Claims Clerk jobs in Santa Barbara, 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 Examiner
  • CenCal Health
  • Santa Barbara, CA FULL_TIME
    • Review, price and release claims associated with the assigned claim types (paper and electronic)
    • Review Manual Review reports that suspend for review on all CenCal Health programs
    • Review audit reports for all CenCal Health programs
    • Analyze current processes and work with Supervisor to automate or improve quality where fit
    • Assist with ideas for creation of SCF (System Change Forms) when applicable
    • Keep up to date on all CenCal Health policies and provide materials for improvement projects within Department
    • Assure all regulatory guidelines are being followed and monitored
    • Maintain daily activity log
    • Assist with the processing of claims
    • Audit and report all billing & error trends found during the course of review and data entry;
    • Maintain processes and timelines required by AB1455 Claims Settlement Practices and DHCS Regulations

    Other duties and projects as assigned

  • 10 Days Ago

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Claims Processor
  • eTeam Inc
  • Santa Barbara, CA CONTRACTOR
  • AJ01 Job Title: Claims Processor Location: Santa Barbara, CA Duration: 13 Weeks Contract Pay Rate: $20-25/hr.Shift: 5, 8Hr 08:00 - 17:00 ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: 1. Performs a spectru...
  • 12 Days Ago

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Claims Processor
  • eTeam Inc
  • Santa Barbara, CA CONTRACTOR
  • AJ01 Job Title: Claims Processor Location: Santa Barbara, CA Duration: 13 Weeks Contract Pay Rate: $20-25/hr.Shift: 5, 8Hr 08:00 - 17:00 ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: 1. Performs a spectru...
  • 12 Days Ago

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Medical Claims Specialist
  • TotalMed Medfi
  • Santa Barbara, CA FULL_TIME,CONTRACTOR
  • Job Title: Medical Claims Processor Location: Santa Barbara, CAShift: M-F 8a-4:30pWage: $24 an Hour Job Description: The processing involves making reasoned determinations as to eligibility for benefi...
  • 6 Days Ago

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Independent Insurance Claims Adjuster in Goleta, California
  • MileHigh Adjusters Houston Inc
  • Goleta, CA FULL_TIME
  • ADJUSTERS NEEDED NOW!ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND fo...
  • 5 Days Ago

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Store Clerk
  • MHC Property Management L.P.
  • Santa Barbara, CA FULL_TIME
  • With a culture of recognition and reputation for excellence, ELS is the ideal organization in which to develop a long and successful career!ELS is hiring for the position of Store Clerk in Santa Barba...
  • 15 Days Ago

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0 Claims Clerk jobs found in Santa Barbara, CA area

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Medical Claims Processor
  • Aya Healthcare
  • Santa Barbara, CA
  • Aya Healthcare has an exciting 13-week contract opportunity in Santa Barbara, CA! Job Details: JOB TITLE: Claims Process...
  • 4/23/2024 12:00:00 AM

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Member Services Representative
  • CenCal Health
  • Santa Barbara, CA
  • Job Details Job Location Main Office - Santa Barbara, CA Position Type Full Time Job Category Member Services Descriptio...
  • 4/22/2024 12:00:00 AM

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Accounting Technician, Senior
  • Santa Barbara County Education Office
  • Santa Barbara, CA
  • Our ideal candidateYou are a dependable professional with well-developed communication skills. You work efficiently, wit...
  • 4/22/2024 12:00:00 AM

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Accounting Technician, Senior
  • Santa Barbara County Education Office
  • Santa Barbara, CA
  • Salary : $59,292.00 - $75,252.00 Annually Location : Santa Barbara - Goleta Job Type: Full-Time Job Number: 2023-00084 D...
  • 4/21/2024 12:00:00 AM

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Supervisor, Customer Services
  • Envoy Air Inc.
  • Goleta, CA
  • Overview: Who we are: Would you like to work for a stable, secure, and fast-growing airline where you will be stimulated...
  • 4/21/2024 12:00:00 AM

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Account Manager (Employee Benefits)
  • Brown & Brown Insurance
  • Carpinteria, CA
  • Job Description Built on meritocracy, our unique company culture rewards self-starters and those who are committed to do...
  • 4/21/2024 12:00:00 AM

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Business Office Manager (BOM) Skilled Nursing Facility
  • Lompoc Skilled Nursing & Rehabilitation Center
  • Lompoc, CA
  • Description Position at Lompoc Skilled Nursing & Rehabilitation Center Business Office Manager (Must have prior BOM -SNF...
  • 4/21/2024 12:00:00 AM

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Office Assistant
  • Santa Barbara County Education Office
  • Santa Barbara, CA
  • Salary : $48,546.00 - $61,658.64 Annually Location : Santa Barbara - Goleta Job Type: Full-Time Job Number: 2023-00083 D...
  • 4/20/2024 12:00:00 AM

Santa Barbara (Spanish: Santa Bárbara) is the county seat of Santa Barbara County in the U.S. state of California. Situated on a south-facing section of coastline, the longest such section on the West Coast of the United States, the city lies between the steeply rising Santa Ynez Mountains and the Pacific Ocean. Santa Barbara's climate is often described as Mediterranean, and the city has been promoted as the "American Riviera". As of 2014, the city had an estimated population of 91,196, up from 88,410 in 2010, making it the second most populous city in the county after Santa Maria. The contig...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Clerk jobs
$39,554 to $50,044
Santa Barbara, California area prices
were up 2.5% from a year ago