• Education and Training Specialist - Claims

    Providence (Mission Hills, CA)
    …of functional area ie, claims operations, + HMO products, industry claims processing procedures, contracts, billing and overall managed care processes, etc. ... Full time **Job Shift:** Day **Career Track:** Business Professional **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills… more
    Providence (11/11/25)
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  • Claims Examiner - Managed Care

    Cedars-Sinai (CA)
    …in applicable tracking databases. **Qualifications** Experience: Three (3) years of medical claims processing for Medicare and Commercial products and provider ... claims required. Three (3) years of experience on an automated claims processing system (Epic Tapestry preferred) preferred. **About Us** Cedars-Sinai is… more
    Cedars-Sinai (12/11/25)
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  • Claims Quality Specialist

    Dignity Health (Bakersfield, CA)
    … Quality Specialist is responsible for ensuring the accuracy and quality of claims processing within a managed care service organization. This role involves ... Requirements** **Minimum Qualifications:** + Minimum of 5 years of experience in claims processing , quality assurance, or a related role within a managed care or… more
    Dignity Health (12/07/25)
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  • Claims Review Representative

    Humana (Sacramento, CA)
    …documentation and communications. + Exceptional attention to detail and accuracy in reviewing and processing claims . + Ability to quickly adapt to and learn new ... systems and technologies relevant to claims processing . + Strong organizational skills with the capacity to manage and prioritize multiple tasks based on… more
    Humana (12/13/25)
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  • Financial Compliance Auditor III Claims

    LA Care Health Plan (Los Angeles, CA)
    …of the PPGs, capitated hospitals, and the Plan Partners. This includes all claims processing sub-contracting functions of the delegates. Provides timely and ... Degree Experience Required: At least 4 years of experience performing claims audits or claims processing related to Medi-Cal, Medicare, and/or other managed… more
    LA Care Health Plan (10/23/25)
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  • Claims Examiner III

    Dignity Health (Bakersfield, CA)
    …of complex healthcare claims . This position requires expert knowledge of claims processing , coding, and regulatory compliance. The Claims Examiner ... **Job Requirements** **Minimum Qualifications:** + 3-5 years of experience in healthcare claims processing , with at least 2 years in a senior or advanced role… more
    Dignity Health (11/24/25)
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  • Claims Professional

    Robert Half Office Team (Los Angeles, CA)
    …communication. * Commitment to maintaining accuracy and compliance in all aspects of claims processing . TalentMatch(R) -Robert Half is the world's first and ... Description We are looking for a dedicated Claims specialist to join our team in Los...position offers an exciting opportunity to contribute to effective claims management processes within the service industry. The ideal… more
    Robert Half Office Team (12/04/25)
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  • Claims Supervisor II - Commercial Auto - BI

    Philadelphia Insurance Companies (Roseville, CA)
    …and technical support staff to manage the day-to-day handling and settlement of claims , the processing and tracking of documents, making payments, tracking ... A++ by AM Best. We are looking for a Claims Supervisor II - Commercial Auto - BI to...+ Experience with Windows operating system. + Basic Word processing skills. National Range : $112,165.00 - $125,360.00 Ultimate… more
    Philadelphia Insurance Companies (11/07/25)
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  • Claims Examiner - Liability | Litigation,…

    Sedgwick (Sacramento, CA)
    …distance to office** **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Fortune Best Workplaces in Financial Services & Insurance Liability Claims Examiner | General Liability & Auto with BI... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting… more
    Sedgwick (12/12/25)
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  • Workers Compensation Claims Examiner…

    Sedgwick (Rancho Cucamonga, CA)
    …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Dedicated Account | 3 Days Remote... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting… more
    Sedgwick (12/04/25)
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