67 claim analyst jobs at 51 companies in California
3d
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Claim Analyst 3
Des Moines or Kansas or Wichita or North Carolina or Charlotte or Illinois or Chicago or Minnesota or Minneapolis or California or Los Angeles or New York City
$23-$41/hr HybridFull Time
6+ YOEHigh school diploma or equivalent plus 6+ years of work experience required. Degree or life and disability claims experience preferred. Requires analytical, communication, decision-making, and confidentiality skills.
6d
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Analyst II
Sacramento County or Sacramento
$6k-$8k/mo HybridFull Time
Performs residential veteran loan underwriting and processing; requires knowledge of lending guidelines, mortgage insurance, VA guarantees, and claims processes. Minimum qualifications are defined by the Analyst II classification.
6d
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Claims Analyst
Los Angeles, California, United States
$63k/yr OnsiteFull Time
5+ YOERequires 5+ years of health plan claims administration, claims systems, EDI, contracts, reimbursement, CMS/DHCS requirements, analytics, and problem-solving; bachelor's degree preferred or equivalent experience.
QuickCap, Microsoft Excel, Power BI, Athena, VisibilEDI, Electronic Medical Record
1w
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Senior EPIC Analyst I - Professional Billing & Claims
San Diego, California, United States
$54-$75/hr HybridFull Time
6+ YOEHigh school diploma or equivalent; Epic certification in Professional Billing and Claims; 6+ years of application support experience as a certified Epic Security Analyst; strong analytical, communication, and presentation skills.
Epic, Epic Security module, Electronic Health Record (EHR), Microsoft Office, HIPAA
3mo
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Senior Claims Analyst
Huntington Beach, California, United States
$70k-$80k/yr OnsiteFull Time
5+ YOE5+ years of healthcare claims operations experience; Bachelor’s degree; strong knowledge of claims systems and EDI; liaison between business and IT.
EDI, Claims systems, UAT, Test case development, CMS regulations
2mo
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APeX Claims Analyst
San Francisco, California, United States
$103k-$190k/yr HybridFull Time
3+ YOEBachelor's in healthcare IT or related, Epic PB/HB claims & electronic remittance admin certification required, 3+ years experience, strong problem-resolution, analytical, training, documentation and Excel skills.
APeX, Epic, Chronicles, Microsoft Excel
2w
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Senior Appeals Analyst
Newark or Wisconsin or California or Colorado or Arkansas or Arizona or Alabama or District of Columbia or Florida or Connecticut or Georgia or Delaware or Iowa or Kansas or Indiana or Kentucky or Illinois or Idaho or Louisiana or Massachusetts or Maryland or Maine or North Dakota or Michigan or Mississippi or Washington or Texas or Missouri or Montana or North Carolina or Minnesota or New Hampshire or Oklahoma or Vermont or Nebraska or Tennessee or Nevada or New York or Ohio or Oregon or New Mexico or Pennsylvania or Rhode Island or South Dakota or Utah or South Carolina or West Virginia or Virginia or Wyoming
$67k-$110k/yr RemoteFull Time
3+ YOERequires 3–5 years of short- or long-term disability claims experience, strong analytical and communication skills, knowledge of ERISA and state requirements, and proficiency with claims and Microsoft Office tools.
Microsoft Office
1mo
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Data Analyst Sr, Finance - Encounter Data (Covered California)
Orange, California, United States
$84k-$135k/yr HybridFull Time
5+ YOEBachelor's plus 5 years data analyst experience with SQL; 3 years Medi-Cal managed care or Medicare Advantage and Covered California experience required; experience reconciling encounter/claims data and working with DHCS/CMS.
SQL, Electronic Data Interchange (EDI), Microsoft Word, Microsoft Outlook, Microsoft Excel, Microsoft PowerPoint
2mo
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Account Analyst
Tacoma or Santa Ana
$26-$33/hr HybridFull Time
Experience with insurance claims processing, denial management, appeals, and accounts receivable; strong analytical skills; proficiency in Microsoft Excel; high school diploma required; Associate's degree preferred.
Microsoft Excel
3w
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Workers Compensation Analyst
Santa Fe Springs, California, United States
$28-$33/hr OnsiteFull Time
2+ YOERequires a high school diploma or equivalent, 2–5 years handling workers' compensation claims, Microsoft applications, claims database experience, communication, analytical, and problem-solving skills.
Microsoft Excel, Microsoft Outlook, Microsoft Word, Microsoft PowerPoint, WCCMS, Open Claims
2w
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Performance Analyst
San Diego or California
$24-$43/hr HybridFull Time
2+ YOEAHIMA or AAPC coding certification, 2+ years in healthcare, 1+ year with CPT and ICD-10 codes, claims forms or reports, reliable transportation, and ability to attend the San Diego office.
CPT, ICD-10, Microsoft Office
1mo
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Marine Claims Analyst MCD
Los Angeles, California, United States
$27-$36/hr OnsiteFull Time
Review, approve, and settle marine/transportation claims; coordinate with claimants, distributors, surveyors, and carriers; negotiate recoveries and arrange inspections.
Microsoft Word, Microsoft Excel
2mo
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Customer Operations Claims Analyst
Walnut Creek, California, United States
$105k-$115k/yr HybridFull Time
3+ YOE3+ years supply chain/customer operations/logistics experience in CPG; knowledge of deductions, chargebacks, OTIF disputes, transportation claims; strong analytical, cross-functional problem-solving skills; experience with ERP, Excel/Google Sheets, and claim management tools.
ERP systems, Microsoft Excel, Google Sheets, claim management tools
1mo
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Risk Management Analyst
Gardena, California, United States
$86k-$110k/yr OnsiteFull Time
2+ YOEBachelor’s degree in public/business administration, risk management or related field and 2 years claims/workers’ compensation experience; valid CA Class C driver; ability to investigate claims, prepare reports, and maintain confidential records.
1w
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Senior Payment Integrity Analyst
Rancho Cucamonga, California, United States
$91k-$121k/yr RemoteFull Time
5+ YOERequires 5+ years in payment integrity, claims auditing, or medical coding; bachelor's degree in business or health administration; strong SQL, data analysis, coding, regulatory, and claims expertise.
SQL, Microsoft Excel, HEDIS, CAHPS, NCQA, CMS, DHCS, HIPAA, DRG, ICD-10, CPT, HCPCS
1mo
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Lead Data Analyst
San Francisco or Lehi or Plano
$110k-$172k/yr HybridFull Time
8+ YOE8+ years healthcare analytics with claims experience, strong SQL, Looker/Tableau, Jira/Confluence, ability to lead client analyses and communicate findings; bachelor’s or equivalent experience.
SQL, Looker, Tableau, Jira, Confluence
2mo
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Denials Analyst
Rancho Mirage, California, United States
$22-$33/hr OnsiteFull Time
3+ YOEHigh school diploma required (associate preferred). 3+ years hospital/professional billing experience with emphasis on denied claims, appeals, managed care and Medicare/Medi-Cal; knowledge of CPT/HCPCS/ICD-10, CMS rules, payor contracts, and strong Microsoft Office skills.
Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint, Epic
2mo
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Haulaway Operations Team - Analyst
Irvine, California, United States
$26-$28/hr OnsiteFull Time
0+ YOEHigh school diploma/GED, 0-3 years logistics/claims/transportation experience, strong communication, planning, and critical thinking, proficiency with Microsoft Office and EDI, ability to operate office equipment and sit for long periods.
Microsoft Excel, Microsoft Word, Microsoft Outlook, Microsoft PowerPoint, EDI
2mo
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Analyst III, Epic Application Professional Billing and Claims
Irvine, California, United States
$103k-$133k/yr OnsiteFull Time
3+ YOEEpic Professional Billing & Claims SME with 3+ years' relevant experience, current Epic certification (or recent use), bachelor's degree in IT/healthcare (or equivalent), strong project management and communication skills.
Epic
2mo
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Senior Actuarial Analyst
United States or Phoenix or San Antonio or Columbus or Charlotte or Chicago or Denver or San Diego or Houston or Los Angeles or Seattle or Washington, D.C. or Boston or San Francisco or New York City or San Jose
$103k-$135k/yr RemoteFull Time
5+ YOE5+ years in healthcare economics/actuarial or quantitative analysis; bachelor’s degree required; 1+ actuarial exam preferred; expert SQL and Excel/Google Sheets; Python preferred; experience with medical/Rx claims and reporting tools.
SQL, Microsoft Excel, Google Sheets, Python, Looker, Tableau, GitHub, Jira, Confluence
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