277 claims jobs at 130 companies in San Jose, CA
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Claims Assistant 1
Walnut Creek, California, United States
$25/hr OnsiteFull Time
High school diploma or equivalent required; proficiency in Microsoft Word, Microsoft Excel, databases, systems, and vendor software; strong attention to detail and ability to manage multiple priorities.
Microsoft Word, Microsoft Excel
3w
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Claims Examiner
Oakland, California, United States
$80k-$114k/yr RemoteFull Time
5+ YOEHigh school diploma and 5+ years claims experience required; must be licensed/certified in states where handling claims; strong analytical, negotiation, and communication skills.
2d
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Claims Counsel
Pleasanton or New York City
$165k/yr OnsiteFull Time
2+ YOEJD required; 2–5 years of claims handling experience including at least 1 year of cyber experience. Requires adjuster licenses, coverage analysis, claim evaluation, negotiation, organization, and presentation skills.
1mo
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Claims Specialist Lead
Fresno or Irvine or Riverside or San Diego or Modesto or Sacramento or Concord or Woodland Hills or Pasadena or Torrance
$39-$57/hr HybridFull Time
3+ YOEMinimum 3 years claims handling experience (options include 6 years relevant with 3 years claims, or 3 years claims with a bachelor's, or 5 years relevant with associate). Requires strong negotiation, organization, civil procedure knowledge, and litigation/casualty claims experience.
2mo
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Claims Examiner/Senior Claims Examiner
Walnut Creek, California, United States
$65k-$115k/yr OnsiteFull Time
2+ YOE2+ years claims experience, professional workers' compensation certification preferred (WCCP), strong negotiation, analytical, written/verbal communication, and PC literacy.
3mo
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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
2w
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Cyber Claims Counsel
Atlanta or Chicago or New York City or San Francisco
$120k-$150k/yr OnsiteFull Time
3+ YOE3-5 years handling complex first- and third-party cyber/tech claims; legal degree required; claims adjusting or insurance/attorney/paralegal background; strong communication and interpersonal skills.
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Senior Claims Examiner
San Diego or Concord or Orange or California
HybridFull Time
3+ YOE3+ years workers' compensation claims experience, high school diploma (AA/BS preferred), Experienced Indemnity Claims Adjuster designation, Administrators Certificate within one year, proficiency with Microsoft Office, strong communication and analytical skills.
Microsoft Office
2mo
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Claims Processor 3
San Francisco, California, United States
$28/hr OnsiteFull Time
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
3w
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CLAIMS EXAMINER I MSO
Burlingame, California, United States
$38/hr OnsiteFull Time
2+ YOEConduct claim examination, audit, adjudication; knowledge of Medi‑Cal/Medicare and medical billing; strong data entry, analytical and communication skills; 2 years claims experience preferred.
1mo
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Manager, Claims Operations
San Francisco, California, United States
$140k-$150k/yr HybridFull Time
5+ YOE4+ MgmtBachelor's or equivalent, 4 years management, 5 years healthcare experience, expertise in claims adjudication, PDR handling, claims coding, data analysis, and policy development.
1mo
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Senior Workers' Comp Claims Specialist - CA Claims
Woodland Hills or San Diego or Orange or Roseville or Dublin or Fresno
$95k-$128k/yr HybridFull Time
5+ YOECalifornia workers' compensation claims adjuster required; 5+ years WC claims experience in CA; high school and bachelor’s degree required; strong communication, math, and technical claims knowledge.
2mo
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APeX Claims Analyst
San Francisco, California, United States
$103k-$190k/yr HybridFull Time
3+ YOEBachelor's in healthcare IT or related, Epic PB/HB claims & electronic remittance admin certification required, 3+ years experience, strong problem-resolution, analytical, training, documentation and Excel skills.
APeX, Epic, Chronicles, Microsoft Excel
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Claims Professional I
Fort Wayne or Indiana or San Francisco or Los Angeles
$60k-$80k/yr HybridFull Time
2+ YOE2+ years P&C claims experience, obtain Indiana adjuster license within 90 days, strong written/verbal communication, bachelor’s degree preferred, strong organizational and computer skills.
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Claims Analyst or (Senior) Claims & Patient Safety Specialist
Oakland or California or Hawaii
$73k-$157k/yr RemoteFull Time
5+ YOEBachelor's degree, valid driver's license, 5–10+ years medical professional liability claims or risk management experience depending on level; knowledge of PSRM, clinical systems, and strong communication and analytical skills.
Word, Excel, Power Point, Windows, Teams, Sharepoint, CoPilot, Candello - Solutions by CRICO, MPL Association Data Sharing Project, Preverity
3w
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CLAIMS EXAMINER I MSO
Burlingame, California, United States
$38/hr OnsiteFull Time
2+ YOEReview, audit, examine and adjudicate professional claims per Medi‑Cal/Medicare and MSO policies; strong data entry, analytical, and communication skills required.
1mo
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Claims Team Lead - Workers Compensation | CA Claims Exp. Required
Roseville or Pasadena or San Diego or West Hills or Riverside or Ontario or Orange or Long Beach or Rancho Cordova or Concord or Brea
$100k-$118k/yr HybridFull Time
6+ YOE2+ MgmtCalifornia workers' compensation claims expertise, 6+ years claims experience, 2+ years supervising, SIP certification (obtain within 1 year), bachelor's preferred, strong technical/jurisdictional knowledge and leadership skills.
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National Complex Claims Leader
White Plains or Hartford or Richmond or Greensboro or West Palm Beach or Maitland or Dublin or Schaumburg or Tampa or St. Louis or Clearwater or Norwalk or Louisville or Atlanta or West Point or Alpharetta or Johns Creek or Columbus or Fort Lauderdale or New York City or South Bend or Irvine or Troy or Austin or Washington or Charleston or Fort Myers or San Antonio or Las Vegas or Cary or Saddle Brook or Tulsa or Van Nuys or San Francisco or Nashville or Boise or Scottsdale or Bend or Lexington or Palm Beach Gardens or Knoxville or Dallas or Wilmington or Golden Valley or Melville or Aliso Viejo or King of Prussia or Chesterfield or Fort Worth or Morristown or Baton Rouge or Philadelphia or Providence or Boston or Chicago
$94k-$175k/yr RemoteFull Time
10+ YOE10+ years of P&C insurance experience focused on complex claims, coverage, or litigation; bachelor's required, JD preferred; strong negotiation, analytics, stakeholder management, and claims advocacy skills.
Origami
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Senior Litigation Construction Liability Claims Representative
Diamond Bar or Irvine or Rancho Cordova or Walnut Creek or San Diego
$94k-$156k/yr HybridFull Time
3+ YOEHigh school diploma or GED and at least 3 years of liability or comparable litigation claims experience; advanced claims, litigation, negotiation, communication, analytical, and legal knowledge required.
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Senior Litigation Construction Liability Claims Representative
Diamond Bar or Rancho Cordova or Irvine or San Diego or Walnut Creek
$94k-$156k/yr HybridFull Time
3+ YOEHigh school diploma/GED and 3 years of liability or comparable litigation claims experience required; advanced claims, litigation, negotiation, legal, and communication skills. Insurance license may be required.
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