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Claims Specialist

Claims Specialist

LHHSan Francisco, California, United States
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Claims Processor | Leading Healthcare Administration Firm

We’re looking for a Claims Processor to join a well-established healthcare administration team in downtown San Francisco. This role is ideal for someone with experience in healthcare billing or financial services who enjoys detailed work and wants to grow within a stable, mission-driven environment. If you're sharp, organized, and ready to make an impact, this is a great opportunity to get your foot in the door with a company that values accuracy and teamwork.

What You’ll Do :

  • Process health and welfare claims (medical, dental, vision, prescription, life, AD&D, disability, workers' comp)
  • Maintain up-to-date knowledge of plan rules and apply them correctly
  • Communicate with clients and team members via phone, email, and in-person
  • Ensure compliance with all privacy regulations (PHI / PII)
  • Support customer service and administrative tasks as needed
  • Contribute to a team-oriented environment and meet daily processing goals

What You Bring :

  • 6+ months of experience in health & welfare claims or medical billing
  • High school diploma or GED (required)
  • Familiarity with ICD-10 and CPT-4 codes, claims adjudication basics
  • Proficiency in Microsoft Office (Excel, Outlook, Word)
  • Excellent attention to detail and strong communication skills
  • Ability to stay organized while handling confidential information
  • Prior experience with a Third-Party Administrator (TPA) is a plus
  • Location : San Francisco CA

    Pay : $25 – $27 / hr.

    Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.

    Equal Opportunity Employer / Veterans / Disabled

    To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to us / en / candidate-privacy

    The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and / or security clearance requirements, including, as applicable :

  • The California Fair Chance Act
  • Los Angeles City Fair Chance Ordinance
  • Los Angeles County Fair Chance Ordinance for Employers
  • San Francisco Fair Chance Ordinance
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    Claim Specialist • San Francisco, California, United States

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