Claims Clerk jobs in Fresno, CA

Claims Clerk reviews insurance claim forms and supporting documents for completeness and accuracy and obtains missing information as necessary. Inputs claim information into system for processing. Being a Claims Clerk verifies coverage eligibility. Calculates settlement amounts according to guidelines. Additionally, Claims Clerk processes routine claim payments. Requires a high school diploma or equivalent. Typically reports to a supervisor. The Claims Clerk works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)

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Claims Associate - Workers' Comp
  • Pacific Claims Management
  • Fresno, CA FULL_TIME
  • The Claims Associate position provides support to workers’ compensation claims adjusters and other claims staff.

    Experience

    Ideally this candidate will have experience with workers' compensation in a claims or legal setting and will be bilingual Spanish/English.

    Work hours are Monday through Thursday 8:00-5:00, with the opportunity to leave at 1:00 on most Fridays.

    Responsibilities include:

    • Entering and reviewing notes/diaries in claims management system as instructed.
    • Entering all types of indemnity payments
    • Composing and issuing benefit notices
    • Contacting claimants and employers to obtain necessary information or documentation; complete required forms; and prepare correspondence.
    • Obtaining work status information from treating physicians
    • Scheduling medical appointments and issuing appointment notices and mileage payments

    Skill and Knowledge Requirements

    • Excellent oral and written communication skills
    • PC literate, including Microsoft Office products
    • Strong organizational skills
    • Ability to work in a team environment
    • Business arithmetic

    Ability to:

    • Learn laws and procedures associated with workers' compensation and learn to make routine decisions on simple cases, based on instructions and a defined set of guidelines.
    • Learn to understand, explain, and apply workers' compensation principles, techniques and procedures to answer verbal and written communications and inquiries
    • Communicate clearly and concisely both orally and in writing
    • Establish and maintain effective working relationships with those contacted in the course of work
    • Verify the accuracy of, and maintain confidential information

    Job Type: Full-time

    Pay: $21.00 - $24.00 per hour

    Benefits:

    • 401(k) matching
    • Dental insurance
    • Health insurance
    • Life insurance
    • Paid time off
    • Professional development assistance
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Work setting:

    • In-person
    • Office

    Work Location: In person

  • 27 Days Ago

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CA - Field Representative
  • Hancock Claims Consultants
  • Fresno, CA FULL_TIME
  • With a 20-year history supporting property insurers, Hancock Claims Consultants provides a nationwide network of inspectors, contractors, and engineers who help adjusters quickly process claims. All 5...
  • 16 Days Ago

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Contents Field Inspector(Open Link in new window)
  • TheBest Claims Solutions
  • Fresno, CA FULL_TIME
  • As a Contents Field Inspector, you will assist customers who have experienced hardship by compiling a detailed list of items that have been lost or damaged. This is an on-call, temporary assignment th...
  • 27 Days Ago

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Claims Examiner
  • TEKsystems
  • Fresno, CA FULL_TIME
  • A large medical group in Fresno is looking to add on expereinced claims processing reps to join the team onsite!Highlights:Location: Onsite in FresnoPay: $19Schedule:M-FLow turnover deparment and lots...
  • 14 Days Ago

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Claims Specialist
  • TEKsystems
  • Fresno, CA FULL_TIME
  • Description:Maintain multiple groups2. Process CMS-1500 claims3. Process UB-04 claims4. Process high dollar claims5. Process JAA / BlueCard claims6. Interpret individual group SPD’s and apply benefits...
  • 1 Month Ago

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Claims Coordinator
  • Oppy
  • Visalia, CA FULL_TIME
  • About Oppy Grow our tomorrow. Celebrating over 160 years in business, we are one of North America's top fresh produce sales and marketing companies. We bring over 100 varieties of produce from more th...
  • 24 Days Ago

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0 Claims Clerk jobs found in Fresno, CA area

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Front Desk Receptionist- WSFC
  • Sante Health
  • Fresno, CA
  • Sante Health System is looking to hire a Front Desk Receptionist to provide exceptional customer service at our busy med...
  • 4/24/2024 12:00:00 AM

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Commercial Lines Account Manager
  • World Insurance Associates LLC
  • Fresno, CA
  • Summary World Insurance Associates is a unique insurance organization offering top products and services from major prov...
  • 4/24/2024 12:00:00 AM

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Health Information Analyst
  • Sante Health System
  • Fresno, CA
  • This is not a remote position.Sante Health System in Fresno, CA is looking to hire a driven, attention and service-orien...
  • 4/24/2024 12:00:00 AM

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District Administrator
  • Calwa Recreation & Park District
  • Fresno, CA
  • Job Description Job Description JOB TITLE: DISTRICT ADMINISTRATOR BASIC FUNCTION: Under administrative direction of the ...
  • 4/23/2024 12:00:00 AM

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Claims Analyst
  • Fresno PACE by Innovative Integrated Health
  • Fresno, CA
  • Who We Are Are you interested in working for an organization whose mission it is to enable frail, underserved, and multi...
  • 4/22/2024 12:00:00 AM

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Claims Analyst
  • Fresno Pace By Innovative Integrated Health
  • Fresno, CA
  • Who We Are Are you interested in working for an organization whose mission it is to enable frail, underserved, and multi...
  • 4/22/2024 12:00:00 AM

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Health Information Analyst
  • Sante Health
  • Fresno, CA
  • This is not a remote position. Sante Health System in Fresno, CA is looking to hire a driven, attention and service-orie...
  • 4/22/2024 12:00:00 AM

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Pharmacy Technician
  • OMNI FAMILY HEALTH
  • Fresno, CA
  • JOB SUMMARY: The Pharmacy Technician position is responsible for supporting and assisting the operation of the pharmacy ...
  • 4/20/2024 12:00:00 AM

Fresno (/ˈfrɛznoʊ/ FREZ-noh; Spanish for "ash tree") is a city in California, United States, and the county seat of Fresno County. It covers about 112 square miles (290 km2) in the center of the San Joaquin Valley, the southern portion of California's Central Valley. Named for the abundant ash trees lining the San Joaquin River, Fresno was founded in 1872 as a railway station of the Central Pacific Railroad before it was incorporated in 1885. The city has since become an economic hub of Fresno County and the San Joaquin Valley, with much of the surrounding areas in the Metropolitan Fresno regi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Clerk jobs
$36,697 to $46,430
Fresno, California area prices
were up 2.7% from a year ago