• Medical Claims Processor - Remote

    Cognizant (Sacramento, CA)
    …a High School Diploma or equivalent is required + A minimum of 1 years of medical claims processing is required + Facets experience is highly preferred + ... Claims Processors to join our growing team. The ** Medical ** ** Claims Processor** is responsible for the...Responsibilities** + Responsible for reviewing the data in the claim processing system (Facets) and comparing it… more
    Cognizant (08/26/25)
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  • Senior Claim Benefit Specialist

    CVS Health (Sacramento, CA)
    …information for claim or reconsideration. **Required Qualifications** + 2+ years of medical claim processing experience. + Previous experience in a ... multiple assignments competently, accurately and efficiently. **Preferred Qualifications** + Self funded medical claim processing experience. + DG system… more
    CVS Health (08/15/25)
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  • Senior Claim Benefit Specialist

    CVS Health (Sacramento, CA)
    …competently, accurately and efficiently. **Preferred Qualifications** - 18+ months of medical claim processing experience - Self-Funding experience ... or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, determines coverage, completes… more
    CVS Health (08/01/25)
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  • Claims Examiner - Remote Within 90 Miles Of

    TEKsystems (Fresno, CA)
    …of Claims . Claims Examiner I is responsible for reviewing and processing medical , dental, vision and electronic claims in accordance with state, ... * A minimum of one (1)year experience as a Claims Examiner for medical , dental claims...of Employee Retirement Income Security Act of 1974 (ERISA) claims processing /adjudication guidelines.* Examine a problem, set… more
    TEKsystems (08/16/25)
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  • Claim Representative - IAP (On-Site San…

    Sedgwick (San Diego, CA)
    …under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim action/ processing with claimant and ... + Performs on-the-job training activities including: + Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only … more
    Sedgwick (08/13/25)
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  • Claims Specialist Sr - Commercial Coverage…

    Sedgwick (Sacramento, CA)
    …Coverage Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims ; to provide resolution of highly complex ... and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to… more
    Sedgwick (07/10/25)
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  • Claims Research Specialist

    Dignity Health (Bakersfield, CA)
    …for all claim types - Perform an analysis of the claims processing by reviewing contract, system configuration, benefits, financial risk (DOFRs), ... accurate records for audit purposes. - Collaborate with internal departments, including claims processing , UM, compliance, and provider relations, to develop and… more
    Dignity Health (08/28/25)
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  • Workers Compensation Claims Examiner | CA…

    Sedgwick (Roseville, CA)
    … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
    Sedgwick (08/08/25)
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  • Claims Examiner WC

    Adecco US, Inc. (San Diego, CA)
    … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
    Adecco US, Inc. (08/29/25)
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  • Claims Examiner | General Liability…

    Sedgwick (Sacramento, CA)
    … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
    Sedgwick (08/27/25)
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