• Senior Forensic Claims Analyst

    Fluor (Fresno, CA)
    …able to produce accurate and timely results while maintaining a customer - service attitude. **Preferred Qualifications** * Professional certification as ... direction of the Director and Deputy Director of the PMO/forensics & Claims , this role is responsible for developing forensic analyses and providing oversight… more
    Fluor (08/30/25)
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  • Claims Assistant | Orange, CA (In-Office)

    Sedgwick (Orange, CA)
    …financial and professional needs **PRIMARY PURPOSE OF THE ROLE:** To provide excellent customer service and internal support to an assigned team. **ARE YOU ... empathic and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Provide excellent customer service to external customers and internal support to… more
    Sedgwick (08/27/25)
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  • Claims Specialist - Auto

    Philadelphia Insurance Companies (Mission Viejo, CA)
    claims in a fair and expeditious manner. Travel is required to attend customer service calls, mediations, and other legal proceedings. Job Requirements: High ... Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service , Inc. and First Insurance Company of Hawaii, Ltd.) is an… more
    Philadelphia Insurance Companies (07/26/25)
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  • Business Process Analyst - HNAS

    Highmark Health (Sacramento, CA)
    …Analyst or Business Process Analyst role or experience in a related operational area (eg claims , billing, customer service , etc.) **Preferred** + 1 - 3 years ... employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with… more
    Highmark Health (06/17/25)
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  • Claims Processor II - CHOC MSO

    Rady Children's Hospital San Diego (San Diego, CA)
    …skills - Strong decision-making ability - Administrative and interpersonal skills - Outstanding customer service skills - Ability to work under pressure MINIMUM ... purpose of this position is to examine & process claims from the UB04 & CMS-1500 claim forms into...from the UB04 & CMS-1500 claim forms into the claims adjudication system for all capitated & shared services… more
    Rady Children's Hospital San Diego (08/28/25)
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  • Credit Balance Specialist - Hospital Claims

    Guidehouse (San Marcos, CA)
    …the following: insurance claims , billing, coding, follow-up, finance, accounting or customer service related responsibilities. **What Would Be Nice To Have** ... of diploma / GED. + 1-3+ years working within the following sectors: healthcare, insurance, business, finance or customer service . + Working knowledge can be of… more
    Guidehouse (06/23/25)
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  • Claims Specialist 1

    Public Consulting Group (Chula Vista, CA)
    …+ Assessments and Feasibility Studies PCG is seeking highly motivated and dependable Claims Specialist payment processing clerk with an interest in public service ... received are budget-authorized. **Required Skills:** + Proper etiquette including customer relation techniques, superior verbal and communications skills. +… more
    Public Consulting Group (08/30/25)
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  • Claims & Credit Coordinator

    Reyes Holdings (Stockton, CA)
    …schedule within a 24/7 operation. Weekends, overnights, and holidays. Position Summary: The Customer Service Representative Serve as a customer service ... tasks for daily business functions while supporting various departments, as a Customer Service Representative + Handle customer inquiries via calls and… more
    Reyes Holdings (08/28/25)
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  • Renewal and Reporting Analyst

    CVS Health (Sacramento, CA)
    …and systematic setup, essential for online viewing and processing, related to customer service , claims , enrollment, billing, and reporting, in ... client level benefits to align with industry coding (ICD 10, place of service , healthcare reform, etc.), similar to entry-level IT programming. + Solicits and… more
    CVS Health (08/30/25)
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  • Pharmacy Customer Service Associate

    Walgreens (Freedom, CA)
    …questions to ensure a positive customer experience. + Models and shares customer service best practices with all team members to deliver a distinctive ... those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a...knowledge of store systems and store equipment. + Provides customer service in the photo area, including… more
    Walgreens (08/29/25)
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