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Claims processor Jobs in Downey, CA

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Claims processor • downey ca

Last updated: 1 day ago

Claims Examiner

Pacer GroupWhittier, CA, United States
Full-time

Duration: 13 weeks / 3+ Months.Shift: Day Shift | MondayFriday | 07:00 AM - 03:30 PM.The claims examiner reports directly to the claims manager.They are primarily responsible for the processing fun... Show more

Claims Supervisor

AltaMedMontebello, California, CA, US
Full-time
Quick Apply

At AltaMed, we don’t just serve our communities, we are part of them.We have raised the expectations of what a community clinic can deliver because we think quality care is for everyone.And, we are... Show more

Order Fulfillment Processor

NRI DistributionWhittier, CA, United States
$21.50 hourly
Full-time

As an Order Fulfillment Processor, you will play an important part of the team by assisting in picking, packing, auditing, ticketing, and tagging.You'll be working with products from some awesome c... Show more

Claims Examiner

E-talentnetworkWhittier, CA, United States
Full-time

Location: 9557 Greenleaf Avenue, Whittier, CA.Shift: Monday - Friday - 07:00am - 03:30pm.Please Note Orientation Time May Differ Than Shift Times Listed Duration - 13 weeks ***. Show more

Claims Examiner

RandstadWhittier, CA, United States
Full-time

Top healthcare facility is hiring a medical claims examiner to work onsite in Whittier, CA! The claims examiner reports directly to the claims manager.They are primarily responsible for the process... Show more

Sr. Liability Claims Adjuster

Ultimate StaffingCerritos, CA, United States
Full-time

Investigate the circumstances of property or liability claims or incidents reported by company members and assigned by the Claims Manager.Investigation will be accomplished through direct contact w... Show more

Claims Examiner

US Tech SolutionsWhittier, CA, United States
Temporary

Review, adjudicate, and process medical claims for HMO patients.Work closely with affiliated medical groups and hospitals.Evaluate provider reimbursement terms and flag non-contracted providers.Ens... Show more

Claims Specialist

99 Ranch MarketBuena Park, California, United States
$75,000.00 yearly
Full-time
Quick Apply

The Claims Specialist is responsible for administering workers’ compensation claims to ensure timely reporting, proper documentation, and compliance with applicable regulations.This role supports c... Show more

Sr. Manager - Claims

Astrana Health, Inc.Monterey Park, California, US
$125,000.00 yearly
Full-time
Quick Apply

We’re looking for a Claims Operations leader who enjoys balancing people leadership with operational execution.In this role, you’ll oversee daily claims processing, drive quality and turnaround tim... Show more

Histologist, Per Diem

PIH HealthWhittier, CA, US
Full-time

The Histologist under the supervision of the Pathologists and Laboratory director or supervisor, perform all procedures within the section assigned.PIH Health is a nonprofit, regional healthcare ne... Show more

Remote Records Processor

TradeJobsWorkforce90033 Los Angeles, CA, US
Remote
Full-time

As a Remote Records Processor, you will be responsible for inputting and maintaining data accurately from home, including: input data accurately into company systems from home.Duties and responsibi... Show more

 • Promoted

Claims Auditor

US Tech SolutionsWhittier, CA
Full-time

The Claims Auditor assists in the Claims Department by analyzing procedures, policies and reports; ensures appropriate payment of claims and maintenance of the claims system as necessary.Knowledge ... Show more

Loan Processor Adminstrative Assistant

Legacy Mortgage Loans IncWhittier, CA, United States
Full-time

Careers Advancement Opportunities.We are seeking an experienced Loan Processor to join our team.In this role, you will evaluate and process loan applications.Your responsibilities will include inte... Show more

Claims Examiner Non-Clinical - Finance/Accounting

Aya HealthcareWhittier, CA, United States
Full-time

Profession: Non-Clinical - Finance/Accounting Pay: $960.Assignment Length: 13 Weeks Schedule: 5x8-Hour 07:00 - 15:30 Openings: 1 Start Date: 04-20-2026 Experience: 1 year Facility Info: Log in to v... Show more

Claims Examiner

BizTek PeopleWhittier, CA, United States
Full-time

Contract to hire potential for the right candidate! The claims examiner reports directly to the claims manager.They are primarily responsible for the processing functions (operation, adjudication, ... Show more

Claims Examiner

StaffingWhittier, CA, United States
Full-time

Shift: Day 5x8-Hour (07:00 - 15:30).Description: Must have listed claims reimbursement experience Must have DOFR Must have processed lab claims Will Need 3 Supervisor References to Submit.ONSITE IN... Show more

Non-Clinical - Finance/Accounting - Claims Examiner

The ESolHealth AdvantageWhittier, CA, United States
Full-time

Claims Auditor Onsite or Remote: onsite Start/end time: 7:00 am to 3:30 pm Shift : Day Next Start date: Immediately Contract length: 3 months # of travelers: One Location: 6557 Greenleaf Ave.Whitie... Show more

Non-Clinical - Finance/Accounting - Claims Processor

Bestica HealthcareWhittier, CA, United States
Full-time

Claims Compliance Analyst Onsite Or Remote.Start/end time: 7:00 am to 3:30 pm. Show more

Claims- Appraiser - Property Damage

Fred Loya Insurance AgencySouth Gate, CA, United States
$21.00 hourly
Full-time

Location: 5861-B FIRESTONE BLVD, South Gate, CA, 90280, United States.Job Category: General, Vehicle Claims Appraiser, Field Claims Representative.Industry: APD Appraiser, Claims Evaluator. Show more

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The cities near Downey, CA that boast the highest number of claims processor jobs are:
Claims Examiner

Claims Examiner

Pacer GroupWhittier, CA, United States
18 days ago
Job type
  • Full-time
Job description

Claims Examiner

Location: Whittier, CA 90601

Duration: 13 weeks / 3+ Months

Shift: Day Shift | MondayFriday | 07:00 AM - 03:30 PM

Position Summary

The claims examiner reports directly to the claims manager. They are primarily responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500 claims that are received from PHP affiliated medical groups and hospitals for HMO patients.

Education/Experience/Training:

  • High school graduate or equivalent required. Must have physical proof on hand if background check is unable to verify your education background.
  • Minimum of 2 years claims adjudication related experience in ambulatory, acute care hospital, HMO, or IPA environment
  • Knowledge of payment methodologies for: Professional (MD), Hospital, Skilled Nursing Facilities, and Ancillary Services
  • Knowledge and understanding of timeliness and payment accuracy guidelines for commercial, senior and Medi-Cal claims
  • Knowledge of compliance issues as they relate to claims processing
  • Experience in interpreting provider contract reimbursement terms desirable
  • Ability to identify non-contracted providers for Letter of Agreement consideration
  • Data entry experience