Register
Recruit Create CV

Analyst Claims Jobs in California

Ees| Unemployment Claims Analyst (Remote)
By Experian At Costa Mesa, CA, United States
Experience in unemployment claims management industry is a plus
All Claims Analysts for Experian Employer Services are working remotely.
Competitive pay and comprehensive benefits package, with a bonus target of 5%.
Creative and Curious – willing to take risks, challenge traditional approaches, inquisitive with a penchant for seeking new opportunities
Coordinate with clients to gather all relevant information necessary to respond to an unemployment claim
Prepare and submit a comprehensive response to the unemployment claim that provides the best chance of a successful outcome
Claims Analyst Jobs
By KCC At El Segundo, CA, United States
· Other duties or tasks as assigned by management.
Secondary Job Duties – as needed
· Assist in Data Entry/Claim Verification
› Ability to effectively present information and respond to queries from managers, clients, customers, or the public.
A choice medical insurance plans designed to meet your needs
Flexible spending and health savings accounts
Provider Non-Contracted Appeals And Claims Analyst
By Mediant Health Resources At Los Angeles, CA, United States
Proven problem-solving skills and ability to translate knowledge to the department
3+ years’ experience processing Medicare Advantage provider appeals from all types of providers (hospitals, physicians, ancillary)
3+ years’ experience in examining all types of medical claims, preferably Medicare Advantage claims
Working knowledge of claims processing systems (EZCAP preferred)
Working knowledge of medical terminology, standard coding and reference publications, CPT, HCPC, ICD-9, ICD-10, DRG, etc.
Familiarity with billing and coding edits, coordination of benefits, MA Organization, Determination, Appeals and Grievance procedures
Claims Clerk Jobs
By Canon Business Process Services At Rocklin, CA, United States
H.S. Diploma or equivalent No prior experience required
Requires good computational math skills. Must be familiar with personal computers and possess good keyboard skills
Must have good communication, comprehension and interpersonal skills
Must be detail oriented and have good organizational skills
Interfaces with Adjuster, Agent and insured to obtain information to assure completeness of information and update client systems
Prepares reports and insurance claim forms for damage or loss
Claims Administrator Jobs
By Simpluris, Inc. At Costa Mesa, CA, United States
Excellent communication and organizational skills
Process all response forms including opt in, opt out, and claims with attention to detail and a high level of accuracy
Review response forms, escalation, and resolve
Identify and process disputed response forms
Review processing criteria and begin processing cases with minimal supervision
Scan responses for cases and projects
Claims Manager Jobs
By USC At , Los Angeles, Ca $128,256 - $146,441 a year
Extensive experience in international risk management, mediation and small claims.
5 years of experience in claims management/advocacy in insurance, including extensive experience with complex casualty claims and litigation management.
Certified as an Associate in Risk Management (ARM), Associate in Claims (AIC) and/or a
Exemplary understanding/interpretation of insurance policy language and risk management practices.
About USC Risk Management and Insurance
Demonstrated data analytics and risk processing skills.

Are you looking for an exciting opportunity to use your analytical skills to make a difference? We are looking for an Analyst to join our team and help us uncover insights that will shape the future of our business. You will be responsible for analyzing data, developing models, and providing recommendations to drive business decisions. If you are passionate about data and eager to make an impact, this is the job for you!

Overview An Analyst Claims is a professional who is responsible for analyzing and processing insurance claims. They are responsible for ensuring that claims are handled in a timely and accurate manner, and that all relevant information is collected and documented. Detailed Job Description An Analyst Claims is responsible for reviewing and processing insurance claims. This includes gathering and verifying information from claimants, reviewing and analyzing claim documents, and determining the validity of the claim. The Analyst Claims must also ensure that all relevant information is collected and documented, and that the claim is handled in a timely and accurate manner. Job Skills Required
• Knowledge of insurance policies and procedures
• Excellent communication and interpersonal skills
• Ability to analyze and interpret data
• Ability to work independently and as part of a team
• Proficiency in Microsoft Office Suite
• Ability to multitask and prioritize tasks
• Strong problem-solving skills
• Attention to detail
Job Qualifications
• Bachelor’s degree in a related field
• Previous experience in insurance claims or related field
• Knowledge of insurance policies and procedures
• Ability to analyze and interpret data
• Proficiency in Microsoft Office Suite
Job Knowledge An Analyst Claims must have a thorough understanding of insurance policies and procedures, as well as the ability to analyze and interpret data. They must also be familiar with Microsoft Office Suite and have strong problem-solving skills. Job Experience Previous experience in insurance claims or a related field is preferred for an Analyst Claims position. Job Responsibilities
• Review and process insurance claims
• Gather and verify information from claimants
• Review and analyze claim documents
• Determine the validity of the claim
• Ensure that all relevant information is collected and documented
• Handle claims in a timely and accurate manner
• Maintain accurate records of claims
• Communicate with claimants and other stakeholders
• Resolve any disputes or discrepancies
• Monitor and report on claims trends and patterns
• Assist with other tasks as needed