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Claim adjuster Jobs in Bakersfield, CA

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Claim adjuster • bakersfield ca

Last updated: 3 days ago

Remote Insurance Verification & Benefit Manager - AI Trainer ($105-$105 per hour)

MercorBakersfield, California, US
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Insurance Verification and Eligibility & Benefits Managers to e... Show more

Marketing Liaison - State Farm Agent Team Member

Isaias Ruiz - State Farm AgentBakersfield, CA, US
$16.90 hourly
Full-time +1

You May Be a Great Fit as a Marketing Liaison at Isaias Ruiz - State Farm Agent if:.You bring a calm and steady attitude to both day-to-day tasks and fast-moving marketing initiatives.You care deep... Show more

Remote Patient Access Leader - AI Trainer ($80-$80 per hour)

MercorBakersfield, California, US
$80.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Patient Access leaders to support the evaluation and improvemen... Show more

Healthcare Application Analyst III Hybrid (Must Reside Within Driving Distance; On-Site 1

Kern MedicalBakersfield, CA, United States
Full-time

Healthcare Application Analyst III - Information Systems - Full-Time.Kern Medical has been a community cornerstone since its founding in 1867.Today, we are an acute care teaching center with 222 be... Show more

Remote Intellectual Property Expert - AI Trainer ($90-$100 per hour)

MercorBakersfield, California, US
$90.00 hourly
Remote
Full-time

Role Overview** - Mercor is seeking senior intellectual property professionals to build evaluation tasks for AI systems operating in patent prosecution, licensing, and IP enforcement contexts.The w... Show more

Remote Coding Manager / HIM Coding Leader - AI Trainer ($80-$80 per hour)

MercorBakersfield, California, US
$80.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Coding Managers and HIM Coding leaders to evaluate AI-powered c... Show more

Field Adjuster (Residential or Commercial) 1099/Independent - Bakersfield, CA

CCMS & AssociatesBakersfield, CA, US
Full-time
Quick Apply

CCMS & Associates is looking for a 1099 Field Adjuster in California , specifically the Bakersfield  area.We are answering a call to action to add to our existing roster.The time is n... Show more

Property and Liability Adjuster II (Fresno/Clovis, CA) (Open)

Kern County Superintendent of SchoolsBakersfield, CA, United States
Full-time

Under direction, perform responsible, technical and lead functions pertaining to the KCSOS, Property, Auto, and Liability (P & L) program; provide assistance, counsel and information to participati... Show more

Remote A/R Follow-up Manager - AI Trainer ($75-$75 per hour)

MercorBakersfield, California, US
$75.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced A/R Follow-Up Managers to evaluate AI tools designed to automat... Show more

Collections Specialist - Remote

TradeJobsWorkForce93314 Rosedale, CA, US
Remote
Full-time

Collections Specialist Remote Job Duties: • Meet the defined productivity metric of a minimum of 30 daily claim touch... Show more

 • Promoted

Account Associate - State Farm Agent Team Member

Adam Hopkins - State Farm AgentBakersfield, CA, US
$21.00 hourly
Full-time

Our agency opened in 2007 and is a close-knit team of four focused on strong performance and great customer relationships.Before becoming a State Farm agent, I worked as an industrial engineer for ... Show more

Actuarial Analyst - Commercial Lines - REMOTE

Work At Home Vintage ExpertsBakersfield, CA, US
$40.00 hourly
Remote
Full-time +2
Quick Apply

Put your Insurance Experience to work – FROM HOME!.Our unique platform provides you with.WHAT YOU’LL LOVE ABOUT WAHVE.We created a welcoming place to work with friendly and professional... Show more

Production Manager

Bull Moose TubeBakersfield, CA, USA
$98,000.00 yearly
Full-time
Quick Apply

Position is based in Casa Grande, AZRelocation Assistance Provided SUMMARY: The Production Manager directs, plans, and coordinates activities concerned with production and establishes production pr... Show more

Remote Healthcare Administrative Specialist - AI Trainer ($40-$50 per hour)

MercorBakersfield, California, US
$40.00 hourly
Remote
Full-time

About the Role** We're looking for professionals with deep, hands-on experience in the administrative and operational work that keeps healthcare organizations running — the "back office" of a medic... Show more

Remote Denials Management & Appeals Manager - AI Trainer ($70-$93 per hour)

MercorBakersfield, California, US
$70.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Denials Management and Appeals Managers to evaluate AI tools de... Show more

Collector

Hall AmbulanceBakersfield, California, United States
$41,600.00 yearly
Full-time

The core responsibility of the Collector is to ensure all claims are paid in a timely manner.The Collector will review claims to ensure that all documentation required by the Payer is provided, and... Show more

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Remote Insurance Verification & Benefit Manager - AI Trainer ($105-$105 per hour)

Remote Insurance Verification & Benefit Manager - AI Trainer ($105-$105 per hour)

MercorBakersfield, California, US
30+ days ago
Job type
  • Full-time
  • Remote
Job description
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems. We are seeking experienced Insurance Verification and Eligibility & Benefits Managers to evaluate AI tools designed to automate front-end revenue cycle operations. Your deep expertise in payer systems, EDI transactions, and eligibility workflows will directly inform AI models that drive accuracy and efficiency in insurance verification processes. **Responsibilities** - Oversee insurance verification, eligibility determination, and benefits investigation workflows across commercial, Medicare, Medicaid, and managed care payers. - Verify patient insurance coverage using payer portals, clearinghouses, and EDI 270/271 real-time eligibility transactions. - Identify and resolve coordination of benefits issues, coverage gaps, and eligibility discrepancies prior to service delivery. - Evaluate and annotate AI-generated eligibility verification outputs for accuracy, completeness, and payer compliance. - Develop and document SOPs for eligibility and benefits verification workflows. - Monitor KPIs including verification accuracy rates, front-end denial rates related to eligibility, and turnaround times. - Ensure compliance with payer-specific requirements, CMS guidelines, and HIPAA regulations. - Identify process gaps and recommend workflow improvements to reduce eligibility-related claim denials. - Provide structured feedback and annotations to support AI training datasets. **Requirements** - 5+ years of experience in insurance verification, eligibility and benefits management, or front-end revenue cycle operations, with at least 2 years in a management role. - Expert knowledge of EDI 270/271 transactions, payer portal navigation, and real-time eligibility tools. - Strong familiarity with Medicare, Medicaid, and commercial payer eligibility requirements and benefit structures. - Proficiency with Epic, Cerner, Meditech, or equivalent EHR platforms. - Experience with clearinghouse platforms such as Availity, Change Healthcare, or similar. - Exceptional written and verbal English communication skills. - High attention to detail with the ability to identify subtle discrepancies in coverage data. **Preferred Qualifications** - CHAM, CHAA, or equivalent front-end revenue cycle certification. - Experience with automated eligibility verification tools and RPA solutions. - Background in denial root cause analysis related to eligibility and coverage errors. - Familiarity with AI tools and comfort evaluating AI-generated healthcare content. - Experience presenting eligibility performance data to senior leadership. **Why Join?** - Contribute to the development of frontier AI systems in healthcare. - Collaborate with a world-class AI research organisation. - Gain exposure to cutting-edge AI workflows in healthcare revenue cycle management. - Opportunity to work on high-impact projects shaping the future of healthcare AI.