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Claims clerk Jobs in Los Angeles, CA

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Claims clerk • los angeles ca

Last updated: 3 days ago

Claims Examiner III

New Leaf Staffing, Inc.Pasadena, CA, United States
$34.00 hourly
Temporary

Location: Pasadena, CA (Hybrid considered after training once performance expectations are consistently met) Schedule: Monday Friday, 8 am 5 pm Pay Rate: Up to $34.Position Overview: A healthcare... Show more

Insurance Claims Specialist

Columbia BankLos Angeles, CA, United States
Full-time

Established in 1975, Financial Pacific Leasing, Inc.Columbia Bank), is a direct provider of small-ticket commercial equipment leases.For over 50 years, these partners have relied on Financial Pacif... Show more

Senior Claims Specialist

Westfield InsuranceLos Angeles, CA, United States
Full-time

Commercial And Financial Lines Claims Manager.Directly handle, manage and/or oversee commercial and financial lines Public and Private D&O, Financial Institutions E&O, EPL, Fiduciary and Crime/Fide... Show more

Senior Claims Specialist

WestfieldLos Angeles, CA, United States
Full-time

Commercial And Financial Lines Claims Manager.Wilshire Boulevard, Los Angeles, CA, 90036, US (Hybrid).Directly handle, manage and/or oversee commercial and financial lines public and private D&O, F... Show more

Claims Recovery Director

CNALos Angeles, CA, United States
Full-time

You have a clear vision of where your career can go.And we have the leadership to help you get there.At CNA, we strive to create a culture in which people know they matter and are part of something... Show more

Lead - Claims Operations

Astrana HealthMonterey Park, CA, United States
$27.00–$32.00 hourly
Full-time

We are currently seeking a highly motivated Lead - Claims Operations.This role will report to the Sr.Manager - Claims and enable us to continue to scale in the healthcare industry.This is a hybrid ... Show more

Claims Examiner

VenbrookLos Angeles, CA, United States
$77,500.00 yearly
Full-time

Claims Examiner, Public Entity.Location: Onsite - Downtown LA.Company Overview: Venbrook Claims is the claims business group of Venbrook Group, LLC, a holding company with subsidiaries engaged in r... Show more

Construction Claims Specialist

Parsons CorporationLos Angeles, CA, United States
$103,500.00–$181,100.00 yearly
Full-time

Construction Claims Specialist.Parsons is looking for a talented Construction Claims Specialist to join our team!.Responsible for analyzing, evaluating, and documenting construction claims, contrac... Show more

Claims Examiner I

Tokio Marine HCCLos Angeles, CA, United States
$46,600.00–$69,800.00 yearly
Full-time

Resolves claims by investigating losses through the collecting and analyzing of data according to policy application and client/underwriter guidelines.Determine insurance coverage by examining clai... Show more

Clerk

TradeJobsWorkforce90058 Los Angeles, CA, US
$14.00 hourly
Full-time

The Ideal Candidate: Be highly motivated; possess excellent communication skills and works well under pressure while maintaining a positive attitude.Be dependable, organized and can work with very... Show more

 • Promoted

Senior Manager, Claims Adjustments

LOS Angeles Care Health PlanLos Angeles, CA, United States
$117,509.00 yearly
Full-time

Senior Manager, Claims Adjustments.Job Category: Management/Executive Department: Core Admin Ops - Payment Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $117... Show more

Claims Account Manager, Wholesale

AXA XLLos Angeles, CA, United States
$139,300.00–$219,300.00 yearly
Full-time

Claims Account Manager Wholesale.As a Claims Account Manager - Wholesale, you will be responsible for claim account management functions for customers in our growing Wholesale (Programs, Excess & ... Show more

Senior Claims Account Manager

Argo GroupLos Angeles, CA, United States
$137,500.00–$167,000.00 yearly
Full-time

Argo Group is an underwriter of specialty insurance products in the property and casualty market.Argo offers a full line of products and services designed to meet the unique coverage and claims-han... Show more

Claims Representative- Healthcare Billing

Vista Del MarLos Angeles, CA, United States
$28.00–$30.00 hourly
Full-time

Claims Representative- Healthcare Billing.For more than a century, Vista Del Mar Child & Family Services (VDM) has been dedicated to supporting children and families across Los Angeles County throu... Show more

Senior Claims Specialist

BITCO Insurance CompaniesPasadena, CA, United States
$70,000.00–$120,000.00 yearly
Full-time

Claims Specialist, Workers' Compensation.Old Republic Bitco Corporation is seeking a Sr.Claims Specialist, Workers' Compensation to join our regional office located in Pasadena, CA.As a respected s... Show more

Claims Team Lead - Workers Compensation | CA Claims Exp. Required

SedgwickPasadena, CA, United States
$100,000.00–$118,000.00 yearly
Full-time

Claims Team Lead - Workers Compensation.By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the... Show more

Lead - Claims Operations

Astrana Health, Inc.Monterey Park, CA, US
$27.00–$32.00 hourly
Full-time
Quick Apply

We are currently seeking a highly motivated Lead - Claims Operations.This role will report to the Sr.Manager - Claims and enable us to continue to scale in the healthcare industry.This is a hybrid ... Show more

Claims Appraiser - Auto Estimatics

State FarmLos Angeles, CA, United States
$69,398.62–$91,000.00 yearly
Full-time

Being good neighbors helping people, investing in our communities, and making the world a better place is who we are at State Farm.It is at the core of how we operate and the reason for our succe... Show more

Customer Service Claims Representative

National Claims Assistance Inclos angeles, CA, US
$150,000.00 yearly
Full-time +1

Flexible hours Full-Time/Part-Time.Positive impact fighting for fair treatment of others; unlimited income potential; excellent training environment; flexible schedule.WORK FROM HOME - VIRTUALLY HE... Show more

Warehouse Clerk / Material Management Clerk

KellyLos Angeles, California, US
$21.50 hourly
Temporary

Warehouse Clerk / Material Management Clerk.Weekdays (Mon, Tue, Thu, Fri):.PM – 10:30 PM (may vary based on business needs).Occasional shifts, 11:00 PM – 7:30 AM (as required).Receive, stock, and d... Show more

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Claims Examiner III

Claims Examiner III

New Leaf Staffing, Inc.Pasadena, CA, United States
30+ days ago
Salary
$34.00 hourly
Job type
  • Temporary
Job description

Claims Examiner III

Location: Pasadena, CA (Hybrid considered after training once performance expectations are consistently met) Schedule: Monday Friday, 8 am 5 pm Pay Rate: Up to $34.00 per hour, depending on experience Employment Type: Temp to perm

Position Overview: A healthcare IPA is seeking an experienced Claims Examiner III with advanced, hands-on claims examination and adjudication experience. Candidates must have direct experience independently reviewing, pricing, adjusting, and adjudicating complex professional and facility claims within a managed care, IPA, MSO, medical group, TPA, or health plan environment.

Required Experience With:

  • Direct claims examination and adjudication
  • Professional claims CMS-1500
  • Facility claims UB-04
  • Provider contracts
  • Health plan contracts and benefits
  • CMS guidelines
  • Medicare and commercial claims
  • Medical policies and coding guidelines
  • CPT, HCPCS, ICD, and revenue codes
  • DRG and APC reimbursement methodologies
  • Complex, high-dollar, pended, and adjusted claims
  • Claims pricing, denials, and payment determinations

Key Responsibilities:

  • Review, research, price, adjust, and adjudicate complex healthcare claims.
  • Determine whether claims should be paid, denied, pended, reduced, or adjusted.
  • Apply provider contracts, benefit guidelines, medical policies, coding rules, and regulatory requirements.
  • Process professional and facility claims accurately and within required timeframes.
  • Identify coding, billing, pricing, contractual, or system issues affecting claim payment.
  • Research and resolve claim discrepancies and exceptions.
  • Maintain required quality, productivity, and accuracy standards.
  • Follow HIPAA, CMS, compliance, and company claims-processing guidelines.

Qualifications:

  • Several years of recent, direct healthcare claims examination and adjudication experience.
  • Prior Claims Examiner III, Senior Claims Examiner, Advanced Claims Processor, Claims Auditor, or similar experience preferred.
  • Strong knowledge of professional and facility claims.
  • Ability to independently handle complex claims with limited supervision.
  • Strong analytical, research, and problem-solving skills.
  • Dependable, accurate, and able to meet production standards.