Claims Analyst Medical Healthcare

2 days ago


Folsom, California, United States BRMS Full time
Job Summary

We are looking for an experienced Healthcare Insurance Claims Professional to join our team at BRMS. As a key member of our claims processing team, you will be responsible for analyzing and processing medical claims with accuracy and efficiency.

Key Responsibilities:

  • Critical analysis of employee benefits for medical, dental, and vision plans to ensure compliance with policy guidelines.
  • Thorough examination of claim applications, policy files, and company records to verify completeness and validity.
  • Expert adjudication of medical claims, applying coordination of benefits as outlined in plan guidelines, and collaborating with providers to gather necessary documents for final payment determination.
  • Maintenance of high-quality standards to avoid incorrect payments and ensure accurate claims processing.
  • Adherence to productivity standards set by Lead or Manager to optimize claim processing efficiency.
  • Correspondence with doctors, lawyers, and other stakeholders to resolve claim/coverage questions and provide clarity on policy interpretations.
  • Examination of claim adjustors' reports and precedents to determine coverage extent and liability.
  • Collaboration with agents and claimants to correct errors or omissions on claim forms and investigate questionable entries.
  • Referral of questionable claims to investigators or claim adjusters for thorough investigation and settlement.

Salary and Benefits:

A competitive salary range of $26-$34 per hour, depending on experience, plus benefits and opportunities for growth and development at BRMS.

],

  • Folsom, California, United States Gallagher Bassett Full time

    We are seeking a highly skilled Senior Workers Compensation Claims Adjuster to join our Gallagher Bassett team.This role provides an opportunity to work with a dynamic team of professionals who are dedicated to guiding those in need to the best possible outcomes for their health and wellbeing.As a key member of our team, you will be responsible for...


  • Folsom, California, United States Gallagher Bassett Full time

    About the Role:We are seeking a skilled Claims Specialist to join our team at Gallagher Bassett.Key Responsibilities:• Investigate and resolve complex workers compensation claims• Analyze claims exposure and plan the proper course of action• Interact with various parties involved in the claim process• Handle claims consistently with clients' and...


  • Folsom, California, United States Gallagher Bassett Full time

    We are seeking a highly skilled Workers Compensation Claims Specialist to join our team at Gallagher Bassett.Company OverviewGallagher Bassett is a leading provider of claims management services, dedicated to delivering innovative solutions and exceptional customer service to our clients and claimants. With a commitment to excellence and a passion for making...

  • Claims Adjuster Role

    3 weeks ago


    Folsom, California, United States George Hills Company Full time

    Job SummaryWe are seeking a skilled Claims Adjuster to join our team at George Hills Company. As a key member of our claims administration team, you will be responsible for investigating, evaluating, and adjusting General and Automobile Liability claims.About the RoleIn this role, you will investigate claims, evaluate liability exposure, create and maintain...

  • Claims Adjuster

    3 weeks ago


    Folsom, California, United States Gallagher Bassett Full time

    About Gallagher BassettFor over 95 years, Gallagher has been a leader in the insurance industry, committed to sustainability and supporting communities. We value inclusion and diversity, embracing our employees' diverse identities, experiences, and talents.Gallagher's mission is to provide exceptional claims management services, ensuring our clients receive...


  • Folsom, California, United States Gallagher Bassett Full time

    Gallagher Bassett, a renowned leader in claims management, is seeking an experienced Workers Compensation Claims Adjuster to join their dynamic team. This role offers a unique opportunity to work with a dedicated group of professionals who strive to deliver exceptional results and make a positive impact in the lives of claimants.Company OverviewWe are a...


  • Folsom, California, United States Gallagher Bassett Full time

    Gallagher Bassett, a renowned leader in claims management, seeks a highly skilled Senior Workers Compensation Claims Professional to join our team. As a key member of our experienced claims adjuster team, you will play a crucial role in delivering innovative solutions and enhancing the claims management process.We are looking for an individual with a minimum...


  • Folsom, California, United States Gallagher Bassett Full time

    Gallagher Bassett is a leading provider of workers compensation claims management solutions. We are seeking an experienced Senior Workers Compensation Claims Resolution Specialist to join our team.About the Role:We are looking for a skilled and motivated individual to work closely with our clients and claimants to resolve complex workers compensation claims....


  • Folsom, California, United States Gallagher Bassett Full time

    Job SummaryWe are seeking a highly skilled Compliance Specialist to join our team at Gallagher Bassett. This role will require in-depth knowledge of California Workers Compensation PAR laws, rules, and regulations.About the RoleThe successful candidate will be responsible for reviewing claims files for upcoming audits, establishing new procedures to maintain...


  • Folsom, California, United States EP, LLC Full time

    Job SummaryWe are seeking a highly organized and experienced Medical Office Manager to oversee the daily operations of our medical office.Responsibilities:Manage all aspects of the medical office, including staff supervision, scheduling, and performance evaluationsOversee medical billing and coding processes to ensure accurate and timely...


  • Folsom, California, United States EP, LLC Full time

    Job DescriptionWe are seeking a highly organized and experienced medical professional to oversee the daily operations of our medical office. The ideal candidate will have a strong background in healthcare administration, human resources, and financial management.The Medical Office Manager will play a crucial role in ensuring the smooth functioning of the...


  • Folsom, California, United States HealthCare Traveler Jobs Full time

    Are you looking for a challenging and rewarding career as a Physical Therapist? Host Healthcare, the #1 ranked travel healthcare company in the U.S., is seeking a dedicated and compassionate Physical Therapist to join their team in Folsom, CA.About the JobThis exciting opportunity offers a chance to work with a variety of patients and cases, providing...

  • Travel Nurse RN

    3 weeks ago


    Folsom, California, United States Host Healthcare Full time

    Job OverviewWe are seeking an experienced Telemetry Nurse to join our team at a prestigious healthcare facility in Folsom, California. As a valued member of our staff, you will be responsible for providing high-quality patient care and contributing to the success of our organization.About the JobThis is a 13-week contract position, working 36 hours per week...


  • Folsom, California, United States Universal Healthcare Resources Full time

    Overview of the Position: Physical Therapist Assistant Role in an Outpatient SettingEstimated Salary Range: $38-$42/hr. based on location and industry standards.Responsibilities:Deliver exceptional patient care by providing assistance with daily activities, personal care, and mobility support.Assess patient needs promptly and offer suitable support to ensure...


  • Folsom, California, United States Vibra Healthcare Full time

    Skilled Occupational Therapy Assistant RequiredWe are seeking a highly skilled Certified Occupational Therapy Assistant to provide top-quality care to our patients. As a key member of our healthcare team, you will be responsible for delivering and directing Occupational Therapy Services, including assessment, treatment, program planning, and...


  • Folsom, California, United States Micron Technology Full time

    We are seeking a highly motivated and skilled summer intern to join our sales organization at Micron Technology. As a Central Sales Ops Business Analyst for AI, you will be instrumental in driving GenAI projects and solutions, exploring new AI tools, and contributing to the sales team's success while supporting our Worldwide Sales team.This role involves...


  • Folsom, California, United States AMN Healthcare Allied Full time

    We are seeking a highly skilled and motivated Physical Therapist to join our team in Folsom, California.About the JobThis is a travel assignment with a 13-week duration, offering a competitive pay rate of $204.44 per hour for 8 hours of work per day, resulting in an estimated annual salary of $133,777.12 (based on 40 hours/week). The job benefits package...


  • Folsom, California, United States Centra Healthcare Allied Full time

    Centra Healthcare Allied is seeking an experienced Medical Professional to join their team as a Physical Therapist for a travel assignment in California.Job OverviewThis exciting opportunity offers a chance to work with a dynamic and growing healthcare organization, providing top-notch physical therapy services to patients in need.Job SummaryType: Travel...


  • Folsom, California, United States beBee Professionals Full time $65,000 - $85,000

    We are seeking a skilled Mobility Healthcare Professional to join our team in Folsom. This role involves providing high-quality patient care while traveling to various healthcare settings.Responsibilities:Evaluate patient needs and provide appropriate care.Administer medications and treatments as prescribed by medical professionals.Monitor patient progress...


  • Folsom, California, United States beBee Professionals Full time $65,000 - $85,000

    Job OverviewWe are seeking a skilled Travel Registered Nurse to provide high-quality nursing care in various healthcare settings while traveling to different locations.About the RoleThis role requires providing patient-centered care, administering medications and treatments, monitoring patient progress, and collaborating with healthcare teams.Key...