Third-Party Medical Claims Processor Hire Up Healthcare (Division of Hire Up Staffing)Third-Party Medical Claims ProcessorFresno, CAIdeal Candidate: The perfect fit for this role has at least 3 years of experience in medical billing or claims processing especially if that experience includes working with a third-party administrator (TPA) within an insurance company . Prior TPA exposure is highly preferred due to the nature of this employers group benefit processing.
Claims Administrative Supervisor Zenith Insurance CompanyClaims Administrative SupervisorFresno, California$94,502.68–$118,128.35 / yearFull timeIntroduction: Zenith is a team of Workers' Compensation Specialists committed to helping businesses succeed by protecting against the financial and human consequences of workplace injuries, providing for the needs of injured employees and making the workplace safer. Ensure timely workflow and prioritization of clerical tasks, management of diary, and the appropriate training or matching of task complexity to staff capabilities.
Managed Care Claims Assistant I Amtrust Financial Services IncManaged Care Claims Assistant IFresno, CA$20–$24 / hourProcess Utilization Review requests: performs data entry functions, reviews multiple criteria to determine eligibility of treatment requests, approves treatment requests based on authority level, refers treatment requests to a clinical resource or sends appropriate response level. Transfers any/all calls where there is clinical information being provided (or a clinically related question surfaces) to a registered nurse for response - Licensed staff are always available to assist non-clinical staff while they are attempting to obtain information.
Property & Casualty Claims Advocate Hub International LtdProperty & Casualty Claims AdvocateMadera, CA$68,000–$100,000 / yearMaintains accurate and organized claim files by appropriately documenting conversations with clients and carrier representatives; updates all HUB computer systems and automated agency management systems; ensures the accuracy of data. QUALIFICATIONS: High School Diploma / GED 2-3 years property & casualty claims adjustment experience (brokerage preferred) or equivalent combination of education & experience Property & Casualty License required or willingness to obtain within 3 months.
Claims Examiner I Western GrowersClaims Examiner IFresno, CA$40,580.28–$52,756.02 / yearAdjudicate all claims types including Dental, Vision and Medical claims for inpatient and outpatient facilities, Blue Card, physician claims, In and Out of Network claims, Medicaid reclamation (HIPD), outpatient lab and radiology, accident and Third-Party Liability (TPL) claims, by calculating benefit due to approve or deny, based on SPD and within accepted corporate cycle timeframe. Claims Examiner I is responsible for reviewing and processing medical, dental, vision, and electronic claims per state, federal, and health plan regulatory requirements and department guidelines, as well as meeting established quality and production performance benchmarks, including research and review of applicable documentation.
Senior Claims Adjuster Workers Compensation GallagherSenior Claims Adjuster Workers CompensationFresno, CaliforniaRemoteFull timeThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. As a key member of our experienced Claims Adjuster team, you will: Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution.
Claims Adjuster - Attorney Represented Injury The Progressive CorpClaims Adjuster - Attorney Represented InjuryFresno, CA$30.29–$39.23 / hourAn ideal candidate will have experience managing an inventory independently, experience assessing and evaluating liability, coverage, and damages, as well as working independently and directly with attorneys to negotiate and settle claims. For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ .
Claims Adjuster Senior - Litigation The Progressive CorpClaims Adjuster Senior - LitigationFresno, CA$36–$47 / hourFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/. Investigating complex and high-risk claims - which may be attorney represented or have additional litigation features - you'll consult with police officers, medical professionals, claimants and others involved in the accident.
Claims Adjuster Senior - Injury The Progressive CorpClaims Adjuster Senior - InjuryFresno, CA$36–$47 / hourFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ . Investigating complex and high-risk claims - which may be attorney represented or have additional litigation features - you'll consult with police officers, medical professionals, claimants and others involved in the accident.
Sr. Field Adjuster, Homeowner Claims - Fresno, CA (Local) CSAA Insurance GroupSr. Field Adjuster, Homeowner Claims - Fresno, CA (Local)Fresno, CARemote$38.88–$43.20 / hourUnder close supervision, you will investigate, evaluate, negotiate, and settle homeowners' property/personal property claims, including adjustment to conclusion; involves low- to higher-complexity claims that typically require physical inspection. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including CSAA offices.
Sr Claim Examiner- WC TPI Global (formerly Tech Providers, Inc.)Sr Claim Examiner- WCFresno, CAEstablish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost-effective manner and ensuring timely issuance of disbursements. Duties:Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
Sr Claim Examiner-WC (CA) Crawford & CoSr Claim Examiner-WC (CA)Fresno, CA$25.15–$45.99 / hourWork within established authority on moderate-to-difficult claims, reviewing coverages, determining liability/compensability, collecting statements and essential information, and settling claims using best practices. Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements.
Billing Clerk (Temp) Family Healthcare NetworkBilling Clerk (Temp)Visalia, CAProfessional & Technical Knowledge: Effective June 1, 2026, all individuals hired into the role must: Must have proof of completion of high school with a minimum overall GPA of 2.5 or completion of General Educational Development (GED) with a minimum overall score of 162.5. Have a minimum of two years of experience, knowledge, and training in finance and billing or completion of a certificate or license program in billing procedures and successful completion of an externship with Family HealthCare Network.
Pharmacy Technician Omni Family HealthPharmacy TechnicianFresno, CASupports work of the area by filling prescriptions by retrieving prescription orders; counting, pouring, measuring or weighing medication tablets, liquids and creams; mixing or reconstituting medications as needed, selecting, filling and labeling prescriptions containers; and operating scanning equipment, and/or operating dispensing systems to ensure prescription accuracy. Ensures effective customer service by monitoring and resolving problems in the prescription fulfillment process by processing information for third party insurance claims; rescanning illegible images; alerting patients to inventory that is out of stock, partial fills, and the need for providers' authorizations on refills; and identifying situations requiring pharmacist's actions and resolution.
NewLaw Clerk Intern - Kemper (Fresno) San Joaquin College of LawLaw Clerk Intern - Kemper (Fresno)Fresno, CAWhat Kemper's Extern Program ProvidesProjects that support our attorneys in litigationReal-time constructive feedbackAresourceteam to assist with training and career developmentCollaboration withmanagerswho have excellentlegal acumenOpportunities to interact with the senior leadership team and attorneysDedicated program managers and knowledgeable mentorsLasting career connections with fellow externsExtern Responsibilities:Assist attorneys with drafting discovery responses, reporting to claims, preparing for mediation/arbitration/trial. Kemper is looking for students who want to learn, work hard, and are willing to a make real-life impact on cases that will involve attorneys and paralegals.