37 claims processing jobs at 23 companies in Milpitas, CA
1mo
Save
Mark Applied
Hide
1mo
Claims Manager
Stockton, California, United States
$73k-$78k/yrHybridFull Time
Delta Health Systems: Independent third-party administrator for self-funded health plans.
2+ YOE2+ Mgmt2–4 years management and claims experience; proficiency with spreadsheets and word processing; leadership and interpersonal skills; knowledge of self-funded claims policies, TPL/COB, coding/reimbursement, and automated claims systems.
Delta Health Systems: Administers self-funded health plans and claims for organizations.
2+ YOE2+ Mgmt2–4 years management and claims experience, computer literate with spreadsheet/word processing proficiency, strong written/verbal communication, leadership, and knowledge of payer claims policies, TPL/COB, coding, and reimbursement.
Zenith American Solutions: Administers health and retirement benefits for multi-employer trust funds.
2+ YOEHigh school diploma/GED and 2 years processing group health or dental claims; knowledge of claims adjudication, medical/dental terminology, ICD-9 and CPT-4 codes; typing 45 WPM; strong reading, writing, math, and problem-solving skills.
ChubbNYSE: CB: Provides property, casualty, and life insurance and reinsurance services globally.
5+ YOE5+ years managing workers' compensation claims, knowledge of workers' comp laws, strong communication, organizational skills, ability to work independently, and familiarity with claims processes.
Molina HealthcareNYSE: MOH: Provides managed health insurance through government-sponsored benefit programs.
6+ YOE6+ years configuration oversight/claims auditing in managed care (Medicaid/Medicare/Marketplace), advanced claims knowledge, strong analytical and communication skills, Excel (VLOOKUP/Pivot) proficiency, experience with high-dollar claims processing.
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
Workers' Compensation Assistant (4722C) University Health Services #87647
Berkeley, California, United States
$34-$41/hrOnsiteFull Time
University of California, Davis: Public research university offering undergraduate and graduate education.
Performs intake and processing of workers' compensation claims, scans and uploads documentation, manages correspondence, coordinates with medical and claims partners, and maintains DMS records. High school diploma or equivalent required.
iVos, IIR, Service Hub, UC Accommodate, Google Drive, Zoom
Costco WholesaleNASDAQ: COST: Operates membership-only warehouse clubs selling a variety of goods.
Assist pharmacists with dispensing, customer service, inventory, claims processing, and computerized recordkeeping; open availability and proof of work authorization required.
CostcoNASDAQ: COST: Operates a global chain of membership-only warehouse clubs.
Assist pharmacists with filling and dispensing prescriptions, provide member service, handle inventory and invoices, process insurance claims, and follow safety and confidentiality procedures.
David Wong - State Farm Agent: Independent insurance agency providing auto, home, and life insurance.
Customer service and organizational skills; experience in insurance or related field preferred; ability to manage accounts, assist with policy changes, process claims, and coordinate with underwriters.
Workers' Compensation Assistant (4722C) University Health Services #87647
Berkeley, California, United States
$34-$41/hrOnsiteFull Time
University of California, Berkeley: Public research university offering undergraduate and graduate education.
Performs intake and processing of workers' compensation claims and accommodation requests, data entry into IIR/Service Hub, scanning/uploading documents, responding to Sedgwick requests, and front-office support.
iVos, IIR, Service Hub, Google Drive, UC Accommodate, Sedgwick
Customer Service Representative - State Farm Agent Team Member
Castro Valley, California, United States
$52k-$100k/yrOnsiteFull Time
Samantha Harris Insurance Agency: Local agency providing personal and commercial insurance solutions.
Customer-focused with strong communication, interpersonal and detail skills; able to multitask. Previous customer service experience preferred. Responsible for answering inquiries, assisting with policy changes, processing claims, and maintaining records.
Washington Hospital Healthcare System: Public healthcare district providing comprehensive medical and emergency services.
Manage billing and follow-up for multiple payer types, verify insurance and patient financials, submit claims, process payments/refunds, respond to billing inquiries, and perform document scanning/indexing and mail distribution.
Patient Account Rep - FT - Days - Billing and Collection @ MV
Mountain View, California, United States
$34-$51/hrOnsiteFull Time
El Camino Health: Provides acute care and specialized hospital medical services.
1+ YOEHigh school diploma, 1+ year healthcare billing or related experience, knowledge of medical terminology and claim processing, strong communication, typing, and problem-solving skills; Microsoft Outlook/Word/Excel preferred.
Hospital Claims Scrubber Tool, Microsoft Outlook, Microsoft Word, Microsoft Excel
Charlotte or Columbia or Novi or Fremont or San Francisco or Los Angeles or New York City
$130k-$160k/yrOnsiteFull Time
Scout Motors: Designs and manufactures all-electric rugged SUVs and trucks.
8+ YOEBachelor's degree; 8+ years warranty operations/claims experience in OEM or similar; strong policy and process knowledge; ERP experience (SAP/Oracle/Salesforce); analytical, communication, and improvement skills; German a plus.
Arthur J. Gallagher & Co.NYSE: AJG: Global insurance brokerage and risk management services provider.
5+ YOE5+ years handling workers' compensation claims or consulting, 2+ years in risk management, strong knowledge of workers' compensation laws, FEHA/Interactive Process experience, return-to-work program and analytical skills, excellent communication.
WalmartNYSE: WMT: Multinational retail operating discount stores and supermarkets.
Must meet state requirements to work as a pharmacy technician and obtain national pharmacy technician certification (PTCB or NHA) within 9 months; capable of processing prescriptions, handling insurance claims, and customer service in a retail pharmacy.