19 adjudication jobs at 9 companies in San Jose, CA
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Medical Consultant I
Oakland, California, United States
$13k-$20k/mo HybridFull Time
Review and adjudicate disability benefit applications, evaluate medical records and functional abilities per program guidelines; must clear federal fingerprint/background checks.
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.
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.
3w
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Medical Consultant I (Psychiatrist)
Alameda County, California, United States
$13k-$20k/mo HybridPart Time
Must adjudicate disability claims, review and interpret medical records, provide functional assessments; federal fingerprint clearance and background check required; must reside in California at appointment.
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
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.
16h
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Asylum Officer
San Francisco or Tampa or Atlanta or Metairie or Boston or Newark or Bethpage or Queens or San Antonio or Buffalo
$50k-$145k/yr OnsiteFull Time
Requires U.S. citizenship, specialized immigration adjudication experience or qualifying education, Secret clearance, background investigation, drug screening, analytical writing, research, interviewing, and policy application skills.
Electronic Verification (E-Verify)
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.
15h
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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.
15h
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Ad Valorem Assessment Advisor — Florida
Florida or Miami or Jacksonville or Fort Lauderdale or Orlando or Tampa or West Palm Beach or Palo Alto or New York City or Chicago or Toronto
$150-$350/hr RemotePart Time, Contract
5+ YOERequires 5+ years of hands-on Florida residential property tax appeal experience, VAB petition filing or adjudication experience, county-level expertise, and no active conflict with competing appeal software.
Chapter 194, F.S., 12D-9, 12D-10, DR-486
2mo
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Workers Compensation Claims Examiner - Orange, CA
Orange or Los Angeles County or Los Angeles or San Diego or San Francisco or California
$80k-$105k/yr HybridFull Time
5+ YOE5+ years claims management experience (or equivalent), HS/GED required, bachelor’s preferred, California workers' compensation experience and SIP certification preferred; strong judgment, analysis, and claims adjudication skills.
1mo
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Senior Risk Manager – Corporate Auto Casualty and Litigation Claims, Logistics Claims Management
Texas or Austin or Bellevue or Chicago or Irvine or Nashville or New York City or San Diego or Santa Cruz or Seattle or Tempe or Dallas or Houston or Glendale or Virginia or Florida
$97k-$185k/yr OnsiteFull Time
7+ YOEBA/BS,7+ years adjudicating complex bodily injury claims,5+ years transportation claims/program experience,active adjuster license,reserve management and litigation knowledge,financial acumen.
Microsoft Office
1mo
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TEMP-Workers’ Compensation Claims Adjuster
Pennsylvania or Albany or Wyoming or Washington or District of Columbia or Chicago or New York City or Hawaii or Connecticut or Omaha or Alabama or Mississippi or Montana or Arizona or Kentucky or Massachusetts or Maryland or Minnesota or North Carolina or Colorado or Florida or Los Angeles or Georgia or Illinois or Maine or Michigan or New Hampshire or New Jersey or Nevada or Oregon or Texas or Wisconsin or Kansas or Tennessee or New Mexico or Ohio or South Carolina or Virginia or California or Missouri or Arkansas or Indiana or West Virginia or Oklahoma or Rhode Island or Iowa or Louisiana or Idaho or Delaware or Richmond or Utah or Vermont or Rockwood or San Francisco or Boston or Denver or Washington
$38-$53/hr RemoteMultiple Commitments Available
5+ YOEBachelor's degree (or equivalent), minimum 5 years adjudicating workers' compensation claims in Minnesota, strong communication, negotiation, and claim investigation skills, proficient with MS Office, ability to work independently and exercise sound judgment.
Microsoft Office
2mo
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Claims Processor 1
San Francisco, California, United States
$26/hr OnsiteFull Time
0.5+ YOEHigh school diploma or GED, 6+ months claims processing experience, knowledge of adjudication principles, ICD-10/CPT-4, Microsoft Office proficiency, strong communication, integrity, and ability to handle PHI/PII.
Microsoft Office
2mo
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Claims Processor 1
San Francisco, California, United States
$26/hr OnsiteFull Time
0.5+ YOEHigh school diploma/GED, 6 months claims processing experience, knowledge of adjudication principles and medical/dental terminology (ICD-10, CPT-4), Microsoft Office proficiency, strong communication and discretion with PHI/PII.
Microsoft Office, ICD-10, CPT-4
2mo
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Senior Construction Defect Technical Claims Specialist
Los Angeles or San Francisco or New York City or Albany or Chicago or Springfield or Omaha or Richmond or Boston or Wyoming or Washington or District of Columbia or Illinois or Connecticut or Nebraska or Alabama or Arizona or Massachusetts or Maryland or Minnesota or North Carolina or Colorado or Florida or Georgia or Maine or New Hampshire or New Jersey or Nevada or Oregon or Pennsylvania or Texas or Wisconsin or Kansas or Tennessee or New Mexico or Ohio or South Carolina or Virginia or Arkansas or Indiana or West Virginia or Oklahoma or Rhode Island or Iowa or Louisiana or Idaho or Utah or New York or Delaware or Vermont
$137k-$198k/yr HybridFull Time
7+ YOE7+ years adjudicating complex construction defect claims (≥$100,000 exposure); bachelor's degree required (or equivalent substitute); hold or obtain state claims/adjusting licenses; strong negotiation, reserving, investigative, and communication skills; proficient with MS Office.
Microsoft Office
2mo
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Claims Examiner - Workers Compensation (On-Site Ontario, CA)
Ontario or Los Angeles or San Diego or San Francisco or Los Angeles County or California or United States
$85k-$95k/yr OnsiteFull Time
3+ YOE3+ years claims management experience, high school diploma/GED required (BA preferred), California workers' compensation jurisdiction knowledge, SIP required or to be obtained within 1 year, ability to adjudicate and negotiate claims within service expectations.
2mo
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Claims Processor 3
San Francisco, California, United States
$28/hr OnsiteFull Time
2+ YOEHigh school diploma/GED and 2 years processing group health or dental claims; knowledge of claims adjudication, medical/dental terminology, ICD-9 and CPT-4 codes; typing 45 WPM; strong reading, writing, math, and problem-solving skills.
ICD-9, CPT-4
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