Claims examiner Jobs in Downey, CA
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Claims examiner • downey ca
Last updated: 1 day ago
The Workers’ Compensation Claims Department is currently seeking a Compliance Examiner.This is a new role created to support the Compliance Directors and Chief Technical Officer while working close...Show moreLast updated: 30+ days ago
The Department of Financial Protection and Innovation is recruiting for one (1).Limited-Term, Full-Time Financial Institutions Examiner (FIE).
General Counsel Division, Broker Dealer / Investment Advi...Show moreLast updated: 30+ days ago
A company is looking for a Claims Examiner to evaluate insurance claims and determine compensation amounts.Key Responsibilities Review insurance claims for validity, completeness, and adherence t...Show moreLast updated: 29 days ago
Minimum of 2 years of claims adjudication related experience in ambulatory, acute care hospital, HMO, or IPA environment.
Proven claims reimbursement experience.DOFR (Division of Financial Responsib...Show moreLast updated: 1 day ago
Teleworking employees may be required to report to their headquarters office location on designated telework days.Travel expenses are not reimbursed, however other authorized transit subsidies do e...Show moreLast updated: 30+ days ago
Rancho Cordova, CA(Hybrid / Remote).The Claims Examiner I is in daily contact with team members, clients and providers.This position reports to the Claims Supervisor.
A cheerful, competent and compass...Show moreLast updated: 30+ days ago
Chubb is currently seeking a Workers' Compensation Lost Time Senior Claim Examiner for our West Coast / Pacific region.The successful applicant will be handling claims from California.The position wi...Show moreLast updated: 6 days ago
CANDIDATES APPLYING OUTSIDE OF CALIFORNIA WILL NOT BE REVIEWED.Medical Claims Examiner - Remote - Fresno, CA.Remote for Central Valley candidates •.
Candidates are required to attend occasional train...Show moreLast updated: 1 day ago
Make a difference with a career in insurance.At The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations.
To put this into action, we're looking for ...Show moreLast updated: 30+ days ago
The future is now, Willdan is "Envisioning the Future" of Building & Safety through our work with cities, buildings, and transportation.
Public Agency Resources (PARS), a subsidiary of.Full-Time or ...Show moreLast updated: 22 days ago
MonthlyLocation : Torrance, CAJob Type : Permanent Full-timeJob Number : Department : COMMUNITY DEVELOPMENTOpening Date : 04 / 25 / 2025 DESCRIPTIONWE STRONGLY ENCOURAGE APPLICANTS TO READ THE JOB ANNOUNCE...Show moreLast updated: 14 days ago
At AltaMed, we don’t just serve our communities, we are part of them.We have raised the expectations of what a community clinic can deliver because we think quality care is for everyone.And, we are...Show moreLast updated: 30+ days ago
By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected.
We invite you to grow your c...Show moreLast updated: 14 days ago
The claims examiner reports directly to the claims manager.They are primarily responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500 claims that are ...Show moreLast updated: 16 days ago
If you are as passionate about helping those in need as you are about growing your career, consider AltaMed.At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrat...Show moreLast updated: 9 days ago
Staffmax is hiring for our client, a leading healthcare Facility in Whittier, CA!.The Claims Examiner, under the direct supervision of the Claims Manager, is tasked primarily with handling the proc...Show moreLast updated: 30+ days ago
The Senior Claims Examiner administers health plan contracts by processing medical claims in an efficient, cost-effective, and timely manner meeting all required guidelines and performs adjustments...Show moreLast updated: 30+ days ago
Compliance Examiner
CHUBBLos Angeles, CA, United StatesFull-time
FINANCIAL INSTITUTIONS EXAMINER
Department of Financial Protection and InnovationLos Angeles County, USFull-time +3
- Promoted
Claims Examiner
VirtualVocationsCarson, California, United StatesFull-time
CLAIMS EXAMINER
AppleOneWhittier, CAFull-time
INSURANCE EXAMINER
Department of InsuranceLos Angeles County, USFull-time +2
Claims Examiner
Lucent HealthCA, USFull-time
- Promoted
Senior Claim Examiner
ChubbLos Angeles, CA, USFull-time
- Promoted
REMOTE - Medical Claims Examiner ( {{city}})
Insurance ReliefLos Angeles, CA, USRemote
Part-time
- Promoted
Claims - Field Claims Representative
The Cincinnati Insurance CompaniesLos Angeles, CA, United StatesFull-time
- Promoted
Plans Examiner
Willdan Group, Inc.Los Angeles, CA, United StatesFull-time +1
PLANS EXAMINER
City of Torrance, CALos Angeles, CA, United StatesFull-time +2
Claims Examiner
AltaMedMontebello, California, CA, USFull-time
Quick Apply
General Liability Claims Examiner | Hybrid
SedgwickLos Angeles, CA, United StatesFull-time
- Promoted
Claims Examiner
Monster jobsWhittier, CA, USFull-time
- Promoted
CLAIMS EXAMINER II
AltaMed Health Services CorporationMontebello, CA, United StatesFull-time
Claims Examiner
Staffmax Staffing & RecruitingWhittierPermanent
Senior Claims Examiner
PIH HealthWhittier, CaliforniaFull-time
- independent contractor (from $ 36,270 to $ 225,000 year)
- non cdl (from $ 41,096 to $ 225,000 year)
- clinical director (from $ 170,650 to $ 221,550 year)
- automation engineer (from $ 170,650 to $ 199,795 year)
- public works director (from $ 176,354 to $ 195,754 year)
- public works (from $ 176,354 to $ 195,754 year)
- pharmacist (from $ 111,394 to $ 193,721 year)
- marketing (from $ 46,800 to $ 191,100 year)
- physician assistant (from $ 126,360 to $ 185,973 year)
- Chicago, IL (from $ 59,093 to $ 110,000 year)
- New York, NY (from $ 53,579 to $ 102,500 year)
- Los Angeles, CA (from $ 47,790 to $ 91,166 year)
- Phoenix, AZ (from $ 40,950 to $ 88,875 year)
- Orlando, FL (from $ 38,660 to $ 82,269 year)
- Philadelphia, PA (from $ 37,500 to $ 82,125 year)
- Houston, TX (from $ 37,000 to $ 75,000 year)
The average salary range is between $ 40,010 and $ 91,090 year , with the average salary hovering around $ 55,009 year .
Compliance Examiner
CHUBBLos Angeles, CA, United States30+ days ago
Job type
- Full-time
Job descriptionA personal commitment to superior performance that adds value to our company. An ability to work effectively with a wide variety of people and teams. An aptitude for evaluating, analyzing, and interpreting information. Strong analytical, critical thinking and technical skills. Excellent organizational skills a must. The ability to multi-task along with proven time management and organizational skills. Excellent verbal and written communication skills. College degree preferred but not required. Prior workers’ compensation claims or compliance experience a plus. Project and / or Change Management experience that involves coordination of cross-discipline teams. Proficiency working with Microsoft Office products, specifically Microsoft Excel Proven organizational and communication skills for interaction with internal / external business partners. Comfortable designing and delivering training curriculums.
The Workers’ Compensation Claims Department is currently seeking a Compliance Examiner. This is a new role created to support the Compliance Directors and Chief Technical Officer while working closely with discipline leadership to develop business solutions and drive education in all facets of Compliance. All employees are required to work from a regional claim office (Chicago, Dallas, Los Angeles, Alpharetta, or New Haven) for a minimum of 3 days per week.
MAJOR DUTIES AND RESPONSIBITIES :
- Manage CMS data corrections and Conditional Payment liens.
- Execute and lead strategies to assist with CMS adherence.
- Manage, monitor, and track compliance data relating to penalties, fines, liens, and payment compliance within the WC Discipline.
- Create spreadsheets and other tracking & monitoring reports.
COMPETENCIES :
EDUCATION / EXPERIENCE :