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Claims Examiner Jobs in Rancho Cordova, CA

84 Jobs

  • 3.7
    Dignity Health – Rancho Cordova, CA
    $42k-$65k(Glassdoor est.)
    16 days ago 16d
    disposition of a claim. The contracts can change annually and the examiner must be able to apply the correct terms to the claims. If the… the claim is not appropriate for payment, the examiner is responsible for making sure that the denial is done correctly in the system…
  • 2.8
    LiveHealthier – Rancho Cordova, CA
    $38k-$60k(Glassdoor est.)
    NEW
    /vendor/claim service activity. The lead reviews, analyzes, investigates and authorizes payment of group health claims within authority… resources and tools to team members. Researches claim issues (resolves pending claims, adjustments and denials of request). Assists…
  • 2.8
    Sedgwick – Rancho Cordova, CA
    $50k-$78k(Glassdoor est.)
    NEW
    ClaimsExaminer Workers Compensation CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging… compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed…
  • 3.0
    Centene – Rancho Cordova, CA
    $57k-$87k(Glassdoor est.)
    NEW
    /vendor/claim service activity. The lead reviews, analyzes, investigates and authorizes payment of group health claims within authority… resources and tools to team members. Researches claim issues (resolves pending claims, adjustments and denials of request). Assists…
  • 4.1
    Professional Search – Sacramento, CA
    NEW
    Job Description Workers' Compensation ClaimsExaminer II, III or Senior (subject to Experience Level) Employment Type: Regular… Sacramento POSITION SUMMARY Appropriately addresses all claims issues to include compensability, temporary disability, permanent…
  • 3.1
    Western Health Advantage – Sacramento, CA
    EASY APPLY
    $38k-$60k(Glassdoor est.)
    HOT
    The ClaimsExaminer is responsible for adjudicating medical claims accurately and in a timely manner to ensure state regulations… regulations are met. The ClaimsExaminer provides thorough review, analysis, and on-time adjudication of claim payment determinations,…
  • 2.8
    LiveHealthier – Rancho Cordova, CA
    $31k-$47k(Glassdoor est.)
    16 days ago 16d
    School Diploma or equivalent required. Three years health claimsexaminer and one year multiple product experience required… Documents provider claims/billing forms to support payments/decisions. Matches authorizations to claims, maintains current desk…
  • 2.8
    MHN – Rancho Cordova, CA
    $45k-$69k(Glassdoor est.)
    NEW
    /vendor/claim service activity. The lead reviews, analyzes, investigates and authorizes payment of group health claims within authority… resources and tools to team members. Researches claim issues (resolves pending claims, adjustments and denials of request). Assists…
  • 2.8
    LiveHealthier – Rancho Cordova, CA
    $36k-$56k(Glassdoor est.)
    10 days ago 10d
    the claim issue. Education/Experience: High School diploma or equivalent required. Minimum six months claimsexamining experience… Purpose: Under close supervision, this position processes routine claims within a single product line to determine type and amount of…
  • 3.0
    Centene – Rancho Cordova, CA
    $53k-$81k(Glassdoor est.)
    10 days ago 10d
    the claim issue. Education/Experience: High School diploma or equivalent required. Minimum six months claimsexamining experience… Purpose: Under close supervision, this position processes routine claims within a single product line to determine type and amount of…
  • 3.0
    Centene – Rancho Cordova, CA
    $50k-$76k(Glassdoor est.)
    16 days ago 16d
    School Diploma or equivalent required. Three years health claimsexaminer and one year multiple product experience required… Documents provider claims/billing forms to support payments/decisions. Matches authorizations to claims, maintains current desk…
  • 2.8
    Sedgwick – Roseville, CA
    $46k-$72k(Glassdoor est.)
    6 days ago 6d
    ClaimsExaminer Workers Compensation CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging… compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed…
  • 2.8
    MHN – Rancho Cordova, CA
    $42k-$65k(Glassdoor est.)
    10 days ago 10d
    the claim issue. Education/Experience: High School diploma or equivalent required. Minimum six months claimsexamining experience… Purpose: Under close supervision, this position processes routine claims within a single product line to determine type and amount of…
  • 2.8
    MHN – Rancho Cordova, CA
    $38k-$59k(Glassdoor est.)
    16 days ago 16d
    School Diploma or equivalent required. Three years health claimsexaminer and one year multiple product experience required… Documents provider claims/billing forms to support payments/decisions. Matches authorizations to claims, maintains current desk…
  • 3.5
    Berkshire Hathaway Homestate Companies – Sacramento, CA
    $59k-$92k(Glassdoor est.)
    NEW
    experienced workers compensation claims professionals in our Sacramento, CA office. As a Senior Claims Professional, you will manage… reported claims and take appropriate action on any coverage issues. Conduct and direct the investigation of reported claims to…
  • 3.1
    TheBestIRS – Sacramento, CA
    12 days ago 12d
    openings in their Sacramento, CA claims office. They are looking for Workers' Compensation ClaimsExaminers with at least 3 years experience… Compensation Indemnity claims from inception to close Current on Continuing Education hours ClaimsExaminer designation Proven…
  • 4.4
    Canon Recruiting Group LLC – Sacramento, CA
    23 days ago 23d
    The Claims Adjuster is responsible for the prompt and efficient examination, investigation, settlement or declination of worker's… worker's compensation insurance claims through effective research, negotiation, and interaction with insurers, and claimants ensuring…
  • 3.6
    ADP – Sacramento, CA
    $57k-$90k(Glassdoor est.)
    NEW
    responsibility for the ClaimsExaminer I and Senior Examiner and also provides an additional level to monitor applicable claims assigned.… hiring a Lead ClaimsExaminer. In this position you will be responsible for providing aid in the overall claim cost reduction…
  • 2.5
    TRISTAR Risk Management – Sacramento, CA
    $59k-$90k(Glassdoor est.)
    9 days ago 9d
    clients, claimants on the phone, and with management, other ClaimsExaminers, and other TRISTAR staff in the office; therefore consistently… regarding claims issues.* Computes and set reserves within Company/Client guidelines.* Settles and/or finalizes all claims and…
  • 3.0
    Gallagher – Rancho Cordova, CA
    $52k-$77k(Glassdoor est.)
    9 days ago 9d
    to analyze the claims exposure, to determine the proper course of action and to appropriately settle the claim. Interacts extensively… knowledge of the claim file process through presentation of actions and responses to client questions. Processes claims consistent…
  • 2.8
    LiveHealthier – Rancho Cordova, CA
    NEW
    Purpose: The Claims Auditor Senior is responsible to audit moderately complex claims to determine if exceptions to claims adjudication… Performs complex audits on claims to identify trends, issues, and exceptions to the established claims adjudication requirements…
  • 3.0
    Centene – Rancho Cordova, CA
    NEW
    Purpose: The Claims Auditor Senior is responsible to audit moderately complex claims to determine if exceptions to claims adjudication… Performs complex audits on claims to identify trends, issues, and exceptions to the established claims adjudication requirements…
  • 3.0
    Gallagher – Rancho Cordova, CA
    $42k-$62k(Glassdoor est.)
    17 days ago 17d
    to analyze the claims exposure to determine the proper course of action and to appropriately settle the claim. Interacts extensively… extensively with various parties involved in the claim process. Handles claims consistent with clients' and corporate policies…
  • 2.8
    MHN – Rancho Cordova, CA
    3 days ago 3d
    Purpose: The Claims Auditor Senior is responsible to audit moderately complex claims to determine if exceptions to claims adjudication… Performs complex audits on claims to identify trends, issues, and exceptions to the established claims adjudication requirements…
  • 3.0
    Gallagher – Sacramento, CA
    $52k-$77k(Glassdoor est.)
    3 days ago 3d
    to analyze the claims exposure, to determine the proper course of action and to appropriately settle the claim. Interacts extensively… knowledge of the claim file process through presentation of actions and responses to client questions. Processes claims consistent…
  • 2.8
    Sedgwick – Rancho Cordova, CA
    2 days ago 2d
    representatives, examiners and leads with larger or more complex claims as necessary. Processes workers compensation claims determining… medical-only claims and minor lost-time workers compensation claims under close supervision. Supports other claims representatives…
  • 3.0
    Gallagher – Sacramento, CA
    $51k-$75k(Glassdoor est.)
    2 days ago 2d
    to analyze the claims exposure, to determine the proper course of action and to appropriately settle the claim. Interacts extensively… knowledge of the claim file process through presentation of actions and responses to client questions. Processes claims consistent…
  • 3.7
    First Group – Roseville, CA
    2 days ago 2d
    careers. Associated topics: auto, automobile, bodily, claimexaminer, claimant, damage, insurance investigator, investigate,… estate. Examines chain of Title for Commercial and Subdivision properties in various counties; Examination of title to real…
  • 3.0
    Gallagher – Sacramento, CA
    $51k-$75k(Glassdoor est.)
    12 days ago 12d
    to analyze the claims exposure, to determine the proper course of action and to appropriately settle the claim. Interacts… knowledge of the claim file process through presentation of actions and responses to client questions. Processes claims consistent…
  • 2.8
    Sedgwick – Rancho Cordova, CA
    $59k-$92k(Glassdoor est.)
    9 days ago 9d
    amounts on high cost claims and claims over the authority of the individual examiner. Monitors third party claims; maintains periodical… monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and…
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