65 claims analyst jobs at 52 companies in California
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Senior Claims Analyst
Huntington Beach, California, United States
$70k-$80k/yrOnsiteFull Time
Verda Healthcare: Provides Medicare Advantage plans to underserved ethnic 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
State Controller's Office: California's fiscal controller managing state financial operations and assets.
Experience handling complex bodily injury and litigated claims, with knowledge of liability and tort law, negotiation, analysis, communication, organization, and deadline management.
State Examination/Employment Application STD Form 678, Microsoft 401(k), Microsoft 457
Troy or Arizona or California or Colorado or District of Columbia or Iowa or Illinois or Indiana or Kentucky or Massachusetts or Maryland or Michigan or Missouri or Nevada or Ohio or Oregon or Pennsylvania or Texas or Utah or Washington or Wisconsin or United States
$25-$27/hrRemoteFull Time
BeneSys: Provides third-party administration for multi-employer benefit plans.
2+ YOERequires high school diploma or GED, two years of related medical claims processing experience, medical terminology and coding knowledge, analytical skills, and benefit determination ability.
Marsh McLennanNYSE: MRSH: Global professional services firm providing risk, strategy, and people solutions.
4+ YOERequires four years of related professional office experience, Microsoft Office proficiency, organizational and problem-solving skills, valid driver's license, and reliable transportation. Bachelor's degree or advanced paralegal certificate preferred.
Microsoft Office, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
Claims Analyst or (Senior) Claims & Patient Safety Specialist
Oakland or California or Hawaii
$73k-$157k/yrRemoteFull Time
MIEC: Provides medical professional liability insurance and healthcare risk management services.
5+ YOEBachelor's degree, valid driver's license, 5–10+ years medical professional liability claims or risk management experience depending on level; knowledge of PSRM, clinical systems, and strong communication and analytical skills.
Word, Excel, Power Point, Windows, Teams, Sharepoint, CoPilot, Candello - Solutions by CRICO, MPL Association Data Sharing Project, Preverity
Tokio Marine North America ServicesTokyo Stock Exchange: 8766: Provides shared professional services for Tokio Marine Group companies
Review, approve, and settle marine/transportation claims; coordinate with claimants, distributors, surveyors, and carriers; negotiate recoveries and arrange inspections.
Gold Coast Health Plan: Public health plan serving Medi-Cal members in Ventura County.
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
Claims Applications Support Analyst / Service Desk
Long Beach, California, United States
$60k-$80k/yrRemoteFull Time
TRISTAR: Provider of independent third-party claims and risk management 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.
Morley Companies: Provides outsourced business, event, and display services.
Experience with consumer claims and California lemon law, ability to pass background/drug screen, college degree, strong litigation knowledge, excellent communication and organizational skills.
2+ YOERequires 2–5 years in systems analysis, application or technical support, software implementation, or related IT; claims operations experience and insurance knowledge required, with enterprise application experience preferred.
RMIS, Windows 11, Microsoft 365, Microsoft products
Monster EnergyNASDAQ: MNST: Developer and marketer of energy drinks and beverages.
3+ YOEBachelor's degree preferred (Accounting, Mathematics, Business); 3+ years accounting experience and 1+ years analytics; intermediate-advanced Microsoft Excel; experience with accruals, SAP, Power BI, Salesforce, and strong analytical and communication skills.
Microsoft Excel, Microsoft Office Suite, Microsoft SharePoint, Microsoft Power BI, SAP, Salesforce, VIP-PPM
Claims Management Program Analyst (O-4 Billet) Non-Supervisory
Salt Lake City or Seattle or Phoenix or Los Angeles or San Francisco or Denver or Washington or Miami or Atlanta or Chicago or Indianapolis or New Orleans or Boston or Minneapolis or Kansas City or Albuquerque or New York or Oklahoma City or Portland or Austin
$1-$150k/yrOnsiteFull Time
ICE: Enforces immigration laws and provides medical care to detainees.
3+ YOEMinimum 3 years professional experience with at least 2 years in program management/healthcare management or medical claims; knowledge of claims processes, ICD-10/CPT/DRG/CMS coding, EHRs, and Microsoft Office/SharePoint; must be USPHS IHSC officer.
Microsoft Office, Sharepoint, Electronic Health Records
Epic Revenue Cycle Professional Billing & Claims Analyst - 6317562
Nashville or Milwaukee or Dallas or Columbus or Kirkland or Cincinnati or New York City or Cleveland or Oklahoma City or Austin or Albany or Chicago or St. Petersburg or Hartford or Pittsburgh or St. Louis or Miami or Sacramento or Raleigh or Minneapolis or Mountain View or Scottsdale or San Francisco or Morristown or Denver or Boston or Philadelphia or Des Moines or Overland Park or Los Angeles or Charlotte or Walnut Creek or Carmel or Seattle or Houston or Arlington or Atlanta or Redmond or Bentonville or Beaverton or Detroit or San Diego
RemoteFull Time, Contract
AccentureNYSE: ACN: Global provider of management consulting and technology services.
5+ YOERequires 5+ years of work experience, advanced Epic Systems proficiency, active Epic Professional Billing and Claims certification, and a high school diploma or GED.
City of Fresno: Provides municipal governance and public services to Fresno, California.
2+ YOEBachelor's degree in business or public administration and 2 years of experience in risk management, claims, insurance, loss control, workers' compensation, or employee safety; California driver's license required.
Analyst, Configuration Oversight - Audit on transplant claims
Long Beach or United States
$49k-$107k/yrRemoteFull Time
Molina HealthcareNYSE: MOH: Provides managed health insurance through government-sponsored benefit programs.
2+ YOE2+ years claims auditing experience in healthcare operations; strong analytical, attention to detail, and communication skills; experience with claims processes, provider data validation, and configuration.
Analyst III, Epic Application Professional Billing and Claims
Irvine, California, United States
$103k-$133k/yrOnsiteFull Time
PDS Health: Provides business and administrative support services to dental 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.