69 Results for

Claims Processor Jobs in Los Altos, CA

Jobs

San Francisco, CA30+ days ago

Full-time

The Customer Service Claims Processor is focused on providing customer service via call handling to participants, beneficiaries, union locals and providers regarding eligibility, benefits and claims status in conjunction with claims processing as business needs dictate. We are currently looking for a dedicated, energetic employee with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day.

New!

Half Moon Bay, CAToday

$80,000–$90,000

Ensures a consistent safety culture throughout the locations that incorporate operations, safety and maintenance departments and emphasizes the team approach and individual responsibility of all employees to achieve common goals. The Safety and Training Manager will be a hands-on manager helping implement programs and procedures in compliance with State and Federal regulations and corporate and client policies and be accountable for the leadership of OSHA/CDL at the division level.

Pleasanton, California23 days ago

Remote

The 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. Behaviors: Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.

San Francisco, CA30+ days ago

Full-time

Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide. We are currently looking for a dedicated, energetic employee with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day.

San Jose, CA30+ days ago

$71,000–$110,000 Per Year

Investigate property claims involving commercial & residential buildings, collapse, structural damage, earth movement, and total building losses. The Property Claims Representative will be responsible for technical claim-handling, including investigation, evaluation, and negotiations pertaining to Property, Collapse, Earth Movement and Total loss of buildings.

San Mateo, California12 days ago

$75–$85 Per Hour

This role will play a critical part in designing, building, testing, and deploying HB and claims workflows, ensuring accurate billing, compliance, and efficient revenue cycle operations. About Us: CTG, a Cegeka company, delivers IT and business solutions that enhance clients’ digital agility, empowering them to seize new opportunities and overcome any challenge.

Pleasanton, CA18 days ago

$89,378–$110,735

SIU Consultant Group is a full-service investigation firm delivering high-quality investigative solutions to employers, insurance carriers, public entities, third-party administrators, and legal counsel. SIU Consultant Group is committed to providing exceptional service, achieving measurable cost savings, and delivering reliable, results-driven outcomes for its clients.

San Jose, CA30+ days ago

Remote

$77,406–$129,010 Per Year

Provides the highest company-wide level of technical claim-handling, including investigation, evaluation, and negotiations pertaining to Property, Collapse, Earth Movement and Total loss of building. Perform inspections of sites and properties, including roofs, basements, and attics, which may require the use of ladders or stairs to access or the ability to kneel, crawl, and bend.

Daly City, 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.

Dublin, CA30+ days ago

Full-time

Santa Cruz, CA30+ days ago

Full-time

San Bruno, CA30+ days ago

Full-time

Morgan Hill, CA30+ days ago

Full-time

San Leandro, CA30+ days ago

Full-time

Santa Clara, CA30+ days ago

Full-time

Castro Valley, CA30+ days ago

Full-time

Campbell, CA30+ days ago

Full-time

Hayward, CA30+ days ago

Full-time

Fremont, CA30+ days ago

Full-time

Scotts Valley, CA30+ days ago

Full-time

Newark, CA30+ days ago

Full-time

Saratoga, CA30+ days ago

Full-time

Pleasanton, CA30+ days ago

Full-time

Stanford, CA30+ days ago

Full-time

Alameda, CA30+ days ago

Full-time

San Jose, CA30+ days ago

Full-time

Pacifica, CA30+ days ago

Full-time

Livermore, CA30+ days ago

Full-time

Danville, CA30+ days ago

Full-time

South San Francisco, CA30+ days ago

Full-time

San Francisco, CA30+ days ago

Full-time

Milpitas, CA30+ days ago

Full-time

San Ramon, CA30+ days ago

Full-time

Oakland, CA30+ days ago

Full-time

San Mateo, CA30+ days ago

Full-time

Los Gatos, CA30+ days ago

Full-time

Fremont, CA30+ days ago

$50.42–$68.08 Per Hour

Subpoena intake and management for the healthcare system, ensuring timely and accurate response to subpoenas and related data requests and coordinating with legal counsel and internal departments and external vendor to manage the subpoena lifecycle Daily management of the health system's Public Record Request website and coordinate with the appropriate stake holders and legal counsel to ensure compliance with regulatory requirements for responding to requests. The Contracts and Legal Claims Specialist is also responsible for coordinating claims and legal matter in collaboration with Vice President, outside legal counsel, insurance carriers and internal stakeholders.

Santa Clara, CA30+ days ago

Full-time

Fremont, California, United States of America, Milpitas, California, United States of America, Mountain View, California, United States of America, San Francisco, California, United States of America, San Jose, California, United States of America, Santa Clara, California, United States of America, South San Francisco, California, United States of America. Employees and/or eligible dependents may be eligible to participate in the following Company sponsored employee benefit programs: medical, dental, vision, life insurance, short- and long-term disability, business accident insurance, and group legal insurance.

San Francisco, CA30+ days ago

Full-time

This role offers the opportunity to work directly with homeowners following property damage events such as fire, water, or severe storms, helping guide them through the insurance claims process and providing trusted support during a critical time. This role requires grit, empathy, and comfort working in the field, often with homeowners who are navigating stressful and emotional situations following significant property damage.

San Francisco, CA30+ days ago

$12,000–$15,000 Per Year

Our client is expanding their presence across the Pacific Northwest and is seeking an Outside Sales Professional based in the Seattle area who can quickly build trust with homeowners following significant property damage. This role requires grit, empathy, and comfort working in the field, often with homeowners who are navigating stressful and emotional situations following significant property damage.

San Francisco30+ days ago

Effectively communicates changes regarding contracted health plans for claims processing, data management and information systems, financial management, eligibility verification, specialty panel access, patient tracking provider relations, patient satisfaction and health education to staff. Works to communicate health plans specifics regarding claims processing, data management and information systems, financial management, eligibility verification, specialty panel access, patient tracking provider relations, patient satisfaction and health education to staff to ensure compliance.

San Mateo, CA30+ days ago

Full-time

Our Revenue Cycle Management (RCM) division partners with healthcare providers nationwide to deliver expert billing, consulting, and credentialing solutions that drive performance and patient satisfaction. You’ll join a company that’s reshaping outpatient healthcare operations—offering innovative billing, consulting, and credentialing services across the nation.

San Francisco, CA30+ days ago

Full-time

Minimum 2 years’ experience as Administrator, Director of Nursing or Office Manager in a Multi-Specialty Ambulatory Surgery Center or similar Outpatient Center. Provide direction for evaluation of all facility programs and committee activities, including but not limited to Quality Management Improvement and Infection Control as well as delegate responsibilities to appropriate personnel.

Oakland, CA30+ days ago

SkillYears of ExperienceProficiency Level (1-5) Selenium / Playwright Java Datadog/Splunk Rest API Oracle ADF. • Design, develop, and maintain test plans, test cases, and test scripts for functional, regression, and integration testing.

New!

Fremont, CA4 days ago

$40–$42 Per Hour

Job Summary: We are seeking a proficient Front-End Angular Software Engineer to join our service software team In this role, you'll be engaging in cutting-edge web application development alongside some of the most brilliant engineers worldwide, focusing on improving user experiences within our claims' ecosystem. Most recently, we were recognized Inc's Best Workplaces 2024 and Silicon Valley's Best Places to Work by the San Francisco Business Journal (2024) and Glassdoor's Best Places to Work (2023 & 2022)!

Oakland, CA18 days ago

Handles Medicare Part D Coordination: Acts as the liaison with Alameda County Behavioral Health (ACBH) and oversees processes related to Medicare Part D. Handles External Communications: Serves as the administrative point of contact between the clinic, patients, insurance providers, and external agencies. This key position assists the Behavioral Health Manager in ensuring efficient daily administrative operations of the clinic, managing specific county contract obligations, and supporting clinical and operational staff through a broad range of administrative and supervisory functions.

New!

San Jose, CA1 day ago

$50–$75 Per Hour

The specialist ensures that all joint marketing activities - such as webinars, trade shows, and digital campaigns - align with both Supermicro's go-to-market strategy and the partner's compliance requirements to maximize fund utilization and ROI. MDF Program Management: Own the end-to-end MDF claim process, including submitting marketing plans for approval, tracking fund availability, and ensuring 100% utilization of allocated budgets.

New!

Milpitas, CA1 day ago

Full-time

Preston Companies is proud to be recognized as a 2025 Bay Area Best Places to Work winner by the San Francisco Business Times and the Silicon Valley Business Journal—marking our fifth consecutive year on the list and a #4 ranking in the 100–199 employee category. At Preston Pipelines, we deliver reliable underground utility installations for projects of all sizes, supported by skilled teams and modern, sustainable equipment.

San Bruno, CA15 days ago

Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly. Completes and submits all necessary insurance forms and electronic claims to process the claims in a timely manner as required by all third party payors.

Scotts Valley, CA30+ days ago

This role sits between the working level (Analyst II) and the expert level (Analyst IV), focusing on technical execution, vendor integration, and providing guidance to junior staff while supporting tactical plan projects. Experience: * 5+ years of experience in product configuration, provider payments, and member benefits (or a Master's degree + 3 years).3+ years of experience specifically within a Managed Healthcare environment.

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Claims Processor Jobs in Los Altos, CA

Jobs

Customer Service Claims ProcessorZenith American Solutions

Safety and Training ManagerMV Transportation

Senior Claims ExaminerGallagher

Supervisor, ClaimsZenith American Solutions

Property Claims Representative - Regional Insurance Carrier - Base Salary to 110k/year - San Jose, CAAllSearch Professional Staffing

Epic HB/HB Claims AnalystComputer Task Group, Inc

Claims InvestigatorSIU Consultant Group

Claim Representative III - PropertyCapital Insurance Group

Independent Insurance Claims Adjuster in Daly City, CaliforniaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Dublin, CaliforniaMileHigh Adjusters Houston Inc

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

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

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

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

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

Independent Insurance Claims Adjuster in Castro Valley, CaliforniaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Campbell, CaliforniaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Hayward, CaliforniaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Fremont, CaliforniaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Scotts Valley, CaliforniaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Newark, CaliforniaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Saratoga, CaliforniaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Pleasanton, CaliforniaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Stanford, CaliforniaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Alameda, CaliforniaMileHigh Adjusters Houston Inc

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

Independent Insurance Claims Adjuster in Pacifica, CaliforniaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Livermore, CaliforniaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in Danville, CaliforniaMileHigh Adjusters Houston Inc

Independent Insurance Claims Adjuster in South San Francisco, CaliforniaMileHigh Adjusters Houston Inc

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

Independent Insurance Claims Adjuster in Milpitas, CaliforniaMileHigh Adjusters Houston Inc

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

Independent Insurance Claims Adjuster in Oakland, CaliforniaMileHigh Adjusters Houston Inc

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

Independent Insurance Claims Adjuster in Los Gatos, CaliforniaMileHigh Adjusters Houston Inc

Contracts and Legal Claims SpecialistWashington Hospital Healthcare System

Principal R&D Technician (Claims Development) - ShockwaveJohnson and Johnson

Outside Sales Professional512Financial

Outside Sales Professional SF512Financial

Director of Billing (In-person - Fresno, CA)United Health Centers of the San Joaquin Valley

Medical BillerMedHQ, LLC

AdministratorHayes Valley Surgery Center

Senior QA/QE EngineerTechDigital

Frontend Developer : 25-07118Akraya Inc.

Assistant Behavioral Health ManagerLa Clinica de La Raza

Alliance Marketing Consultantsupermicro

Contracts Manager (Preston Pipelines Infrastructure)Preston Companies

Reimbursement CounselorMMC Group

Application Analyst III - Core Systems (HSP)HJ Staffing

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