38 claims analyst jobs at 26 companies in Carson, CA
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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
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.
Kawasaki Motors Retail Finance: Provides retail financing for Kawasaki motorcycles and powersports vehicles.
3+ YOEHigh school diploma required; BA/BS preferred; 3+ years warranty claims experience; strong communication; proficient with Microsoft Office and Cognos BI.
Cognos BI, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Access
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
Morley Companies: Provides outsourced business, event, and display services.
Knowledge of litigation and California lemon law, ability to represent clients in court, college degree, pass background/drug screen, available to travel ~15% for cases/trials, strong communication and organizational skills.
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.
Kaiser Permanente: Integrated healthcare and insurance services provider
4+ YOEBachelor's degree required, 4+ years Epic Analyst experience with Epic Tapestry (Referrals/Claims), Epic Tapestry certifications, experience with interoperability (278/275) and APIs, data and build analysis, strong communication.
United WestLabs: Manages hospital-based laboratory outreach and phlebotomy services.
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.
City of Gardena: Provides municipal services and public transit to Gardena residents.
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.
Los Angeles County Metropolitan Transportation Authority: Operates the public transportation system in Los Angeles County.
1+ YOEBachelor's degree (or equivalent experience) and 1 year examining California workers' compensation indemnity claims; knowledge of California Labor Code, claims administration, medical report review; valid CA Class C driver license preferred certificates.
Glovis America: Global logistics and supply chain services for the automotive industry.
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
Rancho Cordova or El Dorado Hills or Lodi or Redding or Long Beach or Oakland or San Diego or Woodland Hills
$28-$40/hrHybridFull Time
Ascendiun: Nonprofit parent overseeing health insurance and clinical service organizations.
0+ YOEBachelor's degree or equivalent, 0-2 years relevant and audit experience, strong medical claims knowledge, FACETS/CLMS/MS Office experience, and analytical problem-solving 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: Provides integrated virtual care and healthcare navigation services.
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
Glovis AmericaKorea Stock Exchange: 086280: Global provider of automotive logistics and supply chain services.
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
Planned Parenthood of Orange and San Bernardino Counties: Provides accessible reproductive healthcare, family planning, and community health services.
5+ YOE5+ years billing/claims follow-up experience in outpatient primary care; knowledge of coding (CPT4/HCPCS, ICD10), payor guidelines, Medi-Cal denials, strong communication and analytical skills.
EclinicalWorks, NextGen, Microsoft Word, Microsoft Excel, Microsoft Outlook