59 claims processing jobs at 23 companies in Rio Vista, CA
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Claims Supervisor II - Commercial G/L
Leawood or Ewing or Plano or Bala Cynwyd or Naperville or Roseville or United States
$114k-$128k/yrHybridFull Time
Philadelphia Insurance Companies: Commercial property and casualty insurance underwriting and services provider.
10+ YOEHigh school diploma and 10+ years of related experience or equivalent required; bachelor's degree preferred. Claims industry studies, Windows, and basic word processing skills required.
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.
Bala Cynwyd or Lone Tree or Naperville or Glastonbury or Roseville or Ewing or Leawood or Plano or Alpharetta or Lake Mary
$114k-$128k/yrHybridFull Time
Philadelphia Insurance Companies: Specialty commercial property and casualty insurance provider.
10+ YOEHigh school diploma required; bachelor's degree preferred. Requires 10+ years of related experience or equivalent education and experience, plus claims industry studies and Windows and word processing skills.
7+ YOEBachelor's degree, 7+ years workers compensation claims/operations experience, experience translating processes into documentation, change management and CMS experience, proficiency in Microsoft Office and Power BI, strong communication and influence skills.
Microsoft Office, Power BI, Claims Management Systems (CMS)
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
Lead Deputy Clerk – CMJC - Small Claims & Unlawful Detainer Division
Sacramento, California, United States
$29-$35/hrOnsiteFull Time
Superior Court of California, County of Sacramento: Adjudicates legal cases and provides judicial services in Sacramento.
2+ YOERequires 2 years as a Sacramento Superior Court Deputy Clerk or 3 years processing California Superior Court legal documents, plus English proficiency, 35 net WPM typing, and ability to lead, train, and review staff.
word processing equipment, computer, printer, calculator, copier, telephone, scanner, facsimile
Adventist Health: Faith-based healthcare provider offering hospital and clinical services.
Handles incoming calls from plan members and providers, answers questions about medical/dental/vision claims, maintains basic claims software knowledge, and performs mail and document processing.
State Controller's Office: California's fiscal controller managing state financial operations and assets.
Process complex bankruptcy claims, compute and review claims, reconcile system fallout reports, sort and distribute high-volume bankruptcy mail, and use PC systems per the class specification; background investigation required.
Microsoft Outlook, Microsoft Word, Microsoft Excel, Microsoft Teams, Business Entities Tax System (BETS), Taxpayer Information (TI), Enterprise Tax Systems (ETS)
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.
Assisting pharmacists with dispensing prescriptions, customer service at the counter, inventory management, processing invoices and insurance claims, and using a computerized pharmacy system.
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.
Patient Account Representative III Hospital Billing Unit
Fairfield, California, United States
$32-$39/hrHybridFull Time
NorthBay Health: Provides comprehensive hospital care and medical services in Northern California.
3+ YOEMinimum 3 years hospital billing and follow-up experience (or equivalent combination), ability to process claims and accounts accurately, knowledge of medical terminology and payor contracts, strong computer and communication skills.
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.
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.