Claims Examiner jobs in Santa Barbara, CA

Claims Examiner reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Additionally, Claims Examiner determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Claims Examiner typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)

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Claims Examiner
  • CenCal Health
  • Santa Barbara, CA FULL_TIME
    • Review, price and release claims associated with the assigned claim types (paper and electronic)
    • Review Manual Review reports that suspend for review on all CenCal Health programs
    • Review audit reports for all CenCal Health programs
    • Analyze current processes and work with Supervisor to automate or improve quality where fit
    • Assist with ideas for creation of SCF (System Change Forms) when applicable
    • Keep up to date on all CenCal Health policies and provide materials for improvement projects within Department
    • Assure all regulatory guidelines are being followed and monitored
    • Maintain daily activity log
    • Assist with the processing of claims
    • Audit and report all billing & error trends found during the course of review and data entry;
    • Maintain processes and timelines required by AB1455 Claims Settlement Practices and DHCS Regulations

    Other duties and projects as assigned

  • 12 Days Ago

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Plans Examiner
  • City of Santa Barbara
  • Santa Barbara, CA FULL_TIME
  • ABOUT USAt the City of Santa Barbara, the best part of our organization is our people. As a City of Santa Barbara employee, you will work in an environment with other motivated individuals who are pas...
  • 11 Days Ago

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0 Claims Examiner jobs found in Santa Barbara, CA area

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Sales VP’s, National Account Manager, and / or Regional Sales Managers
  • GHA Technologies, Inc
  • Santa Barbara, CA
  • Financial Highlights – Enjoy an Immediate Pay Raise! $2,500 First Week Training Pay for the first five training days. $5...
  • 4/24/2024 12:00:00 AM

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Account Associate - State Farm Agent Team Member
  • Charline Espinoza - State Farm Agent
  • Oxnard, CA
  • Position Overview State Farm Insurance Agent located in Oxnard, CA is seeking an outgoing, career-oriented professional ...
  • 4/24/2024 12:00:00 AM

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Store Manager - Coastal Santa Barbara
  • Caliva
  • Santa Barbara, CA
  • The Store Manager drives the retail store business and customer experience to achieve established goals through hands-on...
  • 4/24/2024 12:00:00 AM

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Sales Associate
  • Petco Animal Supplies Inc
  • Santa Barbara, CA
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 4/23/2024 12:00:00 AM

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Area Sales Manager
  • Electriq Power Inc
  • Santa Barbara, CA
  • OUR MISSION We passionately believe in distributed energy storage solutions to shape our world's environmental and econo...
  • 4/23/2024 12:00:00 AM

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Community Programs Manager
  • Foodbank Of Santa Barbara County
  • Goleta, CA
  • The Foodbank of Santa Barbara County is committed to ending hunger and transforming the health of SB County through good...
  • 4/21/2024 12:00:00 AM

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Facilities Associate
  • PlanMember Financial Corporation
  • Carpinteria, CA
  • As the Facilities Associate, you will have the responsibility of providing services for the company and be proactive wit...
  • 4/20/2024 12:00:00 AM

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Client Relationship Manager
  • Ernest
  • Santa Barbara, CA
  • Ernest is currently in search of a Client Relationship Manager (outside B2B sales) within our Santa Barbara, CA territor...
  • 4/20/2024 12:00:00 AM

Santa Barbara (Spanish: Santa Bárbara) is the county seat of Santa Barbara County in the U.S. state of California. Situated on a south-facing section of coastline, the longest such section on the West Coast of the United States, the city lies between the steeply rising Santa Ynez Mountains and the Pacific Ocean. Santa Barbara's climate is often described as Mediterranean, and the city has been promoted as the "American Riviera". As of 2014, the city had an estimated population of 91,196, up from 88,410 in 2010, making it the second most populous city in the county after Santa Maria. The contig...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner jobs
$51,692 to $68,546
Santa Barbara, California area prices
were up 2.5% from a year ago