[ref. g76206202] Claims Examiner
Orange
CalOptima Health is seeking a highly motivated an experienced Claims Examiner to join our team. The Claims Examiner will be responsible for analyzing and validating claim data elements and claims processing. The incumbent will be responsible for adhering to the regulatory and internal processing guidelines in conjunction with CalOptima Health policies and procedures related to claims adjudication.
[…]
[…]
- Processes claims based upon CalOptima Health contractual agreements or pricing agreements, applicable regulatory legislation, claims processing guidelines and CalOptima Health policies and procedures...
RandstadLong Beach, 26 mi from Orange
Now Hiring: California Workers Compensation ClaimsExaminer Are you ready for a life-changing opportunity? Are you ready to learn and work with a Top Fortune 500 company? Then embrace this rewarding opportunity NOW! Apply today because openings...
Best jobs you don't want to miss: