💼 Full-Time Position

Health Plan Claims Examiner

🏢
Adventist Health
📍 Roseville, California, United States
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Location
Roseville, United States
📅
Posted
June 19, 2026
⏰
Type
Full-Time
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Full-Time Opportunity: This is a permanent, full-time position with a competitive package and real career growth potential.

Job Description

Job Summary:

Reviews, evaluates and authorizes payment of medical, dental, vision, and prescription drug claims within the benefit descriptions and plan provisions of a variety of group plans. Determines the appropriate course of action on each claim (., payment, further investigation, referral to review, denial, . Responds verbally and in writing to claimants and providers regarding plan benefits and eligibility. Applies standard claims guidelines, such as coordination of benefits, workers' compensation and third-party investigations. Documents claims files regarding every verbal communication.


Job Requirements:

Education and Work Experience:

  • Associate's/Technical Degree or equivalent combination of education/related experience: Required
  • Bachelor's Degree: Preferred
  • Three years' experience processing health claims on a computerized claims payment system: Preferred

    • Essential Functions:

  • Processes medical ...