- Competitive pay rates based on experience and expertise
- Comprehensive benefits package including medical, dental, and vision coverage
- 401k with generous company match
- Ample paid time off and holidays
- Dynamic work environment with opportunities for growth and advancement
- Adjudicate medical claims in accordance with established guidelines, ensuring accuracy and compliance with plan regulations.
- Utilize your expertise in ICD-10, CPT, and HCPCS codes to accurately process claims and minimize errors.
- Collaborate effectively with healthcare providers to obtain necessary documentation for timely claim resolution, demonstrating strong communication skills.
- Maintain high standards of accuracy and efficiency in claim processing workflows, contributing to overall operational excellence.
- 3-5 years of experience in the employee benefits industry, demonstrating a solid understanding of medical claims adjudication processes.
- Proficiency in ICD-10, CPT, and HCPCS codes, enabling accurate and efficient claim processing.
- Strong attention to detail and ability to thrive in a fast-paced environment, ensuring consistent quality in claim processing.
- Excellent communication and interpersonal skills, facilitating effective collaboration with internal and external stakeholders.
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Claims Examiner
6 days ago
Fortuna BMC Folsom, United StatesPay: $20 - $26 per hour · Location: Folsom, CA · Employment Type: Full-time · WHAT WE OFFER: · Competitive pay rates based on experience and expertise · Comprehensive benefits package including medical, dental, and vision coverage · 401k with generous company match · Ample ...
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Claims Examiner l
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PrideStaff Folsom, United StatesJob: Claims Examiner Processor Pay: $20-$26/hour. Location: Folsom, CA - Schedule: Mon-Fri (Business Hours)Full Time-Direct Hire Great Benefits, Including Medical, Dental, Vision, PTO, 401 k & More..... Pridestaff Financial currently in search for Claims, Examiner, Healthcare, St ...
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Claims Examiner l
6 days ago
PrideStaff Folsom, United StatesJob: Claims Examiner Processor · Pay: $20-$26/hour · Location: Folsom, CA · Schedule: Mon-Fri (Business Hours) · Full Time-Direct Hire · Great Benefits, Including Medical, Dental, Vision, PTO, 401k & More..... · Pridestaff Financial currently in search for a Medical Claims ...
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Medical Claims Examiner Processor I
3 days ago
BRMS Folsom, United StatesSummary: The Medical Claims Examiner I - Processor I is responsible for ensuring claims are coded and processed correctly and for meeting production requirements. Processes claims by performing the following duties. · Essential Duties and Responsibilities include the following. O ...
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Claims Examiner III
1 week ago
Tristar Insurance Services LLC Rancho Cordova, United StatesJob Details · Level · Experienced · Job Location · Sacramento - Rancho Cordova, CA · Remote Type · Optional Work from Home · Position Type · Temporary · Education Level · High School Diploma or GED · Salary Range · $ $44.23 Hourly · Travel Percentage · None · Job Sh ...
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Medical Claims Examiner
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Ultimate Staffing Sacramento, United StatesThe Claims Examiner I is responsible for adjudicating medical claims accurately and in a timely manner to ensure state regulations are met. The Claims Examiner I provides thorough review, analysis, and on-time adjudication of claim payment determinations, ensuring payments are bi ...
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Workers Compensation Claims Examiner
1 week ago
Sedgwick Roseville, United StatesTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportuni ...
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Claims Examiner III _Temp
1 week ago
Tristar Insurance Services LLC Rancho Cordova, United StatesJob Details · Level · Experienced · Job Location · Sacramento - Rancho Cordova, CA · Remote Type · Hybrid · Position Type · Temporary · Education Level · High School Diploma or GED · Salary Range · $85, $95,000.00 Salary · Travel Percentage · None · Job Shift · Day ...
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Workers Compensation Claims Examiner
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Sedgwick Rancho Cordova, United StatesTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportuni ...
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Claims Examiner- Workers Compensation
1 week ago
TAJ Technologies Inc Roseville, United StatesDescription: PRIMARY PURPOSE: To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements. ES ...
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Workers Compensation Claims Examiner
1 week ago
Sedgwick Roseville, United States Full timeTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportuni ...
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Randstad North America, Inc. El Dorado Hills, United StatesDo you have at least 4 years of experience working and analyzing Workers Compensation Claims and decisioning on them for the State of California? Do you hold your OSIP Certificate? Do you desire to continue doing what you love from the comfort of you Examiner, Worker, Workers Com ...
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Randstad El Dorado Hills, United Statesremote california workers comp sr. claim examiner. · + el dorado hills , california (remote) · + posted 3 days ago · **job details** · summary · + $45 - $50 per hour · + temporary · + bachelor degree · + category business and financial operations occupations · + referenceAB_45244 ...
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Randstad El Dorado Hills, United Statesremote california workers comp sr. claim examiner. · + el dorado hills , california (remote) · + posted 1 day ago · **job details** · summary · + $45 - $50 per hour · + temporary · + bachelor degree · + category business and financial operations occupations · + referenceAB_452440 ...
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Randstad El Dorado Hills, United Statesremote california workers comp sr. claim examiner. · + el dorado hills , california (remote) · + posted 2 days ago · **job details** · summary · + $45 - $50 per hour · + temporary · + bachelor degree · + category business and financial operations occupations · + referenceAB_45244 ...
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Randstad USA El Dorado Hills, United States TEMPORARY, Full timeDo you have at least 4 years of experience working and analyzing Workers Compensation Claims and decisioning on them for the State of California? Do you hold your OSIP Certificate? Do you desire to continue doing what you love from the comfort of your own home? The role involves ...
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LHH Recruitment Solutions Sacramento, United StatesJob Description · Job DescriptionWe need to find a Claims Examiner in Sacramento, California This role is looking for longevity and dedication to joining the team, as well as a love for the industry. Are you skilled in claim adjudication, submissions, or claim reviews? This role ...
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Claims Assistant
1 week ago
AssuredPartners Rancho Cordova, United StatesOverview: · Responsible for assisting Examiners in every aspect of claims administration. The Claims Assistant will identify, prevent and mitigate potential penalties as well as deliver 3 point contact. · Keenan, an Accretive company, is an insurance brokerage and consulting firm ...
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Fiscal Technician
1 day ago
County of El Dorado Placerville, United States**Description**: · **THE COUNTY OF EL DORADO** · - The County of El Dorado is committed to promoting the power of public service by fostering a diverse and collaborative workplace where employees are empowered, respected and valued. The dedicated efforts taken by the Board of Sup ...
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Staff Services Manager I
3 days ago
Employment Development Department Sacramento County, CA, United States**TELEWORK IS CURRENTLY AVAILABLE, HOWEVER, STAFF MAY BE REQUIRED TO REPORT TO THEIR ASSIGNED HEADQUARTERS AS BUSINESS NEEDS ARISE.** · Are you a leader who is passionate about delivering exceptional customer experiences? Do you thrive in a challenging team environment? Are you a ...
Claims Examiner - Folsom, United States - Fortuna BMC
Description
As a Medical Claims Examiner Processor at Fortuna, you will play a vital role in ensuring the smooth adjudication and processing of medical claims, contributing directly to the efficiency and accuracy of our operations. Located in Folsom, CA, you'll join a dynamic team dedicated to upholding the highest standards in the employee benefits industry.
Pay: $20 - $26 per hour
Location: Folsom, CA
Employment Type: Full-time
WHAT WE OFFER:
