Current jobs related to Senior Claims Analyst - Rancho Cordova, California - Dignity Health


  • Rancho Cordova, California, United States Travelers Insurance Full time

    Job SummaryWe are seeking a highly skilled Senior Workers Compensation Claims Adjuster to join our team at Travelers Insurance. As a Senior Workers Compensation Claims Adjuster, you will be responsible for managing Workers' Compensation claims with lost time to conclusion and negotiating settlements where appropriate to resolve claims.Key...


  • Rancho Cucamonga, California, United States Inland Empire Health Plan Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Healthcare Claims Analyst to join our team at Inland Empire Health Plan. As a key member of our Claims Department, you will be responsible for conducting quality audits of claims, analyzing errors, and determining root causes for appropriate classification.Key ResponsibilitiesConduct quality...


  • Rancho Cucamonga, California, United States Inland Empire Health Plan Full time

    Job SummaryWe are seeking a skilled and detail-oriented Healthcare Claims Analyst to join our team at Inland Empire Health Plan. As a key member of our claims department, you will be responsible for conducting quality audits of claims, analyzing errors, and determining root causes for appropriate classification.Key ResponsibilitiesConduct quality audits of...


  • Rancho Cucamonga, California, United States CorVel Corporation Full time

    Job Title: Senior Claims SpecialistCorVel Corporation is seeking a highly skilled Senior Claims Specialist to join our team. As a key member of our claims department, you will be responsible for managing complex and problematic workers' compensation claims within delegated authority limits.Key Responsibilities:Investigate and gather information regarding...


  • Rancho Cordova, California, United States Blue Shield Of California Full time

    Job Title: Business Systems Analyst, SeniorAt Blue Shield of California, we're committed to improving productivity for our customer care teams by creating a seamless, interactive experience for users. As a Business Systems Analyst, Senior, you'll play a critical role in achieving this goal.Your RoleYou'll report to the Senior Manager of Product Management...


  • Rancho Cucamonga, California, United States CorVel Enterprise Comp, Inc. Full time

    Job Title: Senior Claims SpecialistCorVel Enterprise Comp, Inc. is seeking a highly skilled Senior Claims Specialist to join our team. As a key member of our claims department, you will be responsible for managing complex and problematic workers' compensation claims within delegated limited authority to determine benefits due.Key Responsibilities:Investigate...


  • Rancho Cordova, California, United States Insight Global Full time

    Job Title: Senior SAP Production AnalystAbout the Role:We are seeking a highly skilled Senior SAP Production Analyst to join our team at Insight Global. As a key member of our team, you will be responsible for analyzing and supporting business processes related to demand, production, inventory, and warehousing.Key Responsibilities:Analyze and support...


  • Rancho Cucamonga, California, United States CorVel Corporation Full time

    Job Title: Senior Liability Claims SpecialistCorVel Corporation is seeking a highly skilled Senior Liability Claims Specialist to join our team. As a key member of our claims team, you will be responsible for managing complex and non-complex liability claims, working within delegated authority to achieve the best possible outcomes for CorVel and our...


  • Rancho Cucamonga, California, United States CorVel Enterprise Comp, Inc. Full time

    Job Title: Senior Liability Claims SpecialistCorVel Enterprise Comp, Inc. is seeking a highly skilled Senior Liability Claims Specialist to join our team. As a key member of our claims team, you will be responsible for managing complex and non-complex Auto and General Liability claims, ensuring timely and effective resolution for our clients.Key...


  • Rancho Cordova, California, United States Blue Shield Of California Full time

    Business Systems Analyst Role About the Role The Platform Strategy & Operations team - Communications Team is dedicated to enhancing productivity for our customer care teams by creating a seamless, interactive experience for users. As a Business Systems Analyst, you will report to the Senior Manager of Product Management. In this role, you will utilize...


  • Rancho Cucamonga, California, United States CorVel Corporation Full time

    Job Title: Senior Liability Claims SpecialistCorVel Corporation is seeking a highly skilled Senior Liability Claims Specialist to join our team. As a key member of our claims team, you will be responsible for managing complex and non-complex Auto and General Liability claims, ensuring timely and effective resolution for our clients.Key...


  • Rancho Cucamonga, California, United States CorVel Enterprise Comp, Inc. Full time

    Job DescriptionThe Senior Claims Specialist at CorVel Enterprise Comp, Inc. plays a crucial role in managing complex and problematic workers' compensation claims. This position requires strong analytical and problem-solving skills to determine benefits due and work closely with case managers and attorneys to achieve the best possible outcome.This is a remote...


  • Rancho Mirage, California, United States IDR, Inc. Full time

    Insurance Analyst Job DescriptionIDR, Inc. is seeking a skilled Insurance Analyst to join our team in Rancho Mirage, CA. As an Insurance Analyst, you will play a crucial role in analyzing and processing insurance claims and denials, ensuring compliance with Medicare/Medi-Cal Billing regulations.Key Responsibilities:Analyze and process insurance claims and...

  • Senior IT Analyst

    1 month ago


    Rancho Cordova, California, United States Mindlance Full time

    The position of Information Technology Applications Analyst Level I/II requires extensive experience in data warehouse development and design using SQL SSAS.The ideal candidate must be able to develop SQL SSAS tabular and multi-dimensional models, as well as be proficient in ETL using Python.Key Responsibilities:Design and develop data warehouse...

  • Senior IT Analyst

    1 month ago


    Rancho Cordova, California, United States Mindlance Full time

    Job DescriptionThe position of Information Technology Applications Analyst Level I/II requires extensive experience in data warehouse development and design using SQL SSAS. The ideal candidate must be able to develop SQL SSAS tabular and multi-dimensional models, as well as proficient in ETL using Python.Key ResponsibilitiesDesign and develop data warehouse...


  • Rancho Cordova, California, United States Hunt Hive Talent Full time

    Buzz About Us: Welcome to Hunt Hive Talent Recruiting Agency, where we connect talented professionals with top-tier opportunities. We're excited to present this contract role for an experienced Workday Systems Analyst specializing in Workday configuration and support. If you're ready to contribute your expertise to a collaborative team, apply now and bring...


  • Rancho Cordova, California, United States Blue Shield Of California Full time

    Job SummaryThe Business Systems Analyst will play a key role in improving productivity for our customer care teams by creating a seamless, interactive experience for users. This role reports to the Senior Manager of Product Management.Your ResponsibilitiesIn this role, you will:Conduct routine data analysis, needs assessments, and cost/benefit analysis to...


  • Rancho Cordova, California, United States Blue Shield Of California Full time

    Job Title: Utilization Management Nurse, Senior CalPERSAt Blue Shield of California, we are committed to ensuring all Californians have access to high-quality healthcare at a sustainably affordable price. We are seeking a skilled Utilization Management Nurse, Senior CalPERS to join our team.About the RoleThe Commercial Post Service Review team is responsible...

  • Senior Legal Analyst

    4 weeks ago


    Rancho Cordova, California, United States Delta Dental of California Full time

    Job SummaryWe are seeking a highly skilled Senior Legal Analyst to join our team at Delta Dental of California. As a key member of our Legal Department, you will provide critical support to attorneys on complex legal matters related to insurance and healthcare.Key ResponsibilitiesProvide in-depth legal research and analysis on moderate-to-highly complex...


  • Rancho Mirage, California, United States eTeam Full time

    Job Title: Insurance AnalystLocation: RemoteDuration: 3 months + possible extensionJob Summary:We are seeking an experienced Insurance Analyst to join our team at eTeam. The successful candidate will be responsible for managing new accounts, processing claims, and ensuring compliance with regulatory requirements.Key Responsibilities:Manage new accounts and...

Senior Claims Analyst

2 months ago


Rancho Cordova, California, United States Dignity Health Full time

Position Overview:
The Senior Claims Examiner plays a crucial role in ensuring the integrity and accuracy of claims processing within the organization.

Key Responsibilities:
1. Conduct comprehensive quality reviews of daily claims processed by Claims Examiners.
2. Oversee data entry tasks related to claims processing to maintain high standards of accuracy.
3. Evaluate the correctness of member denial letters to ensure compliance with healthcare regulations.

Qualifications:
Candidates should possess a strong background in claims examination and a keen eye for detail, ensuring that all claims are processed efficiently and accurately.

Company Overview:
Dignity Health is committed to providing high-quality healthcare services and fostering a culture of excellence in claims management.