AppleOne logo

Claims Resolution Specialist

AppleOne
  • Bakersfield, CA
  • $20–$23 Per Hour
1 day ago

Job Description

Job Description
Job Description

Bakersfield, CA $20-23


Summary: The Claims Resolution Specialist is responsible for reviewing, processing, adjudicating, and resolving healthcare insurance claims in accordance with plan benefits, contractual agreements, regulatory requirements, and company policies. This role ensures accurate and timely claim payments, investigates claim discrepancies, and collaborates with providers, members, and internal departments to resolve claim-related issues.



Equal Opportunity Employer / Disabled / Protected Veterans

The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf

The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf

For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf

We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

#1087

Company Description

This company offers growth and a great group of people to work with.

Numbers & Facts

LocationBakersfield, CA
IndustryStaffing/Employment Agencies
Salary$20–$23 Per Hour
Company Size1,500 to 1,999 employees
Year Founded1964
Websitehttps://www.appleone.com/

About Company

What if you knew how employers viewed your resume so you had the best shot at getting an interview? What if you went into the interview with confidence knowing in advance what you were likely to be asked and how best to answer? What if you could have someone negotiate your salary for you? And, what if you had somebody in your corner to give you advice and hope when you needed it? This isn’t a fantasy. For over half-a-million people this is what it’s like working with AppleOne. Since 1964, we have connected the best people, their talents, skills, and aspirations with the best companies. Let us help you achieve your career goals.

Skills

  • Adjudicationunmatched
  • Corporate Policiesunmatched
  • E Programming Languageunmatched
  • Health Insuranceunmatched
  • Insurance Claimsunmatched
  • Legalunmatched
  • Regulatory Requirementsunmatched
  • Time Managementunmatched

Be found by employers

5,500+ employers search our resume database daily. Add yours to get found by recruiters looking for candidates like you.

Level up your application

Professional resume templates

Browse dozens of recruiter approved resume templates, layouts and formats. Choose your favorite and make it your own in minutes.

Free resume templates

Free resume builder

Improve your existing resume or start from scratch and create a standout, ATS-friendly resume. Add job-specific content, download and apply.

Free resume builder