Claims Examiner

We're Hiring: Claims Examiner | Whittier, CA (Onsite)We are seeking an experienced Claims Examiner to join a healthcare team in Whittier, CA. This is a great opportunity for candidates with strong claims adjudication experience in a managed care environment.Location: Whittier, CA 90601Start Date: April 27, 2026Duration: 13 WeeksPay Rate: $29-$30/hourShift: Monday-Friday | 7:00 AM - 3:30 PMInterview Process: Onsite interview requiredKey Requirements:Minimum 2+ years of claims adjudication experience (ambulatory, acute care, HMO, or IPA setting)Proven experience with claims reimbursementExperience processing laboratory claimsStrong understanding of DOFR (Division of Financial Responsibility)Knowledge of CPT, ICD coding, and medical terminologyFamiliarity with commercial, Medicare, and Medi-Cal claims guidelinesAbility to interpret provider contracts and reimbursement termsEducation:High School Diploma, GED, or higher education required (must be verifiable)Additional Skills:Knowledge of payment methodologies (Professional, Hospital, Skilled Nursing Facility, Ancillary Services)Understanding of compliance requirements in claims processingAbility to identify non-contracted providers for Letter of Agreement considerationStrong data entry and system navigation skills

Created: 2026-05-12