Claims Analyst jobs in Anaheim, CA

Claims Analyst analyzes and reviews insurance claims for accuracy, completeness, and eligibility. Reviews claims for eligibility to be reimbursed. Being a Claims Analyst maintains updated records and prepares required documentation. Assists in controlling the cost of processing claims. Additionally, Claims Analyst contacts policyholders about claims and may provide information regarding the amount of benefits. May require a bachelor's degree or its equivalent. Typically reports to a supervisor or manager. The Claims Analyst gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Analyst typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

T
Remote Claims Analyst
  • TEKsystems
  • Ontario, CA FULL_TIME
  • Must live within 50 miles of Ontario, CA!

    Description:

    Specific Duties:

    1. Answer 50-70 Inbound Calls daily

    2. Resolve Member/Provider Inquiries

    3. Provide Claims disposition

    4. Provide Authorization status

    5. Master internal department workflow processes

    6. Ability to demonstrate Empathy/Compassion

    Must have qualifications/experience:

    1. Healthcare experience working within a call center environment

    2. Claims knowledge

    3. Eligibility

    4. Risk - payment methodologies FFS vs CAP

    5. Ability to attain quality call outcomes - provide 5 star service

    6. Bilingual Spanish Vietnamese Farsi Korean Chinese preferred any or all

    7. Dependable/Reliable/Punctual

    Shift Start/End Time: 8:30 to 5:00 pm Mon-Friday

    Dress Code: Casual - Business casual

    Work Location: Remote must reside in CA

    About TEKsystems:

    We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

    The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.


    About the Company:
    TEKsystems


    About TEKsystems:

    • We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
    • The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.


    Company Size:
    5,000 to 9,999 employees


    Industry:
    Staffing/Employment Agencies


    Founded:
    0


    Website:
    https://www.teksystems.com/en/


  • 14 Days Ago

T
Remote Claims Analyst
  • TEKsystems
  • Ontario, CA FULL_TIME
  • Must live within 50 miles of Ontario, CA!Description:Specific Duties:1. Answer 50-70 Inbound Calls daily2. Resolve Member/Provider Inquiries3. Provide Claims disposition4. Provide Authorization status...
  • 14 Days Ago

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Business Data Analyst - Claims Compliance
  • Providence
  • Anaheim, CA OTHER
  • Description"The Data Analyst for Regulatory Compliance Reporting Analyst will compile and analyze reports for submission for the Health Plan Audits for their respective Product Lines (Commercial", Sen...
  • 15 Days Ago

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Claims Manager
  • Ultimate
  • Diamond, CA FULL_TIME
  • Job Description Responsibilities/Duties:Provide an environment that allows staff members to flourish in their work duties. Quality levels of 99% maintained throughout the department.Continuous trainin...
  • Just Posted

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Claims Manager
  • Ultimate
  • Brea, CA FULL_TIME
  • Job Description Excellent opportunity to work for a growing reputable company located in Diamond Bar, CA. We are seeking candidates that are looking for stability, growth and a great culture. This pos...
  • Just Posted

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Claims Manager
  • Call the Car
  • Diamond, CA FULL_TIME
  • Job Description BASIC JOB PURPOSE: The Claims Manager is to oversee the daily operations of the claims department. This position is responsible for ensuring that quality levels of performance are main...
  • 1 Day Ago

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0 Claims Analyst jobs found in Anaheim, CA area

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Administrative Assistant Medical
  • Soultenders, Inc.
  • Arcadia, CA
  • Job Description Job Description Are you meticulous, proactive, and eager to support a dynamic team? Do you thrive in ens...
  • 4/25/2024 12:00:00 AM

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Customer Care Representative 1 (contract)
  • Qonten
  • Cerritos, CA
  • **Customer Care Representative 1 (contract)** - | Wed, 08 Dec 2021 23:45:28 GMT Under immediate supervision, receives an...
  • 4/24/2024 12:00:00 AM

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Benefits Analyst
  • Ventura foods
  • Brea, CA
  • Job Description Job Description Location: Brea HQ Exemption: Exempt OUR COMPANY: Ventura Foods is a leading global manuf...
  • 4/23/2024 12:00:00 AM

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Claims Analyst - Hybrid - Orange County, CA
  • Insurance Relief
  • Orange County, CA
  • Job Description Job Description The Company: We have a great opportunity for an experienced Claims Analyst/Specialist in...
  • 4/23/2024 12:00:00 AM

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Claims Analyst - Remote
  • First American Financial Corporation
  • West Hills, CA
  • Who We Are Join a team that puts its People First! As a member of First American's family of companies, First American H...
  • 4/23/2024 12:00:00 AM

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Actuarial Analyst - REMOTE
  • Molina Healthcare
  • Long Beach, CA
  • Job Description JOB DESCRIPTION Job Summary Analyzes data for cost savings opportunities and performance improvement ini...
  • 4/22/2024 12:00:00 AM

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Benefits Analyst
  • Ventura Foods
  • Brea, CA
  • Position Summary: Under general supervision, researches, analyzes, evaluates, and administers employee benefits programs...
  • 4/22/2024 12:00:00 AM

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Benefits Analyst
  • Ventura Foods
  • Brea, CA
  • Position Summary: Under general supervision, researches, analyzes, evaluates, and administers employee benefits programs...
  • 4/21/2024 12:00:00 AM

Anaheim (/ˈænəhaɪm/) is a city in Orange County, California, part of the Los Angeles metropolitan area. As of the 2010 United States Census, the city had a population of 336,265, making it the most populous city in Orange County and the 10th-most populous city in California. Anaheim is the second-largest city in Orange County in terms of land area, and is known for being the home of the Disneyland Resort, the Anaheim Convention Center, and two major sports teams: the Anaheim Ducks ice hockey club and the Los Angeles Angels baseball team. Anaheim was founded by fifty German families in 1857 and...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Analyst jobs
$42,677 to $54,727
Anaheim, California area prices
were up 3.2% from a year ago

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