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Claims adjuster Jobs in Santa Clara, CA

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Claims adjuster • santa clara ca

Last updated: 2 days ago

Senior Support Lead - IT Operations

HcltechSanta Clara, CA, United States
Full-time

Senior Support Lead - IT Operations.We are seeking an experienced Epic Resolute Professional Billing (PB) Analyst with expertise in Claims Management, Charge Router, and Medical Coding to support a... Show more

Senior Claims Examiner Commercial GL

VenbrookSan Jose, CA, United States
Full-time

Carl Warren & Company Job Post.Carl Warren & Company is a leading nationwide Third-Party Administrator (TPA) founded in 1944.Carl Warren has been a trusted partner specializing in property and casu... Show more

Risk Manager

TradeJobsWorkForce95190 San Jose, CA, US
Full-time

Risk Manager Job Duties: Leads the identification, communication, measurement, and manag... Show more

 • Promoted

Commercial Auto Claims Adjuster - REMOTE

Work At Home Vintage ExpertsSan Jose, CA, US
$30.00 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

Senior Claims Examiner, Workers' Compensation

GallagherSan Jose, California
Full-time

This is a remote position based in California, and candidates must reside within the state.Keenan is a leading insurance brokerage and consulting firm serving hospitals, public agencies, and Califo... Show more

Compliance Manager

Ultimate StaffingSan Jose, CA, United States
Full-time

Develop and maintain the claims management process for addressing any potential or actual health or health-related claims including medical malpractice claims, which may be eligible for FTCA covera... Show more

Safety Manager

ArchKey SolutionsSan Jose, CA, United States
$110,000.00 yearly
Full-time

This position is based out of our San Jose, CA office.ArchKey is one of the nation's largest privately held specialty trade installation and integrated facility service companies.We are a leader in... Show more

Safety Manager

ArchKey Solutions LLCSan Jose, CA, US
$110,000.00 yearly
Full-time

This position is based out of our San Jose, CA office.ArchKey is one of the nation’s largest privately held specialty trade installation and integrated facility service companies.We are a leader in... Show more

Medical Director - Orthopedic Surgeon - Remote from anywhere 2372194 | Los Angeles, California |

UnitedHealthcareSan Jose, CA, United States
Full-time

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect... Show more

Administrative/Legal Assistant NOT REMOTE

Rad Law Group A Professional Law CoSan Jose, CA, US
$20.00 hourly
Remote
Full-time

The boutique and well established law firm of Rad Law Group, A Professional Law Corporation seeks a self-motivated experienced Administrative/Legal Assistant with at least.The right candidate is so... Show more

Senior Operations Manager, Health Systems Billing/Denials

CommureMountain View, CA, United States
Full-time

At Commure, we're building the AI Operating System for healthcare, the foundation that defines how care is delivered, documented, and financed.Our platform spans the full care journey: Ambient AI a... Show more

Sr Workers Comp Adjuster

Hanover Insurance GroupSan Jose, CA, United States
Full-time

Senior Workers Compensation Adjuster.For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most.We live our values every day, dem... Show more

Property & Casualty Claims Advocate - Remote - California

Insurance ReliefLos Gatos, CA, United States
$90,000.00–$115,000.00 yearly
Full-time

Property & Casualty Claims Advocate - Remote - California.Are you a dedicated Claims Analyst ready to unlock a significant growth opportunity with a leading insurance agency? Join a team committed ... Show more

Property Claims Representative - Regional Insurance Carrier - Base Salary to 110k/year - San Jose,

AllSearch Professional StaffingSan Jose, CA, United States
Full-time

Property Claims Representative - Regional Insurance Carrier - Base Salary to 110k/year - San Jose, CA.Our client, a respected and established 100+ year regional carrier is looking for a Property Cl... Show more

Sr. Risk Manager (28696)

Super Micro ComputerSan Jose, CA, United States
$123,000.00–$140,000.00 yearly
Full-time

Location: San Jose, California, United States.About Supermicro: Supermicro is a Top Tier provider of advanced server, storage, and networking solutions for Data Center, Cloud Computing, Enterprise ... Show more

Life Insurance Agent

New York Life Insurance - Silicon ValleySan Jose, CA, US
Full-time

We are looking for a life insurance agent with amazing customer service skills to join our fast-growing insurance agency and help our clients achieve their financial goals.You’ll serve on the front... Show more

Risk Manager

TradeJobsWorkforce95154 San Jose, CA, US
Full-time

Risk Manager job responsibilities: Leads the identification, communication, measurement, and management o... Show more

 • Promoted

QA Manager

E-SolutionsSan Jose, CA, United States
Full-time

Job Description: We are seeking a Strong Automation Test Manager with experience in Healthcare Claims or Healthcare Provider environments.Candidates with expertise in Automation Testing, specifical... Show more

Senior Claims Examiner, Workers' Compensation

Arthur J Gallagher & CoSan Jose, CA, United States
$75,000.00 yearly
Full-time

At Gallagher, we help clients face risk with confidence because we believe that when businesses are protected, they're free to grow, lead, and innovate.You'll be backed by our digital ecosystem: a ... Show more

Remote Insurance Experts - AI Trainer ($50-$60 per hour)

MercorSanta Clara, California, US
Remote
Full-time

Role Overview** - Mercor is seeking senior insurance professionals to build evaluation tasks for AI systems operating in Fortune 500 enterprise insurance and risk contexts.The workflows are calibra... Show more

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Senior Support Lead - IT Operations

Senior Support Lead - IT Operations

HcltechSanta Clara, CA, United States
25 days ago
Job type
  • Full-time
Job description

Senior Support Lead - IT Operations

We are seeking an experienced Epic Resolute Professional Billing (PB) Analyst with expertise in Claims Management, Charge Router, and Medical Coding to support and optimize professional billing workflows. The ideal candidate will have hands-on experience configuring and supporting Epic PB, managing claims processing, implementing charge routing solutions, and ensuring accurate coding integration. The role involves collaborating with revenue cycle, coding, and clinical teams to enhance billing operations, resolve production issues, and deliver system improvements while maintaining compliance with healthcare and Epic best practices.

Key Responsibilities:

  • Configure and support Epic Resolute PB workflows.
  • Manage and troubleshoot claims processing and charge routing.
  • Collaborate with coding, billing, and operational teams to optimize revenue cycle processes.
  • Support system enhancements, testing, and issue resolution.

Skill Requirements:

  • Strong experience with Epic Resolute Professional Billing (PB).
  • Hands-on experience with Claims Management, including claim edits, claim generation, and billing workflows.
  • Experience configuring and supporting Charge Router and charge routing workflows.
  • Knowledge of medical coding (ICD-10, CPT, HCPCS) and its integration with PB billing processes.
  • Experience in PB build, testing, troubleshooting, and production support.
  • Understanding of Revenue Cycle Management (RCM) workflows and end-to-end professional billing processes.
  • Epic Resolute PB certification is preferred.

Other Requirements:

  • Should be well versed with below, MFA Charge adjustment review Retro experience Claims statement SBO

Compensation and Benefits:

A candidate's pay within the range will depend on their skills, experience, education, and other factors permitted by law. This role may also be eligible for performance-based bonuses subject to company policies. In addition, this role is eligible for the following benefits subject to company policies: medical, dental, vision, pharmacy, life, accidental death & dismemberment, and disability insurance; employee assistance program; 401(k) retirement plan; 10 days of paid time off per year (some positions are eligible for need-based leave with no designated number of leave days per year); and 10 paid holidays per year.