40 claim analyst jobs at 33 companies in Los Angeles, CA
3d
Save
Mark Applied
Hide
3d
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/hrHybridFull Time
Principal Financial GroupNYSE: PFG: Global financial providing retirement, insurance, and asset management.
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.
myPlace Health: Private PACE healthcare provider serving vulnerable older adults with coordinated medical, social, transportation, and home-based care.
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
Verda Healthcare: Private Medicare Advantage health-plan provider serving underserved seniors, especially Asian-American, Hispanic-American, and Arab-American communities.
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
Data Analyst Sr, Finance - Encounter Data (Covered California)
Orange, California, United States
$84k-$135k/yrHybridFull Time
CalOptima Health: Public county-organized health system providing health insurance and coordinated care to low-income Orange County residents.
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
United WestLabs: Healthcare services implementing hospital-based clinical laboratory outreach programs for hospitals and physicians.
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.
Superior Grocers: Independent grocery chain operating in California and Nevada.
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
Tokio Marine North America Services: Private U.S. shared-services providing finance, IT, actuarial, legal, and HR support to Tokio Marine insurance businesses.
Review, approve, and settle marine/transportation claims; coordinate with claimants, distributors, surveyors, and carriers; negotiate recoveries and arrange inspections.
City of Gardena: Municipal government providing public safety, transportation, public works, and community services to Gardena residents and businesses.
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.
Inland Empire Health Plan: Public health plan managing Medi-Cal, Medicare-Medicaid, and Covered California coverage for Riverside and San Bernardino County residents.
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.
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
Analyst III, Epic Application Professional Billing and Claims
Irvine, California, United States
$103k-$133k/yrOnsiteFull Time
Pacific Dental Services: Integrated healthcare support organization for clinical practices.
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.
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/yrRemoteFull Time
Included Health: Integrated virtual care and navigation platform.
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
Claims Applications Support Analyst / Service Desk
Long Beach, California, United States
$60k-$80k/yrRemoteFull Time
TRISTAR Insurance Group: Privately held U.S. third-party claims administrator providing property-casualty, benefits, managed-care, and risk-control services.
2+ YOERequires 2–5 years in systems analysis, application or technical support, software implementation, or related IT work; hands-on claims operations experience and knowledge of claims workflows, RMIS, Windows 11, and Microsoft products.
Gold Coast Health Plan: Public county-organized Medi-Cal health plan serving Ventura County members through managed care.
Subject matter expert in encounter and claims operations, advanced data analysis, reconciliation, regulatory compliance (Medi‑Cal/Medicare), UAT/support, and Microsoft Excel proficiency.
Electronic Medical Records (EMR), Microsoft Excel, Microsoft Office
California or Fresno or Glendale or Pasadena or Redding or Sacramento or Vacaville
$4k-$8k/moRemoteFull Time, Temporary
State of California: The constitutional government of the U.S. State of California.
Analyze and report on Claims Processing Center operations, coordinate projects, support management, evaluate reporting systems, provide recommendations, and maintain effective relationships and customer service.
0+ YOEHigh school diploma/GED; 0-3 years logistics/transportation/claims experience; strong communication, planning, organizational, and critical-thinking skills; proficient with Microsoft Office and EDI.
Microsoft Excel, Microsoft Word, Microsoft Outlook, Microsoft PowerPoint, EDI
Molina HealthcareNYSE: MOH: Provider of managed healthcare services for government-sponsored programs.
6+ YOEBachelor's degree in finance/economics/computer science, 6+ years in data/finance/systems analysis, expert SQL/SSRS/SSIS, experience with healthcare claims/pharmacy/lab data, HEDIS analytics, and report automation; Azure/Databricks/QNXT preferred.
SQL, Microsoft SQL Server Reporting Services (SSRS), Microsoft SQL Server Integration Services (SSIS), Medinsight, RxNavigator, Crystal Reports, Executive Dashboard, Microsoft SharePoint, ProClarity, MEd Insight, QNXT, Azure, Databricks
Solventum HIS Clinical Analyst – Outpatient Methodology Groupers
Connecticut or Los Angeles County
$108k-$148k/yrRemoteFull Time
SolventumNYSE: SOLV: Healthcare specializing in medical devices, informatics, and filtration.
5+ YOEBachelor's degree and 5+ years in healthcare required, with outpatient coding, billing, claims, authorization, research, or analytics experience. Requires expertise in HCPCS/CPT, ICD-10-CM, claims processing, Excel, and databases.
Liberty Dental Plan: Privately held dental benefits administrator serving Medicaid, Medicare Advantage, commercial, and exchange members nationwide.
2+ YOEHigh school diploma/GED, 2+ years PPO/HMO claims processing experience, HSP and dental procedure knowledge, proficiency with Word/Excel/Access, strong analytical and communication skills.
Microsoft Word, Microsoft Excel, Microsoft Access, Crystal Report, HSP
Richmond or New York City or Omaha or Albany or Los Angeles or Chicago
$101k-$145k/yrOnsiteFull Time
Argo Group: Specialty property-and-casualty insurance underwriter serving businesses through independent agents, wholesale brokers, and retail brokerage partners.
5+ YOE5+ years data and compliance experience in claims or equivalent, bachelor’s preferred, strong SQL and data profiling skills, Power BI/Power Platform proficiency, strong communication and analytical skills.
Microsoft Power BI, Microsoft Power Automate, Microsoft Power Apps, Microsoft Excel, SQL, Microsoft SQL Server, Oracle, Snowflake, Python, Co-Pilot, Snowflake Cortex