Claims Processing Clerk jobs in Fresno, CA

Claims Processing Clerk receives and inputs new healthcare claims, processes payments, researches billing issues, and responds to email and telephone inquiries. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Being a Claims Processing Clerk produces routine and ad hoc reports. Requires a high school diploma. Additionally, Claims Processing Clerk typically reports to a supervisor. The Claims Processing 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

  • 28 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...
  • 17 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...
  • 28 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...
  • 15 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...
  • 25 Days Ago

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0 Claims Processing Clerk jobs found in Fresno, CA area

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Produce Clerk (FT) (VFE)
  • Vallarta Supermarkets
  • Madera, CA
  • Description: Title: Produce Clerk Classification: Non-Exempt Produce Clerk is responsible for smiling and greeting all c...
  • 4/26/2024 12:00:00 AM

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Workers Compensation Adjuster III - Fresno
  • Intercare Holdings Insurance Services
  • Fresno, CA
  • Workers Compensation Adjuster IIISummary: Reports directly to the unit Claims Supervisor and may be called upon to provi...
  • 4/26/2024 12:00:00 AM

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Senior GL/ Construction Defect Claims Adjuster - Remote
  • NARS
  • Fresno, CA
  • Job Description Job Description Handle a case load of approximately 120 pending multi-jurisdictional construction defect...
  • 4/26/2024 12:00:00 AM

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Entry Level Insurance Sales Agent
  • Bankers Life
  • Fresno, CA
  • Bankers Life seeks professionals for a dynamic hybrid remote work environment. Start your insurance agent career and ear...
  • 4/26/2024 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 ...
  • 4/25/2024 12:00:00 AM

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Insurance Sales Representative
  • Bankers Life
  • Fresno, CA
  • Bankers Life® seeks professionals for a dynamic hybrid remote work environment. Start your insurance agent career and ea...
  • 4/24/2024 12:00:00 AM

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Life Insurance Sales Representative
  • Victory Financial Services
  • Fresno, CA
  • Job Description Job Description Job Description: We are seeking a motivated and dedicated individual to join our team as...
  • 4/24/2024 12:00:00 AM

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Insurance Account Position - State Farm Agent Team Member
  • nichole castech - State Farm Agent
  • Fresno, CA
  • Job Description Job Description Benefits: 401(k) matching Bonus based on performance Competitive salary Flexible schedul...
  • 4/24/2024 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 Processing Clerk jobs
$37,822 to $45,736
Fresno, California area prices
were up 2.7% from a year ago