• Claims Processor - Remote

    Cognizant (Sacramento, CA)
    …Monday to Friday 8am - 4:30pm ET **Experience:** A minimum of 1 years claims processing is required. **Travel:** None required **About the role:** As ... * Be Responsible for reviewing the data in the claim processing system and comparing with corresponding...to be considered:** * A minimum of 1 year claims processing is required. * Knowledge of… more
    Cognizant (08/01/25)
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  • Claims Examiner

    Kelly Services (Brea, CA)
    … Examiner? You'll be:** **Essential Duties and Responsibilities** + Analyzing and processing complex or litigated **California workers' compensation claims ** + ... isn't always easy. That's where we come in.** We're seeking a ** Claims Examiner - Workers' Compensation** to support a leading provider of technology-enabled… more
    Kelly Services (08/08/25)
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  • Claims and Denials Specialist

    Robert Half Office Team (Oakland, CA)
    …* Competency in using healthcare-related software and tools for documentation and claims processing . TalentMatch(R) Robert Half is the world's first and ... claims to ensure proper documentation. * Coordinate with home health teams to address claims -related issues...in this role please apply now and contact us at ### Requirements * Minimum of 2 years of… more
    Robert Half Office Team (08/08/25)
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  • Claims and Denials Specialist

    Robert Half Office Team (Oakland, CA)
    …processes. Responsibilities: * Handle insurance authorization requests and ensure timely processing . * Manage claim denials and appeals, working closely ... or a related field. * Proficiency in handling medical insurance verifications and claims processes. * Strong knowledge of claim denials and appeals procedures.… more
    Robert Half Office Team (08/08/25)
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  • Work at Home Contact Center Agent

    Mass Markets (CA)
    POSITION OVERVIEW WE'RE HIRING 1,000 WORK AT HOME STAFF TO SUPPORT FEDERAL, STATE, AND COMMERCIAL CLIENTS MCI is looking for nationwide work at home ... a home broadband connection. POSITION RESPONSIBILITIES WHAT DOES A WORK AT HOME CONTACT CENTER REPRESENTATIVE DO? This position supports customer service,… more
    Mass Markets (07/16/25)
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  • Onsite Pharmacy Auditor (based in California)

    Prime Therapeutics (San Diego, CA)
    …skill and understanding of the point of sale and on-line pharmacy claims processing environment + Excellent oral, written and interpersonal communication ... and schedule trips in accordance to Prime's travel and expense policy + Analyze pharmacy claims to identify those at the highest risk for error; leverage audit… more
    Prime Therapeutics (06/28/25)
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  • Bi-lingual Pharmacy Tech Support Call Center Rep…

    IQVIA (San Francisco, CA)
    …+ Call center experience required (3+ years preferred) + Experience in medical claim processing is a plus + Bi-lingual (English/Spanish) **The pay range ... we are looking for a 100% remote (work from home -WFH) contract **Pharmacy Support Call Center Representative** to join...improve patient outcomes and population health worldwide. Learn more at https://jobs.iqvia.com IQVIA is proud to be an equal… more
    IQVIA (06/19/25)
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  • Accountant I/II/Senior

    Ventura County (Ventura, CA)
    …I) or calculates and analyzes (Accountant II) Incurred but not Reported medical claims based on system generated claim lag reports to provide realistic ... merit increase within the pay range upon completion of at least 1,040 hours (approximately 6 months) assuming work...The County includes 42 miles of coastline which is home to the fol-lowing cities and points of interest:… more
    Ventura County (06/02/25)
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  • Clinical Resource Coordinator - Inpatient…

    Sharp HealthCare (San Diego, CA)
    …retrospective claim review, medical equipment, medication issues and acquisition, home health in accordance with Sharp Community Medical Group (SCMG) referral ... Program or equivalent. + 1 Year Relevant experience in referral processing , discharge coordination, data entry, knowledge of medical terminology, eligibility, and… more
    Sharp HealthCare (08/08/25)
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  • National Service Officer

    Wounded Warrior Project (San Diego, CA)
    …during active duty military service. The NSO guides and manages the preparation and processing of all claims and subsequent appeals through the Department of ... and embark on a career with meaning and purpose. At WWP (TM) , we recognize our mission cannot...(three days in the office, two days' work from home ) . Full medical, dental, and vision coverage for… more
    Wounded Warrior Project (08/08/25)
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