Claims Examiner, Sr. jobs in California

Claims Examiner, Sr. reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner, Sr. studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Additionally, Claims Examiner, Sr. determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner, Sr. occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Claims Examiner, Sr. typically requires 2 -4 years of related experience. (Copyright 2024 Salary.com)

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Claims Examiner Sr.
  • Judge Group
  • Orange, CA FULL_TIME
  • Location: Orange, CA
    Salary: $25.00 USD Hourly - $30.00 USD Hourly
    Description: The Judge Group is currently seeking Claims Examiners for a fantastic healthcare company in Orange, CA!

    This job will have the following responsibilities:
    • The Claims Examiner Sr will be responsible for analyzing and validating claims elements and claims processing. 
    • The incumbent will adhere to the regulatory and internal guidelines in conjunction with our Health’s policies and procedures related to claims adjudication. 
    • The incumbent will be responsible for adjudicating more complex claims, requiring additional research or problem-solving.

    Qualifications & Requirements:
    • High School diploma or equivalent required. 
    • 3 years of experience processing online claims in a managed care environment required. 
    • An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying.
    • Knowledge of: Revenue codes and billing code sets, e.g.,

    If this would be of interest to you or someone you might know, please don't hesitate to send your resume or questions to me directly at jmaybrier@judge.com

    Thank You,
    Jacob

    Contact: jmaybrier@judge.com
    This job and many more are available through The Judge Group. Find us on the web at www.judge.com

    About the Company:
    Judge Group


    The Judge Group Inc., is a leading professional services firm specializing in talent, technology, and learning solutions. We consult, staff, train, and solve. Through our work we make people and organizations better. Our services are successfully delivered through a network of more than 30 offices across the United States, Canada, and India.

    The Judge Group is proud to partner with the best and brightest companies in business today, including over 60 of the Fortune 100. We serve organizations in financial services, healthcare, life sciences, insurance, government (including aerospace and defense), manufacturing, and technology and telecommunications. If you would like to learn more about The Judge Group visit www.judge.com or call toll free (800) 360-4474.



    Company Size:
    5,000 to 9,999 employees


    Industry:
    Computer/IT Services


    Founded:
    1970


    Website:
    https://www.judge.com


  • 16 Days Ago

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Workers Compensation Claims Examiner
  • TheBest Claims Solutions
  • Riverside, CA FULL_TIME
  • We are currently sourcing candidates for a Claims Examiner position. This position is direct-hire and remote. For this position we are looking for candidates with 3 years of experience handling Califo...
  • 15 Days Ago

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Workers Compensation Claims Examiner | Must Reside in California
  • Sedgwick Claims Management Services Inc.
  • San Diego, CA FULL_TIME
  • Taking 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 flex...
  • 21 Days Ago

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Claims Examiner - Workers Compensation (Hybrid Opportunity!)
  • Sedgwick Claims Management Services Inc.
  • Brea, CA FULL_TIME
  • Taking 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 flex...
  • 5 Days Ago

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Claims Examiner
  • CenCal Health
  • Santa Barbara, CA FULL_TIME
  • Review, price and release claims associated with the assigned claim types (paper and electronic) Review Manual Review reports that suspend for review on all CenCal Health programs Review audit reports...
  • 24 Days Ago

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Claims Examiner
  • CenCal Health
  • SantaBarbara, CA FULL_TIME
  • Review, price and release claims associated with the assigned claim types (paper and electronic) Review Manual Review reports that suspend for review on all CenCal Health programs Review audit reports...
  • 24 Days Ago

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Claims Investigator (Syracuse, NY Region)
  • Gallagher Bassett
  • Syracuse, NY
  • Gallagher Bassett is the premier provider of global claims, loss control, and risk management consulting services, dedic...
  • 3/28/2024 12:00:00 AM

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Claims Investigator (Buffalo, NY Region)
  • Gallagher Bassett
  • Buffalo, NY
  • Gallagher Bassett is the premier provider of global claims, loss control, and risk management consulting services, dedic...
  • 3/28/2024 12:00:00 AM

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Claims Investigation Analyst I, Geisinger Health Plan (work from home Pennsylvania)
  • Geisinger Health
  • Danville, PA
  • Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: R...
  • 3/28/2024 12:00:00 AM

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Claims Investigator
  • Claims Management Inc
  • Puyallup, WA
  • Job Description Job Description CMI exists to improve the world by championing the injured. We are a rapidly growing fir...
  • 3/25/2024 12:00:00 AM

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Claims Examiner
  • Ascendo Resources
  • Jacksonville, FL
  • Are you seeking a new Claims Examiner opportunity with a growing company? The Claims Examiner plays a critical role in t...
  • 3/24/2024 12:00:00 AM

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Claims Examiner
  • Proctor Loan Protector
  • Troy, MI
  • Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best...
  • 3/24/2024 12:00:00 AM

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Senior California Workers' Compensation Claims Examiner | Remote
  • KING'S INSURANCE STAFFING LLC
  • Los Angeles, CA
  • Our client, an A Rated Insurance Carrier, is seeking to add a Remote - Senior California Workers' Compensation Claims Ex...
  • 3/24/2024 12:00:00 AM

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Claims Investigator
  • Allied Universal® Compliance and Investigations
  • Brooklyn, NY
  • Overview Allied Universal® Compliance and Investigations, North America's leading expert insurance claim investigations,...
  • 3/15/2024 12:00:00 AM

California is a state in the Pacific Region of the United States. With 39.6 million residents, California is the most populous U.S. state and the third-largest by area. The state capital is Sacramento. The Greater Los Angeles Area and the San Francisco Bay Area are the nation's second and fifth most populous urban regions, with 18.7 million and 9.7 million residents respectively. Los Angeles is California's most populous city, and the country's second most populous, after New York City. California also has the nation's most populous county, Los Angeles County, and its largest county by area, S...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner, Sr. jobs
$68,513 to $88,331

Claims Examiner, Sr. in Sarasota, FL
After reading this, you will have a much better idea on whether you will like working as a Property and Casualty Insurance Claims Examiner or not.
January 17, 2020
Claims Examiner, Sr. in Fairbanks, AK
Still, a good number of students health claims specialist resume have to contend with language skill barriers.
February 05, 2020
Claims Examiner, Sr. in Idaho Falls, ID
Kevin Pitts joined CIRSA a little over a year ago as a Workers’ Compensation Claims Examiner.
December 18, 2019