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Auto claims adjuster Jobs in Fairfield, CA

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Auto claims adjuster • fairfield ca

Last updated: 7 days ago

Claims Trainer

Partnership HealthPlan of CaliforniaFairfield, CA, United States
Full-time

Claims Examiner Training Specialist.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 Operati... Show more

Remote A/R Follow-up Manager - AI Trainer ($75-$75 per hour)

MercorFairfield, California, US
$75.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced A/R Follow-Up Managers to evaluate AI tools designed to automat... Show more

1071 Senior Contract Manager

Harvest Technical Services, Inc.Vacaville, CA, United States
$75.00 hourly
Full-time

Senior Contracts & Claims Manager.As a member of the Global Capital Sourcing team, a Senior Contracts & Claims Manager is sought to be responsible for the commercial management of a variety of proj... Show more

Patient Account Representative III Pro Fee (On-Site, Hybrid, Remote)

NorthBay HealthcareFairfield, CA, US
Remote
Full-time

Preferred candidates are local (Onsite) or Hybrid workers within a commutable distance to NorthBay Campuses in Fairfield California.Candidates must be available schedule 7am -5pm PST.At NorthBay He... Show more

Quick Lane Service Technician

Quick Lane Tire & Auto CenterVacaville, CA, US
Full-time

Quick Lane Tire & Auto Center in Vacaville, CA is hiring a Quick Lane Technician to perform oil changes, fluid inspections, and routine maintenance services.This is an entry-level role with room to... Show more

Senior Commercial Contracts Manager

TekWissen LLCVacaville, CA, United States
Full-time
Quick Apply

Overview:</b></p> <p style="text-align: justify;">TekWissen is a global workforce management provider headquartered in Ann Arbor, Michigan that offers strategic talent s... Show more

Senior Contracts & Claims Manager

AequorVacaville, CA, United States
Full-time

Senior Contracts & Claims Manager.Location: Vacaville, CA Onsite expectations: hybrid 3x per week.As a member of the Global Capital Sourcing team, a Senior Contracts & Claims Manager is sought to b... Show more

Contract Manager

Tailored ManagementVacaville, CA, United States
$90.00 hourly
Full-time

Senior Contracts & Claims Manager.Location: Vacaville, CA Contract length: 6+ months with potential for extension and/or permanent placement Pay Rate: $90/hour + Benefits.Job Summary: As a member o... Show more

ObGyn Physician

Global Medical StaffingFairfield, California, US
Full-time

ObGyn physician employment in California : Global Medical Staffing - This experience is the perfect opportunity to go far and do good - call Global Medical Staffing today.Paid AAA-rated claims made... Show more

Salesperson Auto Dealership

Future CDJR of FairfieldFairfield, CA, US
$30,000.00 yearly
Full-time

Future Automotive Group Family.We will always provide the highest quality products and services, as we (1) exceed expectations, (2) build lifelong relationships, and (3) continuously improve all as... Show more

Senior Contracts & Claims Manager

Sunrise SystemsVacaville, CA, United States
$80.00 hourly
Full-time

Senior Contracts & Claims Manager.As a member of the Global Capital Sourcing team, a Senior Contracts & Claims Manager is sought to be responsible for the commercial management of a variety of proj... Show more

Automotive Technician / Auto Mechanic – GMC Dealership

Wise Auto GroupVACAVILLE, CA, US
$32.00 hourly
Full-time +1
Quick Apply

GMC of Vacaville is hiring flat-rate Automotive Technicians and Auto Mechanics in Vacaville, CA.We are looking for motivated, dependable technicians who want steady work, a professional dealership ... Show more

Human Resources - Payroll Professional

Essel EnvironmentalFairfield, CA, United States
Full-time

Essel Human Resources/Payroll Professional.Essel is growing and we are looking for a Human Resources/Payroll professional to support our team.If you reside in the Greater Bay Area and are proficien... Show more

Remote Insurance Experts - AI Trainer ($50-$60 per hour)

MercorFairfield, California, US
Remote
Full-time

Role Overview** - Mercor is seeking senior insurance professionals to build evaluation tasks for AI systems operating in Fortune 500 enterprise insurance and risk contexts.The workflows are calibra... Show more

Contract Manager

HireTalentVacaville, CA, United States
Full-time

Senior Contracts & Claims Manager.As a member of the Global Capital Sourcing team, a Senior Contracts & Claims Manager is sought to be responsible for the commercial management of a variety of proj... Show more

Automotive Technician – 4-Day Workweek + Excellent Benefits

Mechanics & Body Shops MarketplaceVacaville, CA, us
Full-time

Best Automotive Repair Job You’ll Every Have.Are you looking for a friendly, teamwork environment where your great work is appreciated and rewarded? Are you looking for health and retirement benefi... Show more

Customer Service Representative - State Farm Agent Team Member

Rena Macdonald - State Farm AgentFairfield, CA, US
$25.00 hourly
Full-time

As an account manager  with a State Farm Insurance Agency you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency.Your attention to... Show more

Medical Billing and Coding - Entry Level Training Program

Dreambound Inc.Suisun City, California, US
Full-time

Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more

Contract Manager

MindlanceVacaville, CA, United States
Full-time

Senior Contracts & Claims Manager.As a member of the Global Capital Sourcing team, a Senior Contracts & Claims Manager is sought to be responsible for the commercial management of a variety of proj... Show more

Life/Health Insurance Position - State Farm Agent Team Member

Gigi Horton - State Farm AgentFairfield, CA, US
$40,000.00 yearly
Full-time

Gigi Horton - State Farm Agent is seeking a qualified and empathetic professional for the role of Life/Health Insurance Position - State Farm Agent Team Member.As a customer-oriented expert, you wi... Show more

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Claims Trainer

Claims Trainer

Partnership HealthPlan of CaliforniaFairfield, CA, United States
30+ days ago
Job type
  • Full-time
Job description

Claims Examiner Training Specialist

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.

Responsibilities

  • Train all levels of staff on all claim types on-site or regional site(s).
  • Train all levels of staff on CIF processing, generating and processing adjustments both on-site and regional site(s)
  • Provide feedback and recommendation to the Claims Audit Supervisor and Associate Director of Claims on staff training needs and system adjustments.
  • Create and maintain training materials
  • Maintain current knowledge of Partnership Claims Policy and Procedures for all lines of business, Medi-Cal Provider Manual, Title 22 regulations, Knox Keene regulations, and CMS Medicare regulations.
  • Draft Claims Operating Instruction documentation for the Claims Director as assigned.

Secondary duties and responsibilities

  • Assist with system testing as needed.
  • Other duties as assigned.

Qualifications

Education and Experience

Minimum two (2) years of claims examining experience and completion of Partnership Claims training; or equivalent combination of education the experience.

Special Skills, Licenses and Certifications

Familiar with Medi0Cal and/or managed care claims processing. Knowledge of CPT, HCPC procedure coding, and ICD -9/ICD10 diagnostic coding. Typing speed 30 wpm and proficient use of 10-key calculator. Familiar with AMISYS or similar claims systems. Understanding of claims examining requirements. Valid California driver's license and proof of current automobile insurance compliant with Partnership policy are required to operate a vehicle and travel for company business.

Performance Based Competencies

Excellent oral and written communication skills. Ability to effectively exercise good judgment within scope of authority and handle sensitive issues with tact and diplomacy. Ability to work on multiple tasks within established time frames and sometimes conflicting priorities. Good organizational skills with ability to maintain accurate records and documentation of actions and decisions.

Work Environment And Physical Demands

Ability to use a computer keyboard. More than 60% of work time is spent in front of a computer monitor. When required, ability to move, carry or list objects of varying size, weighing up to 5 lbs.

All HealthPlan employees are expected to:

  • Provide the highest possible level of service to clients;
  • Promote teamwork and cooperative effort among employees;
  • Maintain safe practices; and
  • Abide by the HealthPlan's policies and procedures, as they may from time to time be updated.

Hiring Range:

$ 33.65 - $ 40.38

Important Disclaimer Notice

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. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.