Claims Examiner, Sr. jobs in Chico, CA

Claims Examiner, Sr. reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner, Sr. 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, Sr. determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner, Sr. occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Claims Examiner, Sr. typically requires 2 -4 years of related experience. (Copyright 2024 Salary.com)

S
Medical Claims Examiner
  • SPI
  • Anderson, CA FULL_TIME
  • We train and promote from within
    Excellent low-cost health benefits
    Retirement plan with employer-paid contributions
    Paid vacation and 10 holidays


    Sierra Pacific Industries has an opening in our Health Benefits Department, located at our main office in Anderson, California. This is an excellent opportunity for someone who is either a Medical Biller or Claims Examiner or wants to train to become one.

    About The Position
    • Review, research, and resolve a variety of health and wellness claims using multiple computer systems based on applicable plans, policies, and legal requirements
    • Process claims in a fast, accurate, and efficient manner
    • Provide high level of customer service to medical providers and plan participants
    • Work with, and maintain, highly confidential information
    • Work in a fast-paced, professional, team environment

    The position is full-time with great benefits. Our Health Plan is self-insured and self-administered, in operation since 1972, and covers approximately 10,000 lives. The Health Benefits Department handles the day-to-day responsibilities connected with the administration of the health benefits for all the Company's crew members and their families.

    Qualifications
    Successful candidate will possess:
         • 1 year of recent and verifiable work experience in an office environment
         • Keyboard and 10-key ability with accuracy
         • Ability to handle highly confidential information
         • Excellent written and verbal skills

    Preference will be given to candidates with:
         • Education and/or experience as a medical biller, medical claims examiner, or claim adjustor
         • Working knowledge of CPT, ICD-10, and HCPCs codes
         • Working knowledge of medical terminology
         • Bilingual English/Spanish

    Why Join Our Team?
    Because this is more than an invitation, it's a commitment to offer opportunities for personal and professional growth to everyone! We ask people to grow with us and make the company even better.

    We provide an excellent benefit package including a full Health Benefits Plan (including medical, dental, and vision) with low-cost premiums, a 401(k) with Company Match, additional Retirement Contributions, and company-paid Life Insurance. Each year, the Sierra Pacific Foundation has provided an average of $500,000 in scholarships to help the children of our crew members with education expenses.

    How To Apply
    If you are qualified and would like to join our team,
    please send a cover letter referencing this position and a resume to:

    Sierra Pacific Industries
    Human Resources
    PO Box 496011
    Redding, CA 96049
    (866) 378-8001

    or apply online and view all our career opportunities at: spi.careers


    Sierra Pacific is an (EOE) Equal Opportunity Employer, including those with a disability and veterans.
    The general wage range for this position at Sierra Pacific Industries is from $22 to $28 per hour, and is dependent upon a number of factors, including, but not limited to: relevant work experience, skill, knowledge, and/or education.
  • Just Posted

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Medical Claims Examiner (FT)
  • K&S Staffing Solutions, Inc
  • Anderson, CA FULL_TIME
  • Immediate opening in the Health Benefits Department. This is an excellent opportunity for someone who is either a Medical Biller or Claims Examiner or wants to train to become one.About the position:R...
  • 8 Days Ago

C
Senior Plans Examiner
  • City of Chico
  • Chico, CA FULL_TIME
  • Under limited direction, responsible for oversight and supervision of all plan review. Organizes and facilitates the completion of projects. To schedule and coordinate work assignments (plan check) fo...
  • 18 Days Ago

P
Claims Processor
  • Partnered Staffing - Kelly Services
  • Redding, CA FULL_TIME
  • Company DescriptionKelly Services Currently seeking a HR Coordinator / Executive Assistant in Wilmington, DE for one of our top Life Science clients for a 6 month contract role. Kelly is a full servic...
  • 1 Month Ago

C
Building Plans Examiner (Limited-Term)
  • City of Chico
  • Chico, CA FULL_TIME
  • One limited-term, hourly position currently exists in the Community Development Department. Unless otherwise extended by the City Manager, limited-term employees are capped at a maximum of 2,000 hours...
  • 29 Days Ago

B
Claims Processor, Intermediate
  • Blue Shield of California
  • Redding, CA FULL_TIME
  • JOB DESCRIPTION Your Role The ITS Home Claims Processing team processes claims for our Blue Shield of California members for services preformed outside of California. The claims processor will report ...
  • 15 Days Ago

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0 Claims Examiner, Sr. jobs found in Chico, CA area

Chico is the most populous city in Butte County, California, United States. As of the 2010 United States Census, the population was 86,187, reflecting an increase of 26,233 from the 59,954 counted in the 2000 Census. The city is the cultural, economic, and educational center of the northern Sacramento Valley and home to both California State University, Chico and Bidwell Park, the country's 26th largest municipal park and the 13th largest municipally-owned park. Bidwell Park makes up over 17% of the city. Other cities in close proximity to the Chico Metropolitan Area (population 212,000) incl...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner, Sr. jobs
$64,225 to $82,804
Chico, California area prices
were up 2.5% from a year ago

Claims Examiner, Sr. in Riverside, CA
Health Claims Examiners, or Health Information Technicians, enter data electronically to process transactions.
December 14, 2019
Claims Examiner, Sr. in Evansville, IN
If you’re in dire straits, we can advise you on steps to get the OWCP claims examiner to pay attention to your needs, such as contacting the Department of Labor’s district director, or the national director via mail.
February 12, 2020
Claims Examiner, Sr. in Springfield, IL
No, the examiner is only involved in performing the exam and providing the results to the claims processor.
January 13, 2020