44 Results for

Claims Jobs in Holiday, CA

Jobs

Pinole, CA30+ days ago

Full-time

How We Can Help You Succeed:At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Visit our website at www.milehighadjustershouston.com to explore our offerings and view our 375+ Five-Star Google Reviews.

American Canyon, CA30+ days ago

Full-time

Sonoma, CA30+ days ago

Full-time

Hercules, CA30+ days ago

Full-time

Rohnert Park, CA30+ days ago

Full-time

San Rafael, CA30+ days ago

Full-time

Novato, CA30+ days ago

Full-time

Pleasant Hill, CA30+ days ago

Full-time

Napa, CA30+ days ago

Full-time

Fairfield, CA30+ days ago

Full-time

Martinez, CA30+ days ago

Full-time

Sebastopol, CA30+ days ago

Full-time

Santa Rosa, CA30+ days ago

Full-time

Fairfield, California30+ days ago

$32.51–$39.01 Per Hour

Maintain current knowledge of Partnerhsip Claims Policy and Procedures for all lines of business, Medi-Cal Provider Manual, Title 22 regulations, Knox Keene regulations, and CMS Medicare regulations. Overview: Train examiner and customer service level I staff on all related claim types for all Partnership lines of business using AMISYS Advance system and Claims Operating Instruction Memorandums.

Concord, CA30+ days ago

Remote

$50.25–$55.89 Per Hour

The Senior Claims Examiner will adjust workers compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements. Must possess a current Experienced Indemnity Claims Adjuster Designation, provided by an insurer, as defined in California Code of Regulations, Title 10, Chapter 5, Subchapter 3, Section 2592.01(f) .

New!

Pleasant Hill, CA1 day ago

Remote

$98,000–$103,500 Per Year

The Senior Claims Examiner will adjust police and fire 4850 workers compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements. The Senior Claims Examiner will adjust workers compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements.

Pleasant Hill, CA30+ days ago

Remote

$98,000–$103,500 Per Year

Concord, CA30+ days ago

Remote

$28.20–$31.53 Per Hour

The Assistant Claims Examiner will provide clerical and technical assistance to Senior Claims Examiners and administer Medical Only claims, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, and setting reserves. Immediate need for an Assistant Claims Examiner to support our clients' Workers Compensation department and can be located anywhere in the state of California.

Fairfield, California28 days ago

$30.38–$36.46 Per Hour

Follows established Partnership policies and procedures, Partnership Claims Operating Instruction Memorandums, State of California Medi-Cal Provider Manual guidelines, Title 22 regulations, and CMS guidelines when resolving pended claims. The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform.

Concord, California30+ days ago

Remote

$163,710–$215,000 Per Year

You build high performing teams by attracting, engaging, developing, and retaining talented individuals through motivation and discipline to maximize impact on the organization and the individual. You leverage business insights by understanding industry trends, local market/economic conditions, and Gilbane’s business model to make critical decisions and create competitive advantage.

Concord, California9 days ago

$73,824.56–$118,245 Per Year

Competitive candidates should reside within one of the listed zip codes and will service this same territory: 94505, 94506, 94509, 94513, 94517, 94518, 94519, 94520, 94521, 94523, 94525, 94526, 94531, 94553, 94561, 94565, 94595, 94596, 94597, 94598. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!

New!

San Rafael, California6 days ago

$28–$30

About Center Point, Inc:Center Point’s mission is to provide comprehensive social, educational, vocational, medical, psychological, housing, and rehabilitation services to combat social problems such as substance abuse, poverty, unemployment, and homelessness. Center Point offers rehabilitation and treatment services that interrupt the abusive cycles of psychological, social, and economic dislocation by providing critical training and support so that individuals and families can claim self-worth and dignity.

Forest Knolls, California30+ days ago

$33–$38 Per Hour

Fairfield, California7 days ago

$20–$24 Per Hour

The Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability.

Martinez, CA30+ days ago

As a Pharmacy Technician, youll play a vital role in ensuring the accurate preparation and dispensing of medications while assisting pharmacists and providing excellent customer service. Apply today to join a dedicated team committed to providing exceptional pharmaceutical care and supporting patient health.

Santa Rosa, California30+ days ago

$30–$32

About Center Point - DAAC:Center Point - DAAC (formerly Drug Abuse Alternatives Center)Welcome to Center Point DAAC, a leading organization in Sonoma County, California, dedicated to providing comprehensive and compassionate treatment for substance use disorders and mental health problems. Center Point DAAC offers rehabilitation and treatment services that interrupt the abusive cycles of psychological, social and economic dislocation by providing critical training and support so that individuals and families can claim self-worth and dignity.

Santa Rosa, California30+ days ago

$20–$23

We are seeking a dedicated and detail-oriented Pharmacy Technician to join our team at a busy community pharmacy in California. Communicate effectively with patients, healthcare providers, and team members.

Fairfield, California22 days ago

$77,430.47–$96,788.08 Per Year

Responsibilities: Assess, implement, and monitor activities related to recoveries and cost savings of medical claims with duties including but not limited to: Perform assessments and identify potential overpayments on claims related to all lines of business; Research and identify overpayments related to over utilization of procedures, billing procedures, potential fraudulent claims, duplicate payments, and overpayments due to lack of coordination of benefits with member's primary health care insurance policy such as a private health insurance, Medicare coverage, or an open case with CCS; Perform recovery activities associated with claim audit findings; Report dollar amounts identified for recovery, recovery amounts received, and reasons for overpayments; Responsible for identifying via reports, Medi-Cal overpayments due to retro-active Medicare or Third Party coverage and the recoupment of same. Researches and validates all provider refund checks received with duties including but not limited to: Identifies if refund check received is due to Partnership, reason for the refund; Identifies configuration or training issues related to the payment received; Recommends appropriate actions, statistical or regular adjustment, completes adjustments and reports outcome to Cost Avoidance Supervisor.

Fairfield, CA30+ days ago

Remote

Full-time

Manages all updates and modifications to the CDMAssists with chargemaster configurations across all relevant software applicationsAssists with cross-functional collaboration with hospital departments and IT to develop a strategic roadmap for an optimized and compliant chargemaster across all integrated systems. We are expanding access to care across our communities through two acute-care hospitals, including a Level II Trauma Center and a Level III NICU maternity unit, along with a cancer center, urgent care locations, and a growing network of primary and specialty care clinics.

Concord, CA30+ days ago

$20–$22 Per Hour

Kyo's innovative and effective Administrative team works together to ensure the best possible experience for Kyo's current and future clients and teammates. Assist with other duties in the Revenue and Contracting department, including: financial analysis, copayments, payables, payment posting, reconciliation.

San Rafael, CA21 days ago

$84,000–$106,000 Per Year

We are committed to: • Engaging a diverse, purpose-driven workforce; • Transforming buildings from structures that shelter into structures that serve and preserve the health and well-being of people and planet; • Pursuing sustainable, innovative solutions for spaces where we live, work, learn heal and play; • Being a catalyst for change with all of our stakeholders; and. Participate in sales calls, including monthly estimating calls for BŌK projects; maintain SFDC updates and serves as the “air traffic controller” for project design development by engaging the appropriate independent agent or exterior metal sales manager to maximize market reach.

San Rafael, California13 days ago

$80,000–$90,000

Hercules, California30+ days ago

$72,800–$79,040

This hybrid role combines office-based intake coordination with in-home patient care, ensuring a seamless transition for patients entering home health and hospice services. About the Role:Blize Healthcare is seeking a detail-oriented and compassionate Intake Coordinator / Licensed Vocational Nurse (LVN) to join our team.

Fairfield, CA29 days ago

Remote

Full-time

We are expanding access to care across our communities through two acute-care hospitals, including a Level II Trauma Center and a Level III NICU maternity unit, along with a cancer center, urgent care locations, and a growing network of primary and specialty care clinics. Due to state-specific employment requirements and workers’ compensation regulations, we are unable to support remote work arrangements in the following locations: Washington, Ohio, Wyoming, North Dakota, Puerto Rico, and the U.S. Virgin Islands.

Concord, CA30+ days ago

Remote

$117,700–$221,250 Per Year

With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you! Other than authorized and pro bono work, State Farm attorneys are not permitted to handle any legal business outside of State Farm and candidates must cease all outside practice and all suit involvement before joining State Farm.

Fairfield, California15 days ago

$118,518.94–$154,074.63 Per Year

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. Provide the highest possible level of service to clients; Promote teamwork and cooperative effort among employees; Maintain safe practices; and.

Novato, California30+ days ago

We offer a competitive Benefits Program that includes affordable health insurance and Health Reimbursement Accounts (HRA), Dental and Vision Insurance, Educational and Continuing Education Benefits, Student Loan Repayment and Loan Forgiveness, Retirement Plan, Group Life and AD&D Insurance, Short term and Long Term Disability benefits, Professional Fee Reimbursement, Mileage and Cell Phone Reimbursement, Scrubs Reimbursement, Loupes Reimbursement, Employee Assistance Programs, Paid Holidays, Personal Days of Celebration, Paid time off, and Extended Illness Benefits. Overview: Marin Community Clinics, founded in 1972, is today, a multi-clinic network with a wide array of integrated primary care, dental, behavioral, specialty and referral services.

New!

Vacaville, CA2 days ago

Full-time

We are expanding access to care across our communities through two acute-care hospitals, including a Level II Trauma Center and a Level III NICU maternity unit, along with a cancer center, urgent care locations, and a growing network of primary and specialty care clinics. Compensation: Hourly Salary Range Min $26.92 - Max $31.16 (Offered hourly rate based on years of experience)About UsInterpersonal Skills and ValuesDemonstrates NorthBay Health’s True North Values: Nurture Care, Own It, Respect Relationships, Build Trust, and Hardwire Excellence.

Fairfield, CA12 days ago

Full-time

We are expanding access to care across our communities through two acute-care hospitals, including a Level II Trauma Center and a Level III NICU maternity unit, along with a cancer center, urgent care locations, and a growing network of primary and specialty care clinics. At NorthBay Health, the Patient Services Representative II performs general front office duties of moderate scope and complexity including reception, registration, appointment scheduling, insurance verification and medical records management functions.

New!

Fairfield, CA2 days ago

Full-time

We are expanding access to care across our communities through two acute-care hospitals, including a Level II Trauma Center and a Level III NICU maternity unit, along with a cancer center, urgent care locations, and a growing network of primary and specialty care clinics. At NorthBay Health, the Patient Services Representative II performs general front office duties of moderate scope and complexity including reception, registration, appointment scheduling, insurance verification and medical records management functions.

Fairfield, CA30+ days ago

$30.21–$36.74 Per Hour
Full-time

Proficiency is required in the application of knowledge in the areas listed below: Differentiation of the unique characteristics of the following insurance types: Medi-Cal, Medicare, Managed Care, Indemnity and Workers Compensation Impact of completeness and accuracy that the registration/admission process has on successful claims processing and receipt of payment Impact of completeness and accuracy that the registration process has on the delivery of patient care. We are expanding access to care across our communities through two acute-care hospitals, including a Level II Trauma Center and a Level III NICU maternity unit, along with a cancer center, urgent care locations, and a growing network of primary and specialty care clinics.

New!

Fairfield, CA5 days ago

Full-time

Proficiency is required in the application of knowledge in the areas listed below:- Differentiation of the unique characteristics of the following insurance types: Medi-Cal, Medicare, Managed Care, Indemnity and Workers Compensation-Impact of completeness and accuracy that the registration/admission process has on successful claims processing and receipt of payment-Impact of completeness and accuracy that the registration process has on the delivery of patient care. We are expanding access to care across our communities through two acute-care hospitals, including a Level II Trauma Center and a Level III NICU maternity unit, along with a cancer center, urgent care locations, and a growing network of primary and specialty care clinics.

Fairfield, CA30+ days ago

$130,000–$150,000 Per Year
Full-time

Has an entrepreneurial instinct; a sense of responsibility to meet the needs of managers in the organization around contracting and managed care issues; a high comfort level with taking initiative, making decisions and handling responsibility; an organized work style; high energy and productivity; a problem-solving orientation; a comfort level with learning new ideas; good listener; strong integrity. Has the capability to think strategically as well as tactically; good writing and verbal skills; analytical skills (quantitative and mathematical skills strongly preferred); ability to work and speak openly with people throughout the organization; an orientation to detail, along with the ability to manage details; ability to meet deadlines and ability to produce accurate work.

Fairfield, CA29 days ago

Remote

$32.15–$37.18 Per Hour
Full-time

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Claims Jobs in Holiday, CA

Jobs

Independent Insurance Claims Adjuster in Pinole, CaliforniaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in American Canyon, CaliforniaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Sonoma, CaliforniaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Hercules, CaliforniaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Rohnert Park, CaliforniaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in San Rafael, CaliforniaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Novato, CaliforniaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Pleasant Hill, CaliforniaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Napa, CaliforniaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Fairfield, CaliforniaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Martinez, CaliforniaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Sebastopol, CaliforniaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Santa Rosa, CaliforniaMileHigh Adjusters Houston Inc

Claims TrainerPartnership HealthPlan of California

Senior Workers' Compensation Claims Examiner (Contract) (Hybrid or Remote) - CAJohnson Service Group

Sr Examiner - 4850 Workers' Compensation Claims (Full Remote - Northern CA)(Perm)Johnson Service Group

Sr Examiner - 4850 Workers' Compensation Claims (Full Remote - Southern CA)(Perm)Johnson Service Group

Assistant Workers' Compensation Claims Examiner (Temp - Perm) (Hybrid or Remote) - CAJohnson Service Group

Claims Examiner IIPartnership HealthPlan of California

Senior Claims Manager (Remote-Friendly)Gilbane Federal

Claim Specialist - Property Field InspectionState Farm

Medical Billing SpecialistCenter Point, Inc

Utilization SpecialistSerenity Knolls

Surveillance Investigator - North BayAllied Universal

Pharmacy TechCovelo Direct (a Division of ZOE Holding)

Billing SpecialistCenter Point - DAAC

Pharmacy TechnicianCreekside Pharmacy

Cost Avoidance Specialist IPartnership HealthPlan of California

Senior Systems Specialist, Chargemaster (Onsite, Hybrid, Remote)Northbay Healthcare

Billing and Insurance AR SpecialistKyo

Technical Sales Specialist JobArmstrong Ceilings

Payroll & Benefits SpecialistCenter Point, Inc

Intake Coordinator/LVNBlize Healthcare

Patient Account Representative III Pro Fee (Onsite, Hybrid, Remote)Northbay Healthcare

Trial Attorney - Insurance DefenseState Farm

Manager of Overpayment Recovery ServicesPartnership HealthPlan of California

Patient Accounts RepresentativeMarin Community Clinics

Patient Services Rep (Vacaville Urgent Part-time)Northbay Healthcare

Patient Service Representative - Women's Health OBGYN (Full Time, Day)Northbay Healthcare

Patient Services Rep, GreenValley CPC (Full Time, Days)Northbay Healthcare

Patient Access Ambassador II (Part Time, Day)Northbay Healthcare

Patient Access Ambassador II VCVH (Per Diem, Variable Shifts)Northbay Healthcare

Manager, Managed Care Contracting & OperationsNorthbay Healthcare

Patient Account Representative III Hospital Billing Unit (Onsite, Hybrid, Remote)Northbay Healthcare

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