98 adjudication jobs at 37 companies in California
5d
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Adjudication Specialist - Seasonal (Multiple Roles)
Covina, California, United States
$19-$21/hr RemoteFull Time, Seasonal
1+ YOEHigh school diploma required, pharmacy technician experience required, and proficiency in Microsoft Word, Excel, Outlook, Framework LTC, and 10-key data entry preferred.
Microsoft Word, Microsoft Excel, Microsoft Outlook, Framework LTC
3w
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Medical Consultant I
Placer County, California, United States
$13k-$20k/mo HybridFull Time
Review medical records, adjudicate disability benefit applications, interpret medical reports, and assess applicants' functional abilities per program guidelines.
3w
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Security Specialist
McClellan, California, United States
$99k-$153k/yr OnsiteFull Time
1+ YOESpecialized experience in personnel, information, physical, industrial, and operations security; adjudicating clearances using DISS; conducting inspections and security reviews for classified environments.
Defense Information System for Security (DISS), CCTV, DD Form 254
3mo
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Claims Examiner
San Bernardino, California, United States
$29-$34/hr HybridFull Time
2+ YOETwo years healthcare claims processing/adjudication; high school diploma; knowledge of CPT, HCPCS, ICD-10; experience with claims systems/EDI preferred.
CPT, HCPCS, ICD-10, Revenue Codes, EDI, Claims Systems, Microsoft Office, Google Workspace
3w
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CLAIMS EXAMINER I MSO
Burlingame, California, United States
$38/hr OnsiteFull Time
2+ YOEReview, audit, examine and adjudicate professional claims per Medi‑Cal/Medicare and MSO policies; strong data entry, analytical, and communication skills required.
4w
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Manager, Claims Operations
San Francisco, California, United States
$140k-$150k/yr HybridFull Time
5+ YOE4+ MgmtBachelor's or equivalent, 4 years management, 5 years healthcare experience, expertise in claims adjudication, PDR handling, claims coding, data analysis, and policy development.
1mo
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Revenue Reimbursement Coordinator (Glendale) Full-time, Day
Glendale, California, United States
$39-$54/hr OnsiteFull Time
Associate/technical degree or equivalent required; bachelor’s preferred. Performs account-level reviews, validates payer adjudication, analyzes denials and trends, and supports reimbursement optimization.
1mo
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Personnel Security Specialist II
El Segundo, California, United States
OnsiteFull Time
6+ YOEManage personnel security functions for collateral, SCI and SAP programs; maintain records/databases, process access requests, perform adjudication checks, and support security education.
Defense Central Index of Investigations (DCII), Joint Personnel Adjudication System (JPAS), Joint Access Database (JADE), Microsoft Word, Microsoft PowerPoint, Microsoft Excel
4w
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Outpatient Pharmacy Staff Pharmacist - Temporary
Ventura, California, United States
$67-$92/hr OnsitePart Time
3+ YOEActive California pharmacist license, 3+ years outpatient pharmacy experience, proficiency in prescription processing, patient counseling, billing/adjudication, technician oversight, and electronic recordkeeping.
2mo
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Claims Examiner - Workers Compensation (HYBRID- Concord, CA)
Concord, California, United States
$85k-$90k/yr HybridFull Time
5+ YOEAnalyze and adjudicate workers' compensation claims; determine benefits; communicate with clients; hybrid role in Concord, CA; 5+ years claims experience; high school diploma.
2w
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Xcelys Medical Claims Examiner (Remote)
Ontario, California, United States
$20/hr RemoteContract
2+ YOERequires 2+ years of claims adjudication, coding, provider contracts, pricing, and regulatory guidelines experience; 1+ year of Xcelys experience; high school diploma or GED.
Xcelys, CPT, ICD-10, HCPCS, UAT, IT
3w
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Claims Receivables and Recovery Specialist (50627)
Irvine or Fresno
$47k-$61k/yr RemoteFull Time
2+ YOEHigh school or equivalent and 2+ years adjudicating medical/dental claims and handling recoveries; Excel and Microsoft Office proficiency; strong communication, critical thinking, and attention to detail.
Microsoft Excel, Microsoft Office
3d
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Asylum Officer
San Francisco or Tampa or Atlanta or New Orleans or Boston or Newark or Bethpage
$62k-$145k/yr OnsiteFull Time
1+ YOEU.S. citizenship, specialized immigration adjudication experience or qualifying graduate education, Secret clearance eligibility, drug screening, background investigation, and strong analytical, writing, and interpersonal skills.
USA Hire, USAJOBS, E-Verify
1d
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Senior Claims Specialist
Omaha or New York City or Albany or Los Angeles or Richmond or Chicago
$75k-$91k/yr OnsiteFull Time
2+ YOEBachelor’s degree or approved substitution, 2+ years adjudicating claims, ability to obtain state licenses, strong negotiation and communication skills, MS Office proficiency, and fluent English.
Microsoft Office Suite, Guidewire ClaimsCenter
1mo
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Resident Director
Santa Clara, California, United States
$70k-$70k/yr OnsiteFull Time
1+ YOE1+ MgmtMaster's degree required; 1+ years post-undergraduate residential life experience preferred; experience supervising student staff, conduct adjudication, crisis response, and facility/housing operations.
2mo
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Contract Special Security Officer (CSSO)
Arlington or Chantilly or Cleveland or California or Colorado or Hawaii or Illinois or Maryland or Massachusetts or Minnesota or New Jersey or New York or Washington or Vermont or District of Columbia
$108k-$203k/yr OnsiteContract
6+ YOEU.S. citizen with active TS/SCI with Polygraph, 6+ years industrial security experience with the Intelligence Community, ICD knowledge, SCIF management experience, and working knowledge of adjudicative standards.
3w
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CLAIMS EXAMINER I MSO
Burlingame, California, United States
$38/hr OnsiteFull Time
2+ YOEConduct claim examination, audit, adjudication; knowledge of Medi‑Cal/Medicare and medical billing; strong data entry, analytical and communication skills; 2 years claims experience preferred.
1mo
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Assistant Director, Claim Operations
Huntington Beach, California, United States
$95k-$120k/yr OnsiteFull Time
3+ YOE3+ years claims experience in health plan/managed care; familiarity with claims intake/adjudication/pricing/reconciliation; Bachelor’s degree preferred; proficiency with Microsoft Excel, Outlook, Word, and Teams.
Microsoft Excel, Microsoft Outlook, Microsoft Word, Microsoft Teams
18h
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Subject Matter Expert, Florida Property Tax (Contract)
Miami or Jacksonville or Fort Lauderdale or Orlando or Tampa or West Palm Beach or Florida or Palo Alto
$150-$350/hr RemoteContract, Part Time
5+ YOERequires 5+ years of hands-on Florida residential property tax appeal experience, including filing or arguing before a Florida VAB or adjudicating petitions as a special magistrate. Florida-based preferred.
2mo
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Senior Manager, Claims Administration (Los Angeles, CA, US, 90017)
Los Angeles, California, United States
$118k-$188k/yr OnsiteFull Time
6+ YOE5+ Mgmt6+ years claims operations experience, 5+ years managing staff; Bachelor's degree (required) with Master's preferred; deep knowledge of adjudication, coding, pricing, provider contracts, and regulatory requirements.
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