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34 claims processing jobs at 21 companies in Sunnyvale, CA

2mo
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CLAIMS ADJUSTER
Pleasanton, California, United States
$33-$37/hr OnsiteFull Time
Laborers Funds Administrative Office of Northern California: Administers retirement and health benefits for union laborers.
2+ YOETwo years medical claims processing and customer service; strong organizational and communication skills; bilingual in Spanish preferred.
MS Office, Outlook, Excel, Word, Medical coding systems
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1mo
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Claims Processor 3
San Francisco, California, United States
$28/hr OnsiteFull Time
Zenith American Solutions
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.
ICD-9, CPT-4
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3w
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ESIS Claims Compliance Specialist, WC
Chatsworth or Fremont
$78k-$114k/yr HybridFull Time
Chubb
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.
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1mo
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Supervisor, Oversight (Payment Integrity Claims Audit)
Enterprise or Long Beach or United States
$76k-$149k/yr RemoteFull Time
Molina Healthcare
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.
Microsoft Office, Microsoft Excel
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2w
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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/yr OnsiteFull Time
ICE
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
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2w
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Workers' Compensation Assistant (4722C) University Health Services #87647
Berkeley, California, United States
$34-$41/hr OnsiteFull Time
University of California, Davis
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
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1w
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Pharmacy Technician-Certified
Concord, California, United States
OnsiteFull Time
Costco Wholesale
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.
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1w
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Pharmacy Technician-Certified
Richmond, California, United States
OnsiteFull Time
Costco
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.
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4d
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Account Associate - State Farm Agent Team Member
Mill Valley, California, United States
$68k-$108k/yr OnsiteFull Time
David Wong - State Farm Agent
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.
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2w
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Certified Pharmacy Technician
Alameda, California, United States
$21-$25/hr OnsitePart Time
Walgreens
Walgreens: Retail pharmacy providing prescriptions and health and wellness products.
Supports pharmacists by entering patient/drug data, filling prescriptions, processing claims, assisting with inventory and customer service; PTCB certification preferred; fluent English required.
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2w
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Workers' Compensation Assistant (4722C) University Health Services #87647
Berkeley, California, United States
$34-$41/hr OnsiteFull Time
University of California, Berkeley
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
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3mo
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Customer Service Representative - State Farm Agent Team Member
Castro Valley, California, United States
$52k-$100k/yr OnsiteFull Time
Samantha Harris Insurance Agency
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.
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1mo
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Patient Accounting Representative Part Time
Fremont, California, United States
$35-$43/hr OnsitePart Time
Washington Hospital Healthcare System
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.
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2w
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Patient Account Rep - FT - Days - Billing and Collection @ MV
Mountain View, California, United States
$34-$51/hr OnsiteFull Time
El Camino Health
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
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1mo
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Sr. Warranty Specialist
Charlotte or Columbia or Novi or Fremont or San Francisco or Los Angeles or New York City
$130k-$160k/yr OnsiteFull Time
Scout Motors
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.
SAP, Oracle, Salesforce
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2w
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Patient Care Coordinator
Dublin, California, United States
$22-$25/hr OnsitePart Time
Total Vision
Total Vision: Provides optometry services and eyewear through clinical practices.
Greeting patients, checking in, scheduling, verifying insurance, auditing claims, scanning into EHR, confirming appointments, processing contact lens sales; high school diploma/GED and strong communication; bilingual English/Spanish preferred.
EHR
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1mo
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Risk Management Analyst
San Jose, California, United States
$65k-$126k/yr HybridFull Time
Arthur J. Gallagher & Co.
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.
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1mo
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Medical Billing Specialist (on-site)
Tracy, California, United States
$17-$25/hr OnsiteFull Time
Pacific Medical
Pacific Medical: Distributes durable medical equipment and provides clinical orthopedic services.
Verify eligibility and authorizations, obtain authorizations, process claims within deadlines, contact patients and carriers, and meet typing speed (45 WPM). High school diploma required; 1-2 years medical billing experience preferred.
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4d
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Vendor and Supplier Manager IV
Oakland, California, United States
$121k-$156k/yr OnsiteFull Time
Kaiser Permanente
Kaiser Permanente: Provides integrated medical care and health insurance plans.
5+ YOEExperience managing suppliers for payment integrity or claims programs, process improvement expertise, data analysis, strong communication and problem-solving; bachelor\u000degree with 5+ years PI experience or 8+ years without; 1+ year leadership experience.
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1mo
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Patient Accounts Supervisor (1663) - Dept. of Public Health - (163395)
San Francisco, California, United States
$108k-$132k/yr OnsiteFull Time
City and County of San Francisco
City and County of San Francisco: Provides public services and governance for the San Francis area.
4+ YOE2+ MgmtMinimum 4 years billing/claims processing or medical collections experience with 2 years supervising; knowledge of Medicare/Medi-Cal/insurance reimbursement, HIPAA transactions and code sets; experience with Epic, Experian, DDE, Cal‑Meds and Microsoft Office.
Epic, Experian, Fiscal Intermediary Direct Data Entry (DDE), Cal-Meds, Microsoft Office, HIPAA transactions, ICD-10, HCPCS, 837 Claims/Encounters, 835 EOB/Remittance Advice, 834 Benefit Enrollments, 276 Claim Status Inquiry, 277 Claim Status Responses
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