40 claims analyst jobs at 31 companies in Stonegate, 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.
Tokio Marine AmericaTokyo Stock Exchange: 8766: Provides commercial property and casualty insurance and risk management.
College degree preferred; auto industry experience preferred. Requires strong Microsoft Word and Excel skills, communication abilities, teamwork, and claims judgment.
State Controller's Office: California's fiscal controller managing state financial operations and assets.
Direct and coordinate review and processing of statewide damage and tort claims, investigate and evaluate liability claims, support Legal Office attorneys, process claims ≤$12,500, represent department in Small Claims Court, and meet Analyst II minimum qualifications.
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.
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.
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.
National Claims Intake Operations Analyst (Hybrid in CA)
Santa Ana, California, United States
$64k-$86k/yrHybridFull Time
First American FinancialNYSE: FAF: Provides title insurance and settlement services for real estate.
3+ YOEBachelor's degree or equivalent experience; 3-5+ years in complex multi-location operations; advanced reporting, analytics, database, and SharePoint experience; claims intake and compliance knowledge.
Doma, Power BI, SQL, Microsoft Access, Microsoft SharePoint
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.
Analyst I, Epic Application Professional Billing and Claims
Irvine, California, United States
$83k-$103k/yrOnsiteFull Time
PDS Health: Provides administrative and business support services to dental practices.
0+ YOEBachelor’s degree in IT, healthcare, or related field, or equivalent experience; 0–2 years of relevant experience; basic IT proficiency and strong troubleshooting, organization, and teamwork skills.
Data Analyst Sr, Finance - Encounter Data (Covered California)
Orange, California, United States
$84k-$135k/yrHybridFull Time
CalOptima Health: Provides public health insurance for 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: 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.
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.
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