25 claims analyst jobs at 22 companies in Malibu, CA
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Claims Analyst - Complex Claims
Van Nuys, California, United States
$36k-$80k/yrHybridFull Time
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
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
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 City or Oklahoma City or Portland or Austin
$1-$150k/yrOnsiteFull Time
ICE: Enforces immigration laws and provides medical care to detainees.
3+ YOERequires 3+ years of relevant professional experience, including 2+ years in program management, administration, healthcare management, finance, or medical claims; healthcare management, claims, coding, EHR, and Microsoft Office knowledge required.
International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10), Current Procedural Terminology (CPT), Diagnosis-Related Group (DRG), Centers for Medicare and Medicaid Services (CMS), electronic health records, Microsoft Office, Microsoft SharePoint
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.
Superior Grocers: Operates independently-owned grocery stores 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
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.
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
California or Fresno or Glendale or Pasadena or Redding or Sacramento or Vacaville
$4k-$8k/moRemoteFull Time, Temporary
State Controller's Office: California's fiscal controller managing state financial operations and assets.
Analyze and report on Claims Processing Center operations, coordinate projects, support management, evaluate reporting systems, provide recommendations, and maintain effective relationships and customer service.
Molina HealthcareNYSE: MOH: Provides managed health insurance through government-sponsored benefit 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
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
County of Los Angeles: Provides public services and healthcare to Los Angeles County residents.
Analyzes reimbursement rules, prepares and reconciles claims, develops and monitors unit budgets and billing rates, conducts cost and utilization studies, writes policy/procedures, and responds to audit findings. Transfer opportunity for permanent County employees in the Health Care Financial Specialist payroll title.
WelbeHealth: Provides all-inclusive medical and social care for elderly seniors.
7+ YOEBachelor's in analytical field (master's preferred), 7+ years analytics experience with SQL/Databricks, 5+ years in healthcare economics or actuarial analytics, actuarial certification a plus, Power BI reporting, claims experience.
Oakland or Long Beach or El Dorado Hills or Lodi or Redding or Sacramento or San Diego or Woodland Hills
$123k-$185k/yrHybridFull Time
Ascendiun: Nonprofit parent overseeing health insurance and clinical service organizations.
7+ YOERequires 7 years healthcare analytics experience, 5+ years with complex medical claims, membership, and provider data, advanced SQL, Python, SAS, cloud data stack, CRM, and analytics expertise.
Solventum HIS Clinical Analyst – Outpatient Methodology Groupers
Connecticut or United States or Los Angeles County
$96k-$132k/yrRemoteFull Time
SolventumNYSE: SOLV: Provides medical technology and health information software solutions.
5+ YOEBachelor's degree plus 5+ years healthcare experience in outpatient coding, claims, or payer systems; expertise in HCPCS/CPT and ICD-10; strong Excel and database skills; familiarity with AI for research and analytics.
Cedars-Sinai: Provides academic medical care, specialized treatment, and biomedical research.
5+ YOEFive (5) plus years of experience in reviewing and interpreting patient medical records using CPT and ICD10 coding systems; knowledge of healthcare data systems, EHR, claims data, HCPCS; familiarity with ICD-10, CPT, HCPCS; Bachelor's degree in Finance, Accounting, Healthcare Management, or related field.
Des Moines or Wichita or Charlotte or Chicago or Minneapolis or Los Angeles or New York City
$20-$36/hrHybridFull Time
Principal Financial GroupNASDAQ: PFG: A global financial investment management and insurance.
3+ YOEHigh school diploma or equivalent and 3+ years of customer-facing experience required. Strong communication, analytical, organizational, decision-making, multitasking, computer, and typing skills required; leave claims experience preferred.