure compliance with departmental and company policies and procedures. Conducts cost containment … MORE INFO

Claims Examiner II-Ops

Monster.com

CA-Long Beach, Claims Examiner II-Ops Woodland Hills, CA JOB SUMMARY: Evaluates routine and non-routine claims within various product lines to determine type and amounts of benefit payable. Performs all authorized duties to the processing of such claims assigned, consistent with applicable policies, procedures and department guidelines. ESSENTIAL DUTIES AND RESPONSIBILITIES:
· Determines level of reimbursement b … MORE INFO

Claims Examiner I-Ops

Monster.com

CA-Long Beach, Claims Examiner I-Ops Woodland Hills, CA JOB SUMMARY: Under close supervision, processes routine claims within product lines to determine type and amount of benefit payable. Performs limited duties, subject to review and approval, for the processing of such claims assigned, consistent with applicable policies, procedures and department guidelines. ESSENTIAL DUTIES AND RESPONSIBILITIES:
· Determine … MORE INFO

Data ENtry

Monster.com

CA-Torrance, Data Entry Clerk $14. 50 per hour The primary responsibility for this position is data entry. The applicant will be required to create customer cases in our customer connection system. Although the process is repetitive in nature, there are several steps involved. In addition, each customer profile case is different and the applicant will be required to: Recognize what data is missing and will requ … MORE INFO

Integrated Absence Specialist

Monster.com

CA-Long Beach, Role and Responsibilities
· Manages, tracks, and determine eligibility for all aspects of job protected leaves including federal, statutory, employer sponsored leaves (i. e. FMLA, CFRA, PDL, PLOA)
· Acts as a resource to clients and staff regarding the requirements and regulations of the above mentioned leaves with company benefits and internal leave policies
· Follow established procedures and pol … MORE INFO

Claims Examiner

Monster.com

CA-Monterey Park, RESPONSIBILITIES: Kforce has a client seeking a Claims Examiner in Monterey Park, California (CA). This role will process, file and pay out claims related to Medicare, Medi-Cal, and Commercial Claims. The Claims Examiner will be responsible for verifying eligibility, processing the authorization and verifying if a claim is to be paid or denied. Additional responsibilities will be to analyze pricin … MORE INFO

Utilization Management (UM) Coordinator

Monster.com

CA-Alhambra, Network Medical Management Inc (NMM) is a growing Management Services Organization (MSO) based in Alhambra, California. The Company provides comprehensive management services to Independent Physicians Associations (IPA) and medical groups. The company currently has a great opportunity for an Utilization Management (UM) Coordinator. SUMMARY Provides access to appropriate services within the time fr … MORE INFO

Indirect Loan Processor

Monster.com

CA-Pasadena, LA Financial Credit Union is seeking candidates for a qualified Indirect Loan Processor in our Indirect Lending Department. Qualified applicants must have experience in processing Indirect Consumer loans. Position is responsible for processing, reviewing loan documents and funding Indirect Loans. Applicant must maintain current knowledge of Indirect Automobile product and programs. We are seeking … MORE INFO

Risk Management Administrator - CA

Monster.com

CA-Newport Beach, The Risk Management Administrator- CA provides support to Vice President Risk Management by overseeing day to day handling of various aspects of the Company’s Risk Management programs. This individual will work independently to process incident reports, insurance claims and the water intrusion/mold program for our managed apartment communities in California. To succeed in the role, the candidate m … MORE INFO

Claims Business Process Analyst - Irvine, CA

Monster.com

CA-Irvine, Description: Position Description: Energize your career with one of health care's fastest growing companies. You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading health care c … MORE INFO

Claims Business Process Analyst - Irvine, CA

Monster.com

CA-Irvine, Description: Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. Our claims operations, including our Claims Business Process Analysts, are the focal point of handl … MORE INFO

Shown below: Carson claims processing area jobs provided by Indeed job search

Claims Examiner

Cognizant – Woodland Hills, CA – Indeed.com

Duties, subject to review and approval, for the processing of such claims. And resolve claim issues. Under close supervision, processes routine claims within. . . . … MORE INFO

Claims Administrator

Kana Pipeline, Inc. – Placentia, CA – Indeed.com

Maintain claim files such as records of settled claims and an inventory of claims requiring detailed analysis. Processing Information —. . . … MORE INFO

Claims Examiner

CalOptima – Orange, CA – Indeed.com

Optima Claims Processing Systems. Experience processing Medi-Cal claims preferred. Claims processing based upon contractual and/or Cal. . . . … MORE INFO

Medical Biller-Ambulance

Shoreline Ambulance – Gardena, CA – Indeed.com

Medi-Cal Claims Appeals and Claims Processing. Reviewing and appealing unpaid and denied claims. Using coded data to produce and submit claims to insurance. . . … MORE INFO

Claims Customer Service Rep I

Heritage Healthcare (SJHH) – Orange, CA – Indeed.com

ID 0748-J03 Claims. Claims Customer Service Rep I. Answers inquiries on claims status, authorization and eligibility issues related to claim determination. . . … MORE INFO

Claims Operations Associate

Allstate Insurance – Torrance, CA – Indeed.com

Support may include clerical data entry, processing claims, medical, and witness report requests, filing paper documents, processing claims payments, and. . . … MORE INFO

Claims Adjuster (3 openings) Long Beach, CA

Molina Healthcare – Long Beach, CA – Indeed.com

Must know computerized claims processing systems. Accuracy of claim payments during processing and/or audit;. . . … MORE INFO

Claims Examiner I-Ops

Cognizant – Woodland Hills, CA – Indeed.com

Processing of such claims assigned, consistent with applicable policies,. Experience or completion of a technical class specializing in claims processing. . . . … MORE INFO

Claims Representative - IAP

Sedgwick Claims Management Services – Encino, CA – Indeed.com

Documenting claims files and properly coding claim activity. Supporting other claims examiners and claims Team Leads with larger or more complex claims as. . . … MORE INFO

Provider Services Rep II

Molina Healthcare – Long Beach, CA – Indeed.com

Good understanding of medical billing, and claims processing systems. 2 - 3 years customer service, provider service, or claims experience in a managed care. . . … MORE INFO

Claims Representative Associate - Irvine, CA

UnitedHealth Group – Irvine, CA – Indeed.com

Investigating, negotiating, processing and adjusting claims. Expertise or general claims support by reviewing, researching,. Welcome to one of the. . . . … MORE INFO

Claims Auditor (4 openings) Long Beach, CA

Molina Healthcare – Long Beach, CA – Indeed.com

Knowledge of Claims processing edits, adjustment adjudication and claims department processes. Knowledge of CPT/HCPCS, ICD9 coding and medical terminology Must. . . … MORE INFO

Benefits Administrator

BB&T – Irvine, CA – Indeed.com

Assist employees with claims questions, EOB explanation and process claims re-submission to carriers. Knowledge of all employment benefits and eligibility. . . … MORE INFO

Claims Processor

Kforce – Los Angeles, CA – Indeed.com

1+ years of claims processing experience. Must have experience with professional claims. The selected candidate will be responsible to process 100+ claims per. . . … MORE INFO

Claims Representative - IAP

Sedgwick Claims Management Services – Long Beach, CA – Indeed.com

Documenting claims files and properly coding claim activity. Supporting other claims examiners and claims Team Leads with larger or more complex claims as. . . … MORE INFO

CLAIMS EXAMINER SUPERVISOR

Conifer Value Based Care – Encino, CA – Indeed.com

2-4 years experience in processing managed care health claims. CLAIMS EXAMINER SUPERVISOR. Needs basic understanding of word processing and spreadsheet. . . … MORE INFO

Benefits Administrator

Precept – Irvine, CA – Indeed.com

Assist employees with claims questions, EOB explanation, and claims re-submission to carriers. Knowledge of all benefits company paid and voluntary at an. . . … MORE INFO

Healthcare Claims Auditor Los Angeles CA

Dell – Los Angeles, CA – Indeed.com

Healthcare Claims Auditor. Knowledge of all claims procedures, claim types (facility, professional, ancillary), different pricing methodology are essential. . . . … MORE INFO

Claims Representative - IAP

Sedgwick Claims Management Services – Orange, CA – Indeed.com

Documenting claims files and properly coding claim activity. Supporting other claims examiners and claims Team Leads with larger or more complex claims as. . . … MORE INFO

Claims Business Process Analyst - Irvine, CA

UnitedHealth Group – Irvine, CA – Indeed.com

2+ years experience processing pharmacy claims. Contacting Pharmacy's for reversing and processing claims. . . . … MORE INFO

Claims Mailroom Clerk

Synectics – Los Angeles, CA – Indeed.com

Retrieve claim images and emails to Clerical Unit for processing. Medical Records, Authorizations, Tracers, Handwritten Claims, Claims for Manual Entry, High. . . … MORE INFO

Office Administrator

Hanger, Inc. – Long Beach, CA – Indeed.com

Responsible for reviewing claim edits and resolving them, working claim rejections and denials, performing voids and corrections as necessary. . . . … MORE INFO

ANALYST-BUSINESS DATA

Coast Healthcare – Lakewood, CA – Indeed.com

Knowledge of claim processing. This position coordinates and manages all aspects of the data submission process to health plans, ensuring timely, accurate, and. . . … MORE INFO

Benefits Administrator

Volt Workforce Solutions – Irvine, CA – Indeed.com

Provides benefit orientations, enrollments, claims processing and billing of insurance; Verify the calculation of the monthly premium statements for all group. . . … MORE INFO

Claims Administrator (5282132)

DHX-Dependable Hawaiian Express – Rancho Dominguez, CA – Indeed.com

We are currently hiring a Claims Administrator to be responsible for the day to day processing and investigation of multi-mode freight claims processing. . . … MORE INFO

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Employment information for Carson, CA

5 year unemployment rate for
Los Angeles, CA (includes Los Angeles, Long Beach, and Santa Ana metro areas) - continue for more info

11.8%
Year
11.4%
Year
10.1%
Year
9.0%
Year
7.6%
Year

Updated to reflect Oct 2014 unemployment rates

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