44 claims analyst jobs at 33 companies in Walnut Park, 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
myPlace Health: A PACE organization providing coordinated medical care, social activities, and daily support for older adults in their communities.
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
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.
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.
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.
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
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
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
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.
Inland Empire Health Plan: Public managed care organization serving Inland Empire 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.
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