Claims Examiner

Orange, CA 92868

Post Date: 07/11/2018 Job ID: 43180 Profession: Claims

Have a passion for people and healthcare? Would you like to work for a company in Orange that has a 30-year history of successfully supporting its members and management? Immediate opening available for Claims Examiner. Fun environment with staff events, employee performance recognition programs, promotion potential in a variety of departments, and amazing benefits!


Performs claim review, data entry, processing and adjudication of claims

Reviews claims for data and payment accuracy

Finalizes claims for payment of denial

Review claims for fraud, waste or abuse and notifies management of such findings

Updates systems or other documentation methods as needed

Must Have:

High School Diploma

Medical claims processing or billing Experience

Excellent Microsoft Office skills

10 key

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