NewSpecial Risk Claim Analyst - Omaha, NE Mutual of OmahaSpecial Risk Claim Analyst - Omaha, NETorrance, CAPREFERRED: Medical claims processing, healthcare administration, insurance claims, or medical customer service experience preferred mutualofomaha We value unique experience, skills, and passion for innovation. Each claim presents a unique challenge, necessitating strong communication skills and the capacity to collaborate both internally and externally to ensure timely and accurate claim processing.
SAP Business Systems Analyst Quote to Revenue Pinnacle Technical ResourcesSAP Business Systems Analyst Quote to RevenueSanta Clara,, California$80–$85 / hourContractorThe specific compensation for this position will be determined by a number of factors, including the scope, complexity and location of the role as well as the cost of labor in the market; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. The ideal candidate will play a critical role in analyzing, designing, and implementing SAP solutions to optimize business operations and support revenue generation.
Business Analyst III Pinnacle Technical ResourcesBusiness Analyst IIISanta Clara,, CaliforniaContractorThe specific compensation for this position will be determined by several factors, including the scope, complexity, and location of the role, as well as the cost of labor in the market; the skills, education, training, credentials, and experience of the candidate; and other conditions of employment. Successfully placed or hired candidates would only be asked for banking details after accepting an offer from us during our official onboarding processes as part of payroll setup.
Data Analyst III Pinnacle Technical ResourcesData Analyst IIISan Francisco, California$65–$68 / hourContractorIn this role, candidates will take ownership of complex workbook architectures, managing raw data transfers between platforms, and ensuring core hiring, demand, and onboarding data sets remain fully updated and accurate. Core Functions: Spreadsheet Management and Data Updates: Owner of core global hiring/demand tracking sheets — candidates will maintain, troubleshoot, and build advanced formulas to automate recurring data refreshes.
OPD Product Manager Analyst Pinnacle Technical ResourcesOPD Product Manager AnalystCupertino,, California$55–$60 / hourContractorThe specific compensation for this position will be determined by a number of factors, including the scope, complexity and location of the role as well as the cost of labor in the market; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Successfully placed or hired candidates would only be asked for banking details after accepting an offer from us during our official onboarding processes as part of payroll setup.
Healthcare System Analyst /BA – Payer Systems (Facets) Tanisha SystemsHealthcare System Analyst /BA – Payer Systems (Facets)Multiple LocationsFull time5- We should focus on finding ones with hands-on Facets systems analyst experience, including with deep benefits + claims knowledge, strong data troubleshooting ability, and clear ownership of real production issues. 1 – A technical system analyst with good understanding of the healthcare process flow – Eligibility & Enrollment – Provider contract pricing – Claims adjudication – Billing – Appeals and Grievances.
NewClient Success Manager Larkin Benefit AdministratorsClient Success ManagerRoseville, CA$70,000–$107,640 / yearUse good judgement to work with internal stakeholders to resolve internal and external escalations, which may involve challenging conversations and collaboration to address issues and determine solutions, resulting in stronger internal and external relationships. Serve as the main point of contact and project manager for both cross functional internal teams as needed and external teams during the implementation and ongoing partnership and confirm alignment throughout implementation to ensure success (e.g.
Claims Analyst Or (Senior) Claims & Patient Safety Specialist MIECClaims Analyst Or (Senior) Claims & Patient Safety SpecialistOakland, CARemote$73,050–$156,958 / yearYou may also lead or support higher-level patient safety and risk management engagements, including complex policyholder consultations, claims prevention initiatives, data-informed presentations, and cross-functional projects that require advanced judgment, independent analysis, and strong facilitation skills. If hired as a (Senior) Claims & Patient Safety Specialist, you will also: Collaborate with MIEC's Patient Safety & Risk Management (PSRM) staff to provide specialized internal and external services addressing existing member groups and new business, including large medical groups and hospitals.
Claims Analyst or (Senior) Claims & Patient Safety Specialist Medical Insurance Exchange Of CaliforniaClaims Analyst or (Senior) Claims & Patient Safety SpecialistOakland, CARemote$73,050–$156,958 / yearYou may also lead or support higher-level patient safety and risk management engagements, including complex policyholder consultations, claims prevention initiatives, data-informed presentations, and cross-functional projects that require advanced judgment, independent analysis, and strong facilitation skills. If hired as a (Senior) Claims & Patient Safety Specialist, you will also: Collaborate with MIEC's Patient Safety & Risk Management (PSRM) staff to provide specialized internal and external services addressing existing member groups and new business, including large medical groups and hospitals.
Legal Claims Analyst (Los Angeles, CA area) MorleyLegal Claims Analyst (Los Angeles, CA area)Los Angeles, CaliforniaRemote$65,000–$77,000 / yearFull timeOffer timely and accurate solutions through inbound and outbound conversations (including phone calls, chats, emails and other communications as needed) while keeping a positive and upbeat attitude. As a Legal Claims Analyst at Morley, you'll play a key role in managing small automotive claims cases, collaborating closely with the General Counsel of a Fortune 500 automaker.
Electronic Claims Analyst HCA Healthcare IncElectronic Claims AnalystCampbell, CA$24.92–$36.16 / hourProvide technical assistance, training, and direction to electronic claims staff Participate in testing new claims requirements and processes in conjunction with other departments Develop, document, and manage workflows for electronic claims Provider back-up and assistance for Excelicare data loads Perform other duties as assigned REQUIREMENTS: Excellent written and verbal communications skills Demonstrated analytical skills with ability to review information to determine appropriate action and define and resolve problems Ability to work independently and to prioritize tasks EDUCATION: High School Diploma EXPERIENCE: One year equivalent work experience required Experience maintaining member files Claims experience and or knowledge of claims processes Experience in a Health Insurance environment Benefits HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. Work with the Claims and Network Services Departments to resolve discrepancies with provider billing issues, such as Tax ID numbers, incorrect usage of NPI numbers, and Vendor addresses Work error reports produced by electronic load of claims data Correspond with providers regarding billing procedures to facilitate proper processing of e-claims Interface with users and technical staff for data entry and electronic claims issues Keep Data Management Manager informed of system and operational issues Lead projects for process improvement, reporting, infrastructure changes, new report definitions, etc.
NewCustomer Care Product Warranty Claims Analyst Westlake CorpCustomer Care Product Warranty Claims AnalystLathrop, CALathrop, CA Customer Service Office DUTIES AND RESPONSIBILITIES May include, but are not limited to, the following: Service inbound and initiate outbound customer calls to ensure that customer claims are handled in a timely, accurate and perceived in a superior manner, by the Westlake customer base. Able to Multitask Problem-solving Organization skills Decision-making skills Time management skills Documentation Accuracy One-year certificate from college or technical school 1 - 2 years claims handling or similar experience Investigative or negotiation experience.
Epic Certified PB / PB Claims Analyst - Remote - San Diego, CA Waterfall Technology Consulting PartnersEpic Certified PB / PB Claims Analyst - Remote - San Diego, CASan Diego, CaliforniaRemoteThe ideal candidate will bring strong technical expertise, revenue cycle application knowledge, and hands-on experience supporting professional billing and claims workflows. This role is critical in ensuring seamless functionality of Epic's PB and Claims modules, supporting both break/fix issues and application enhancements.
Epic Certified PB / PB Claims Analyst Waterfall Technology Consulting PartnersEpic Certified PB / PB Claims AnalystSan Diego, CaliforniaThe ideal candidate will bring strong technical expertise, revenue cycle application knowledge, and hands-on experience supporting professional billing and claims workflows. This role is critical in ensuring seamless functionality of Epic's PB and Claims modules, supporting both break/fix issues and application enhancements.
NewCustomer Care Product Warranty Claims Analyst WestlakeCustomer Care Product Warranty Claims AnalystLathrop, CaliforniaMay include, but are not limited to, the following: Service inbound and initiate outbound customer calls to ensure that customer claims are handled in a timely, accurate and perceived in a superior manner, by the Westlake customer base. While performing the duties of this job, the employee is frequently required to sit; stand; walk; use hands to touch, handle, or feel; reach with hands and arms; and talk or hear.
Claims Analyst/Paralegal Clyde & CoClaims Analyst/ParalegalLos Angeles, CaliforniaOur hiring practice group represents international and domestic insurers in complex insurance coverage and insurance coverage litigation matters in a broad range of liability and first party policies, including energy and construction insurance, concert and event cancellation insurance, as well as disability insurance for athletes and high net worth individuals. The range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
NewRisk Analyst (Claims Adjuster)- Personnel Services Dept. -City of Fresno Fresno Regional Workforce Development BoardRisk Analyst (Claims Adjuster)- Personnel Services Dept. -City of FresnoFresno, California$84,120–$101,832 / yearORAL EXAM - 100%: A panel of subject matter experts will conduct a job-related oral examination to evaluate a candidate's knowledge of principles, and practices and associated laws related to personal injury, liability and property claims procedures and practices, loss investigation and claim adjustment techniques, customer service concepts, ability to establish effective working relationships, speak and write clearly and concisely or other topics related to a candidate's training, experience and qualifications for the position of Risk Analyst. DROP (Deferred Retirement Option Proaram): an optional, voluntary program that allows an employee to deposit retirement benefits in a special savings account within the Retirement System while continuing to work for the City of Fresno for up to 10 years.
GLOVIS: Analyst, Operations Administration Claims Temp Elevated ResourcesGLOVIS: Analyst, Operations Administration Claims TempIrvine, CaliforniaHandle and process insurance claims on behalf of customers on force majeure/act of god related incidents: • Collect incident report. To handle and resolve claims issues and disputes from dealers and transportation vendors.
NewAuthorization and Claims Analytics Data Analyst III L.A. Care Health PlanAuthorization and Claims Analytics Data Analyst IIILos Angeles, CAThe Authorization and Claims Analytics Data Analyst III serves as a Subject Matter Expert (SME) contributor responsible for leading complex analytic projects that link insights directly to enterprise goals, resource allocation, and performance improvement. Required: Expert in SQL for complex exploratory analysis, data modeling, and Extract, Transform, and Load (ETL) processes supporting enterprise dashboards, reports, and analytic deliverables.
Claims Adjuster (Official Title: Risk Analyst) Open Until Filled City of FresnoClaims Adjuster (Official Title: Risk Analyst) Open Until FilledFresno, CA$84,120–$101,832 / yearORAL EXAM - 100%: A panel of subject matter experts will conduct a job-related oral examination to evaluate a candidates knowledge of principles, and practices and associated laws related to personal injury, liability and property claims procedures and practices, loss investigation and claim adjustment techniques, customer service concepts, ability to establish effective working relationships, speak and write clearly and concisely or other topics related to a candidates training, experience and qualifications for the position of Risk Analyst. Do you possess two (2) years of experience in loss control, risk management, workers compensation, insurance underwriting, or employee safety and have a Bachelors Degree in Business Administration, Public Administration, or closely related field?.