Claims Processor 1 Zenith American SolutionsClaims Processor 1San Francisco, CaliforniaWe 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. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide.
Claims Processor 3 Zenith American SolutionsClaims Processor 3San Francisco, CaliforniaWe 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. High school diploma or general education degree (GED); two years related experience processing all types of group health and/or dental benefit claims.
Part-Time (34 hours/week) Data Entry Claims Intake Processor Staffing Data Services AgencyPart-Time (34 hours/week) Data Entry Claims Intake ProcessorSan Francisco, CaliforniaRemoteWork collaboratively with other team members to ensure that work is completed in accordance to designated turnaround times. If selected for further consideration, candidates will be required to complete an online alphanumeric data entry assessment.
MSO Claims Manager North East Medical ServiceMSO Claims ManagerBurlingame, CAThis role provides guidance on healthcare claims adjudication and payment processing for Medi-Cal, Medicare, PACE, and other lines of business based on member Evidence of Coverages (EOC) and CMS/DHCS guidelines, ensures that claims are processed accurately, timely, and in compliance with regulatory requirements and contractual obligations. Responsibilities include interviewing and hiring of employees; planning, assigning, scheduling, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Claims Process Specialist LancesoftClaims Process SpecialistOakland, CARemote$18Job duties include: Examine garnishments, levies, liens and information subpoenas to ensure accuracy, completeness and legal sufficiency. Claims include garnishments, levies, liens and information subpoenas received from creditors and taxing authorities.
Fremont Michigan Claim Support Assistant I AAA Southern New EnglandFremont Michigan Claim Support Assistant IFremont, CABy continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals.
Claims Processing Expert - Fully Remote MercorClaims Processing Expert - Fully RemoteSan Francisco, CaliforniaRemoteManage claims submission workflows including electronic claim generation, clearinghouse edits, and payer-specific billing requirements. Coordinate with coding, CDI, and collections teams to resolve billing edits and claim rejections.
Manager, Claims Operations San Francisco Health PlanManager, Claims OperationsSan Francisco, CA$140,000–$150,000 / yearSFHP is chosen by eight out of every ten San Francisco Medi-Cal managed care enrollees and its 175,000+ members have access to a full spectrum of medical services including preventive care, specialty care, hospitalization, prescription drugs, and family planning services. Established in 1997, San Francisco Health Plan (SFHP) is an award-winning, managed care health plan whose mission is to provide affordable health care coverage to the underserved low and moderate-income residents in San Francisco County.
Product SME – Auto Claims AssuredProduct SME – Auto ClaimsPalo Alto, CaliforniaDeep understanding of the end-to-end auto claims process within P&C Experience working closely with product, engineering, data, and operational teams Proven ability to assess complex workflows and identify high-impact improvements Comfort owning ambiguous, high-leverage initiatives with measurable financial impact ️ Strong written and verbal communication skills. The challenges we face are deep and diverse, from creating digital experiences that provide comfort and clarity to claimants at their most stressed and vulnerable to orchestrating large-scale ML-driven decision-making on billions of dollars of claims payments, life at Assured is dynamic, collaborative, and rewarding.
Product Manager - Claims & Payments Maven ClinicProduct Manager - Claims & PaymentsSan Francisco, CA$160,000–$185,000 / yearThrough Maven Enterprise, the company partners with more than 2,300 employers and health plans to provide end-to-end women's and family health programs spanning fertility and family building, maternity and newborn care, parenting and pediatrics, and menopause and midlife — improving clinical outcomes, reducing healthcare costs, and expanding equitable access to high-quality care at scale. Founded in 2014 by CEO Kate Ryder, Maven Clinic has raised more than $425 million from leading healthcare and technology investors including General Catalyst, Sequoia, Dragoneer Investment Group, Oak HC/FT, StepStone Group, Icon Ventures, and Lux Capital.
Group Product Manager, Core TPA Claims CollectiveHealth, Inc.Group Product Manager, Core TPA ClaimsSan Francisco, CA$172,500–$215,625 / yearCross-Functional Influence: Enable deep connections between engineering, UX, sales, marketing, operations, and client success to ensure buy-in for complex initiatives and to surface critical market insights. Results-Oriented Delivery: Proactively solve complex architectural and business problems alongside your PMs to ensure the delivery of high-quality, compliant, and scalable healthcare products.
NewElectronic 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.
Claims Counsel Cowbell CyberClaims CounselPleasanton, CAPerform tasks such as coverage analysis and letter writing; investigation; incident response; evaluation; reserve adequacy and timeliness; diary maintenance; management of defense and coverage counsel; reinsurance reporting; and claim disposition. In its unique AI-based approach to risk selection and pricing, Cowbell's underwriting platform, powered by Cowbell Factors, compresses the insurance process from submission to issue to less than 5 minutes.
Senior Software Engineer, Claims Submissions CommureSenior Software Engineer, Claims SubmissionsMountain View, CaliforniaThe claim generation pipeline: transforming structured claim payloads into valid electronic EDI claims across professional (CMS-1500), institutional (CMS-1450/UB), and dental (CDT) formats, plus paper-claim and PDF generation for payers that require mail or fax. Our platform spans the full care journey: Ambient AI and Dictation eliminating documentation burden at the point of care, intelligent Agents automating patient and revenue workflows, and autonomous RCM processing billions in claims, all on a single AI-native platform integrated with 60+ EHRs.
Inside Sales - Claims (Mandarin Required) ASUSTeK ComputerInside Sales - Claims (Mandarin Required)Fremont, CA$70,304–$71,400 / yearIn this role, you will partner closely with Sales, Product Management, Finance, and external customers to verify promotional documentation, resolve pricing and invoice discrepancies, coordinate claim resolution, and support the successful execution of channel programs. Essential Duties and Responsibilities: Serve as the primary liaison between ASUS Asia headquarters and North American Sales, Product Management, Finance, Accounts Receivable, and customers, ensuring timely communication and resolution of operational issues.
Claims Counsel CowbellClaims CounselPleasanton, CaliforniaPerform tasks such as coverage analysis and letter writing; investigation; incident response; evaluation; reserve adequacy and timeliness; diary maintenance; management of defense and coverage counsel; reinsurance reporting; and claim disposition. In its unique AI-based approach to risk selection and pricing, Cowbell’s underwriting platform, powered by Cowbell Factors, compresses the insurance process from submission to issue to less than 5 minutes.
Claims Appraiser - Auto Estimatics State FarmClaims Appraiser - Auto EstimaticsFremont, CA$78,862.06–$102,500 / yearWith 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! Additional Details: Employees must successfully complete all required training, including applicable proficiency, licensing exam(s), Motor Vehicle Record (MVR) checks, and background checks required of various state(s).
Medical Claims Payment Posting, Reconciliation Specialist Abby CareMedical Claims Payment Posting, Reconciliation SpecialistSan Francisco, CaliforniaThe Medical Claims Payment Posting, Reconciliation & Reporting Specialist is responsible for accurately posting insurance payments, reconciling daily deposits, resolving payment discrepancies, and generating financial and operational reports. We believe families are the largest untapped caregiving workforce in America, and that technology can help them deliver better care while driving stronger outcomes and greater transparency across the healthcare system.
NewCalifornia Workers' Compensation Claims Examiner - Temp-to-Hire | Remote KING'S INSURANCE STAFFING LLCCalifornia Workers' Compensation Claims Examiner - Temp-to-Hire | RemoteSan Francisco, CARemote$45–$60 / hourJob Description Our client is seeking to add a Senior California Workers Compensation Claims Examiner to their Northern California branch. Handle moderate to complex California Workers Compensation claims with minimal supervision and guidance from the manager.
Supervisor, Claims Zenith American SolutionsSupervisor, ClaimsSan Francisco, CaliforniaZenith 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.