Top 617 Benefit specialist Jobs in California

Senior Claim Benefit Specialist - Remote
CVS Health —California
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
Benefits Specialist
Lawrence Livermore National Laboratory —Livermore, CA
- $96,576 - $168,852 a year
- Full-time
- Hybrid work
- Background check
- Oracle
- Pass drug screening
- Relocation assistance
- 401(k)
2h
Leaves & Accommodations Specialist
Palo Alto Networks —Santa Clara, CA
- $95,200 - $154,000 a year
- Full-time
- Google Workspace
- 5 years
- Mid-level
Head of Total Rewards
Eightfold.AI —Santa Clara, CA
- $206,250 - $330,000 a year
- Hybrid work
- 11+ years
- Office
- Analysis skills
Global Immigration and Compliance Specialist
SpaceX —Hawthorne, CA
- $85,000 - $120,000 a year
- Extended hours
- Background check
- Mid-level
- Office
- Paid parental leave
- Employee stock purchase plan
Head of Total Rewards
Mattel —El Segundo, CA
- $280,000 - $350,000 a year
- Full-time
- Data analysis skills
- Office
- Presentation skills
Quick Apply
Compensation Analyst
Uber —San Francisco, CA
- $106,000 - $118,000 a year
- Full-time
- Oracle
- Research
- Mid-level
- 401(k)
Compensation Analyst
NVIDIA —Santa Clara, CA
- $112,000 - $230,000 a year
- Full-time
- 5 years
- Bachelor of Science
- Writing skills
Global Accommodations Lead, Benefits
Google —Los Angeles, CA
- $136,000 - $197,000 a year
- Full-time
- Office
- Master's degree
- Bachelor's degree
- Paid holidays
- Disability insurance
Autism Program Specialist II ALD (1 year term with full benefits)
L.A. Care Health Plan —Los Angeles, CA
- $77,265 - $123,625 a year
- Full-time
- LMFT
- Computer literacy
- Licensed Clinical Social Worker
- Wellness program
- Health insurance
Benefit Advisory Services Consultant
TriNet —Dublin, CA
- $57,800 - $97,500 a year
- Full-time
- Mid-level
- Office
- Bachelor's degree
- Employee stock purchase plan
- Disability insurance
Senior People Operations Specialist I
Carbon, Inc. —Sunnyvale, CA
- $103,520 - $155,280 a year
- Monday to Friday
- Office
- 3 years
- Master's degree
- 401(k)
Head of Total Rewards
Gap Inc. —San Francisco, CA
- $330,000 - $380,000 a year
- Full-time
- Office
- Mentoring
- Organizational skills
- Store discount
- Employee stock purchase plan
Lead Benefit Advisory Services Consultant
TriNet —Dublin, CA
- $95,600 - $179,250 a year
- Full-time
- Office
- 3 years
- Analysis skills
- Employee stock purchase plan
- Disability insurance
Sr. Leave of Absence Specialist
University of California, Riverside —Riverside, CA
- $68,500 - $121,900 a year
- Full-time
- Background check
- HIPAA
- Windows
Benefit Technology Specialist I, Employee Benefits
HUB International —San Diego, CA
- Online Application
- Hybrid work
- Research
- Office
- Analysis skills
- Health savings account
- Disability insurance
Eligibility Benefits Specialist II
County of Solano —California
- $68,339.77 - $83,067.41 a year
- Full-time
- Military encouraged
- Entry level
- Under 1 year
- Health insurance
- Dental insurance
Associate Human Resources Analyst
Judicial Council of California —San Francisco, CA
- $6,909 - $9,673 a month
- Online Application
- Hybrid work
- Research
- Mid-level
- Office
- AD&D insurance
- Paid holidays
3h
Senior Compensation Consultant - Remote
Providence —California
- $45.00 - $79.45 an hour
- Full-time
- Remote
- 5 years
- Research
- Analysis skills
- Paid parental leave
- Paid holidays
Sr. Compensation Specialist, Incentive Programs , One Medical PXT
Amazon.com LLC —San Francisco, CA
- $135,100 - $201,000 a year
- Full-time
- 5 years
- Analysis skills
- Bachelor's degree
- AD&D insurance
- Health insurance

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benefit specialist jobs near california

Senior Claim Benefit Specialist - Remote

CVS Health -
California

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Job Details

Full-time
$18.50 - $42.35 an hour

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

High school diploma or GED
Health insurance knowledge

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by providing coaching, and offering guidance on escalated or technically challenging issues. Supports customer service operations by addressing inquiries and resolving issues to ensure a positive member experience.

Additional Responsibilities

Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise.
Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
Ensures compliance with all regulatory requirements and confirms that payments align with company policies and procedures.
Identifies and reports potential overpayments, underpayments, and other claim irregularities.
Performs claim rework calculations as needed.
Trains and mentors as needed to enhance team performance and technical proficiency.
Conducts outbound calls to obtain required information for claims or reconsideration requests.

Required Qualifications

Minimum of 18 months of medical claim processing experience with a health insurance payor or third‑party administrator.
Proven success working in a high‑volume, production‑driven environment.
Demonstrated ability to manage multiple assignments with accuracy, efficiency, and attention to detail.

Preferred Qualifications

Self-Funding experience
DG system knowledge

Education

High School Diploma required
Preferred Associates degree or equivalent work experience.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $42.35

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

benefit specialist jobs in california

Senior Claim Benefit Specialist - Remote

Benefits Specialist

Leaves & Accommodations Specialist

Head of Total Rewards

Global Immigration and Compliance Specialist

Head of Total Rewards

Compensation Analyst

Compensation Analyst

Global Accommodations Lead, Benefits

Autism Program Specialist II ALD (1 year term with full benefits)

Benefit Advisory Services Consultant

Senior People Operations Specialist I

Head of Total Rewards

Lead Benefit Advisory Services Consultant

Sr. Leave of Absence Specialist

Benefit Technology Specialist I, Employee Benefits

Eligibility Benefits Specialist II

Associate Human Resources Analyst

Senior Compensation Consultant - Remote

Sr. Compensation Specialist, Incentive Programs , One Medical PXT

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