Talent.com
Claims Examiner

Claims Examiner

VirtualVocationsEscondido, California, United States
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Claims Examiner I to handle processing and adjudication for healthcare claims.

Key Responsibilities

Process and adjudicate claims for medical, dental, vision, and mental health services

Conduct claims research, verify medical necessities, and manage overpayment investigations

Resolve claims appeals and verify correct plan loading

Required Qualifications

2+ years of related work experience in claims examination or adjudication

High school diploma or GED

Knowledge of CPT and ICD-9 coding

Familiarity with COBRA, HIPAA, and coordination of benefits

Proficiency in Microsoft Windows and related software for medical coding

serp_jobs.job_alerts.create_a_job

Examiner • Escondido, California, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Medicare Claims Specialist

Medicare Claims Specialist

VirtualVocationsOceanside, California, United States
serp_jobs.job_card.full_time
A company is looking for a Medicare Specialist to manage and resolve Medicare claims for various hospital or physician groups. Key Responsibilities Resolve aged, outstanding, and denied medical cl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
General Liability Claims Adjuster

General Liability Claims Adjuster

VirtualVocationsEl Cajon, California, United States
serp_jobs.job_card.full_time
A company is looking for a Senior General Liability Claims Adjuster.Key Responsibilities Analyze claims exposure and litigation to plan appropriate resolutions Interact with various parties to e...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Senior General Liability Claims Specialist

Senior General Liability Claims Specialist

VirtualVocationsEl Cajon, California, United States
serp_jobs.job_card.full_time
A company is looking for a Senior General Liability Claims Specialist.Key Responsibilities Conduct detailed analysis to investigate claims exposure and recommend settlement strategies Create res...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Temporary Remote Claims Agent

Temporary Remote Claims Agent

VirtualVocationsOceanside, California, United States
serp_jobs.filters.remote
serp_jobs.job_card.full_time
A company is looking for a Temporary Remote Agent to support a direct claims program for wildfire victims.Key Responsibilities : Handle inbound calls from claimants with professionalism and empath...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Claims Adjuster

Claims Adjuster

VirtualVocationsOceanside, California, United States
serp_jobs.job_card.full_time
A company is looking for a Resolution Manager who will manage claims and ensure effective communication throughout the claims process. Key Responsibilities Apply claims management experience to an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Claims Adjuster Manager

Claims Adjuster Manager

VirtualVocationsOceanside, California, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Resolution Manager to manage claims and ensure effective resolution processes.Key Responsibilities Execute decision-making to analyze claims exposure and plan ap...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
STAT / PFL Claims Specialist

STAT / PFL Claims Specialist

VirtualVocationsOceanside, California, United States
serp_jobs.job_card.full_time
A company is looking for a STAT / PFL Claims Specialist.Key Responsibilities Conduct initial and ongoing interviews with claimants and review medical records to determine claims Collaborate with c...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Delaware Licensed Claims Adjuster

Delaware Licensed Claims Adjuster

VirtualVocationsEscondido, California, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Workers Compensation Claims Adjuster.Key Responsibilities Execute decision-making to analyze claims exposure and resolve claims effectively Interact with variou...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Claims Investigator

Claims Investigator

Command InvestigationsSan Diego, CA, US
serp_jobs.job_card.full_time +1
Seeking experienced investigator with multi-lines investigations to include AOE / COE, General Liability, and Auto, with Homeowners highly desired. SIU experience is also highly desired, but not requi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Licensed General Liability Adjuster

Licensed General Liability Adjuster

VirtualVocationsOceanside, California, United States
serp_jobs.job_card.full_time
A company is looking for a Senior General Liability Claims Adjuster.Key Responsibilities Execute claims management decisions to analyze and resolve claims exposure Interact with various parties ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
GL / Excess Claims Adjuster

GL / Excess Claims Adjuster

VirtualVocationsOceanside, California, United States
serp_jobs.job_card.full_time
A company is looking for a GL / Excess Claims Adjuster III to manage a caseload of claims in multiple states.Key Responsibilities Manage a caseload of GL / Excess Claims, including new loss assignmen...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Claims Processor

Claims Processor

VirtualVocationsEl Cajon, California, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Process Executive (remote).Key Responsibilities Review and verify claim submissions for appropriateness and completeness according to guidelines Process claims ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Hospital Claims Specialist

Hospital Claims Specialist

VirtualVocationsEl Cajon, California, United States
serp_jobs.job_card.full_time
A company is looking for a Hospital AR Follow Up specialist for a remote position.Key Responsibilities Resolve aged hospital accounts receivables and perform comprehensive follow-up on claims An...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Senior General Liability Claims Adjuster

Senior General Liability Claims Adjuster

VirtualVocationsOceanside, California, United States
serp_jobs.job_card.full_time
A company is looking for a Senior General Liability Claims Specialist.Key Responsibilities Conduct detailed analysis to investigate claims exposure and recommend settlement strategies Create res...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Licensed Senior Claims Adjuster

Licensed Senior Claims Adjuster

VirtualVocationsEl Cajon, California, United States
serp_jobs.job_card.full_time
A company is looking for a Senior General Liability Claims Adjuster to manage and resolve claims effectively.Key Responsibilities Analyze claims exposure and execute decision-making to resolve cl...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Manager

Claims Manager

VirtualVocationsOceanside, California, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Manager II to manage the operations of claims intake for the Legal Department.Key Responsibilities Oversee the intake and processing of insurance claims related ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Examiner

Claims Examiner

Berkshire Hathaway Homestate CompaniesSan Diego, CA, US
serp_jobs.job_card.full_time
Are you searching for a unique opportunity that offers exceptional training and career growth with a dynamic and growing organization? Are you a Spanish speaker looking to apply those skills in a p...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Reviewer

Claims Reviewer

VirtualVocationsOceanside, California, United States
serp_jobs.job_card.full_time
A company is looking for a Claims / Appeals Reviewer - Associate.Key Responsibilities : Calls veterinary offices and policyholders to request necessary medical records and invoices for claims proces...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day