Talent.com
Claims Specialist 1

Claims Specialist 1

Public Consulting GroupChula Vista, CA, US
30+ days ago
Job type
  • Full-time
Job description

Claims Specialist Payment Processing Clerk

Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000 professionals throughout the U.S.all committed to delivering solutions that change lives for the better. The firm is a member of a family of companies with experience in all 50 states, and clients in three Canadian provinces and Europe. PCG offers clients a multidisciplinary approach to meet challenges, pursue opportunities, and serve constituents across the public sector.

Our Human Services team helps state and municipal human services and economic development agencies keep their promisesresponsibly and sustainablyto the children, adults, and families they serve. Join us and use your professional skills to build stronger communities and better serve populations in need by making meaningful and lasting changes in government organizations.

PCG is seeking highly motivated and dependable Claims Specialist Payment Processing Clerk with an interest in public service who can work in our San Diego, CA Stage 1 Child Care Payment Services operation. The clerks will be responsible for accurately distributing child care payments to child care providers and working with CalWORKs families to access child care. These staff will be responsible for managing, collecting, tracking, and reporting information for child care and additional supportive services in various software programs including KinderTrack and CalWIN.

Specific Responsibilities

  • Identify proper forms; obtain signatures on all required forms and documentation.
  • Establish and maintain good working relationships with partners including CalWORKs participants, County staff, child care providers and Stage 2 and 3 child care payment agencies.
  • Provide monthly reporting statistics to supervisor for designated area of responsibility.
  • Enter manual provider timesheets and invoice information accurately.
  • Reconcile and troubleshoot timesheet and transaction reports.
  • Create and maintain adequate budget files for clients for audit purposes.
  • Monitor accuracy / timeliness of payment processing.
  • Enter budget information and verify that invoices received are budget-authorized.

Required Skills

  • Proper etiquette including customer relation techniques, superior verbal and communications skills.
  • Excellent accuracy and attention to detail.
  • Ability to prioritize work and meet deadlines.
  • Ability to recognize and maintain the confidentiality of all materials in the work setting.
  • Understanding of modern office methods and practices; efficient with computers. Demonstrated ability to use various computer systems, preferably CalSAWS and KinderTrak, although not required.
  • Ability to establish and maintain professional relationships with community partners and providers.
  • Ability to partner with and motivate clients from a diverse range of backgrounds.
  • Ability to maintain a record keeping and follow-up system.
  • Ability to work independently, requiring minimal supervision and on multiple projects simultaneously.
  • Required Education and Experience

  • Proficient with Microsoft Excel and basic working knowledge of Access
  • High School Diploma required; Bachelor's Degree preferred.
  • Accounting experience or background a plus.
  • Range : $42,000-$59,300

    Compensation for roles at Public Consulting Group varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience. As required by applicable law, PCG provides the following reasonable range of compensation for this role below. In addition, PCG provides a range of benefits for this role, including medical and dental care benefits, 401k, PTO, parental leave, bereavement leave.

    Public Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PCG, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and / or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.

    Create a job alert for this search

    Claim Specialist • Chula Vista, CA, US

    Related jobs
    • Promoted
    Claims Escalation Specialist

    Claims Escalation Specialist

    VirtualVocationsEl Cajon, California, United States
    Full-time
    A company is looking for a Claims Escalation Specialist responsible for reviewing and processing healthcare claims and escalations. Key Responsibilities Review and analyze healthcare claims to ens...Show moreLast updated: 1 day ago
    • Promoted
    Insurance Claims Specialist

    Insurance Claims Specialist

    VirtualVocationsChula Vista, California, United States
    Full-time
    A company is looking for an Insurance Claims Specialist PB.Key Responsibilities Submit accurate and timely claims to third party payers Resolve claim edits and account errors prior to claim subm...Show moreLast updated: 30+ days ago
    • Promoted
    Principal Claims Policy Expert

    Principal Claims Policy Expert

    VirtualVocationsChula Vista, California, United States
    Full-time
    A company is looking for a Principal Claims & Payments Expert to serve as a lead authority on claims-related policy matters. Key Responsibilities Interface directly with providers on claims polici...Show moreLast updated: 1 day ago
    • Promoted
    Property and Casualty Claims Specialist (Remote)

    Property and Casualty Claims Specialist (Remote)

    SOLV EnergySan Diego, CA, US
    Remote
    Full-time
    Property & Casualty Claim Specialist.SOLV Energy is an engineering, procurement, construction (EPC) and solar services provider for utility solar, high voltage substation and energy storage markets...Show moreLast updated: 30+ days ago
    • Promoted
    LTSS Specialist

    LTSS Specialist

    VirtualVocationsEscondido, California, United States
    Full-time
    A company is looking for an LTSS Specialist I to support care coordination and improve member healthcare experiences.Key Responsibilities Ensure compliance with contractual obligations and govern...Show moreLast updated: 1 day ago
    • Promoted
    Claims Team Lead

    Claims Team Lead

    VirtualVocationsChula Vista, California, United States
    Full-time
    A company is looking for a Team Lead, Claims.Key Responsibilities Manage a team of 12-15 claims examiners and adjusters Ensure adherence to client guidelines and monitor staff productivity and a...Show moreLast updated: 30+ days ago
    • Promoted
    Claims Supervisor

    Claims Supervisor

    VirtualVocationsEl Cajon, California, United States
    Full-time
    A company is looking for a Claims Supervisor to lead a team of Claims Processors and ensure accurate claims processing for employer-sponsored health plans. Key Responsibilities Oversee claims proc...Show moreLast updated: 30+ days ago
    • Promoted
    Claims Specialist

    Claims Specialist

    Guild MortgageSan Diego, CA, US
    Full-time
    Guild Mortgage Company, closing loans and opening doors since 1960.As a mortgage banking firm, we are dedicated to serving the homeowner / buyer. Our goal is to provide affordable home financing for o...Show moreLast updated: 13 days ago
    • Promoted
    Healthcare Claims Analyst

    Healthcare Claims Analyst

    VirtualVocationsEl Cajon, California, United States
    Full-time
    A company is looking for a Claims Analyst (Healthcare) to support their team in a remote capacity.Key Responsibilities Research, resolve, and follow up on rejected or unpaid pharmacy claims for a...Show moreLast updated: 5 days ago
    • Promoted
    Claims Specialist

    Claims Specialist

    VirtualVocationsEscondido, California, United States
    Full-time
    A company is looking for a Claims Specialist to resolve complex claims and advocate for members navigating their healthcare benefits. Key Responsibilities Resolve complex claims issues by investig...Show moreLast updated: 30+ days ago
    • Promoted
    Associate Claims Specialist

    Associate Claims Specialist

    ZenithSan Diego, CA, US
    Full-time
    Investigate, analyze, and determine the extent of the company's liability concerning claims and attempt to effect settlement with claimants. Correspond with or interview medical specialists, agents,...Show moreLast updated: 15 days ago
    • Promoted
    Claims Processor

    Claims Processor

    VirtualVocationsEl Cajon, California, United States
    Full-time
    A company is looking for a Claims Process Executive (remote).Key Responsibilities Review and process claim submissions, ensuring adherence to coverage guidelines and regulations Approve, deny, o...Show moreLast updated: 30+ days ago
    • Promoted
    Texas Licensed Claims Examiner

    Texas Licensed Claims Examiner

    VirtualVocationsChula Vista, California, United States
    Full-time
    A company is looking for a Claims Examiner - Liability (REMOTE TX or WI).Key Responsibilities Evaluate commercial auto bodily injury claims and ensure proper documentation and coding Manage the ...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Cyber Claims Operations Specialist

    Cyber Claims Operations Specialist

    VirtualVocationsChula Vista, California, United States
    Full-time
    A company is looking for a Claims Operations Specialist specializing in processing cyber insurance claims.Key Responsibilities Develop and implement processes for the intake, organization, and re...Show moreLast updated: 19 hours ago
    • Promoted
    Senior Liability Claims Specialist

    Senior Liability Claims Specialist

    CorVel Enterprise Claims, Inc.San Diego, CA, US
    Full-time
    CorVel is seeking a Senior Liability Claims Specialist.The Senior Liability Claims Specialist manages within company best practices complex and non-complex Auto and General Liability claims.Additio...Show moreLast updated: 30+ days ago
    • Promoted
    Senior Liability Claims Specialist

    Senior Liability Claims Specialist

    CorVelSan Diego, CA, US
    Full-time
    Senior Liability Claims Specialist.CorVel is seeking a Senior Liability Claims Specialist.The Senior Liability Claims Specialist manages within company best practices complex and non-complex Auto a...Show moreLast updated: 13 days ago
    • Promoted
    Associate, Business Insurance Claims

    Associate, Business Insurance Claims

    Marsh McLennanSan Diego, CA, US
    Full-time
    Business Insurance Claims Advocate.Ideal candidate would have a solid understanding of Commercial Property, Inland Marine, Business Continuity and / or Stock Throughput (STP) coverage knowledge that ...Show moreLast updated: 2 days ago
    • Promoted
    • New!
    Medicare Claims Specialist

    Medicare Claims Specialist

    VirtualVocationsEl Cajon, California, United States
    Full-time
    A company is looking for a Medicare Specialist to manage and resolve Medicare claims for multiple hospital or physician groups. Key Responsibilities Resolve aged, outstanding, and denied medical c...Show moreLast updated: 15 hours ago