62 results for Claims Examiner Jobs in California, US

Job Title : Claims Examiner - Workers CompensationLocation : Remote (CA) Target Start Date: 06/09/2025Duration : 03+ Months of Contact Job description:Primary Purpose:The Workers' Compensation Claims Examiner will analyze complex and technically difficult workers' compensation claims to determine be...

Overview TITAN Insurance Administrators Inc. is a progressive third-party administrator of union health and welfare benefits, seeking an individual with a proven ability to multitask in a fast-paced environment. The individual must be dedicated, goal oriented, energetic, efficient and possess a stro...

Job Title: Claims Examiner IITarget Compensation Range: $70,000 - $80,000/year, depending on the level of relevant qualifications and experience.About Us:Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering ...

JOB TITLE: Senior Claims ExaminerDEPARTMENT: Claims ServicesCOMPANY OVERVIEW:Carl Warren & Company is a leading nationwide Third-Party Administrator (TPA) founded in 1944. Carl Warren has been a trusted partner specializing in property and casualty claims management, subrogation recovery, and li...

Summary:We are seeking a Workers' Compensation Claims Examiner with a minimum of 3 years of California WC claims experience. This role focuses on managing complex indemnity claims, particularly for public entity clients, and requires deep expertise in California workers' compensation laws, litigatio...

DescriptionTo 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, industry best practices and specific client ...

Come work for a fabulous company in a fully remote setting where we are striving to make a difference in the lives of our customers. We offer full benefits, flexible schedules, competitive pay, growth opportunities and an annual bonus in a fun remote culture!The ICS Senior Claims Examiner performs a...

Title: Sr Claim Examiner- WCLocation: RemoteDuration: 4+ monthsShift: PST NOTE: Role is Remote ( currently, subject to change ) Candidates should be located by Closest offices just in case: Brea, Folsom or Fresno (Or if they are exceptional consideration to other parts of US) Are there any specific...

Responsible for analyzing and adjudicating medical claims related to managed care, performing payment reconciliations, resolving claims payment issues, identifying root causes of payment errors, and responding to provider inquiries regarding claims.

QNXT claims processing is a MUST.Familiarity with Medi-Cal and Medicare lines of business, preferably in an IPA or MSO. Description 1.1 Review and process healthcare claims in accordance with company policies, contractual provisions, and regulatoryguidelines.1.2 Validate information on claim forms, ...