Top 180 Claims representative Jobs in Glendale Ca

Customer Service Representative (Bilingual Korean)
Clever Care Health Plan —Arcadia, CA
- $20 - $23 an hour
- Weekends as needed
- Hybrid work
- Background check
- Spanish
- Microsoft Excel
10d
Member Service Representative
Champion Health Plan/ Champion Payer Solutions —Long Beach, CA
- From $22 an hour
- Weekends as needed
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
AFLAC Benefits Consultant
Aflac - Encino, CA —Encino, CA
- $35,000 - $100,000 a year
- Full-time
- Hybrid work
- Microsoft Word
- 18 years or older
- Microsoft Excel
- Dental insurance
- Paid time off
Quick Apply
Bilingual Property & Casualty Customer Service Representative - Remote (11575)
Leverages U.S. Inc. (Shigotosagashi.com) —Torrance, CA
- $60,000 - $80,000 an hour
- Full-time
- English
- Mid-level
- US work authorization
- Health insurance
- Dental insurance
Quick Apply
10d
Customer Service Representative (Bilingual Mandarin or Cantonese/English)
KCAL Insurance Agency —Hacienda Heights, CA
- From $20 an hour
- 8 hour shift
- Microsoft Outlook
- Customer service
- English
- Profit sharing
- Paid holidays
Quick Apply
Claims - Field Claims Representative
The Cincinnati Insurance Companies —Los Angeles, CA
- $71,250 - $112,500 a year
- Day shift
- Mid-level
- Driver's License
- Bachelor's degree
- Paid time off
- 401(k) matching
Claims Representative- Healthcare Billing
Vista Del Mar —Los Angeles, CA
- $28 - $30 an hour
- Mid-level
- Administrative experience
- Children
- Paid holidays
- Health insurance
Quick Apply
ESIS Senior Claims Representative, WC
Chubb —Chatsworth, CA
- $78,100 - $105,000 a year
- Full-time
- Hybrid work
- Customer service
- Mid-level
- Office
Account Representative - USC Care MSO CBO - Full Time 8 Hour Days (Non-Exempt)(Non-Union)
USC —Pasadena, CA
- $26.00 - $41.28 an hour
- 8 hour shift
- Customer service
- Research
- Mid-level
ESIS Claims Representative, WC
Chubb —Chatsworth, CA
- $62,700 - $81,300 a year
- Full-time
- Writing skills
- Mid-level
- Analysis skills
Property Claims Specialist
Mercury Insurance Services, LLC —Los Angeles, CA
- $36,381 - $77,881 a year
- Overtime
- Remote
- Bilingual
- Military
- Mid-level
- Paid holidays
- Health insurance
Admitting Representative
AHMC Healthcare —San Gabriel, CA
- From $27.03 an hour
- On call
- Computer literacy
- HIPAA
- Windows
Medical Support Assistant (Advanced)
US Veterans Health Administration —Los Angeles, CA
- $56,247 - $73,121 a year
- Part-time
- Hybrid work
- Background check
- High school
- Writing skills
14d
Collections Representative
Quest Diagnostics —West Hills, CA
- $20.44 - $26.00 an hour
- Full-time
- Remote
- 18 years or older
- HIPAA
- Research
- Employee stock purchase plan
- Disability insurance
Quick Apply
12d
Supervisory Medical Support Assistant
US Veterans Health Administration —Los Angeles, CA
- $69,220 - $89,983 a year
- Part-time
- Hybrid work
- Background check
- Writing skills
- Pass drug screening
14d
Customer Service Representative
Leisha Willis State Farm Agency —Los Angeles, CA
- $40,000 - $70,000 a year
- Full-time
- No experience needed
- Office
- Communication skills
- Profit sharing
- Paid time off
Quick Apply
Patient Access Rep - ED Registration - Per Diem 8 Hours Nights (11:00PM to 7:30AM) (Union, Non-Exempt)
USC Arcadia Hospital —Arcadia, CA
- $25.75 - $34.65 an hour
- 8 hour shift
- Background check
- BLS Certification
- HIPAA
Contact Center Representative I
L.A. Care Health Plan —Los Angeles, CA
- $45,760 - $47,823 a year
- Weekends as needed
- Spanish
- Writing skills
- HIPAA
- Wellness program
- Health insurance
Insurance Collector I
HEALTH ADVOCATES —Chatsworth, CA
- $24.75 - $32.25 an hour
- Full-time
- Computer literacy
- HIPAA
- Office
- Health insurance
- Employee assistance program
Claims Examiner
City of Compton, CA —Compton, CA
- $79,747.80 - $93,499.20 a year
- Full-time
- Anatomy knowledge
- Management
- Writing skills
- Paid holidays
- Disability insurance
12d

I want to receive the latest job alert for claims representative in glendale ca

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

claims representative jobs near glendale ca

Customer Service Representative jobs in Los Angeles, CA

Admitting Representative jobs in San Gabriel, CA

Mental Health Technician jobs in Los Angeles, CA

Claims Representative jobs in Los Angeles, CA

Claims Specialist jobs in Los Angeles, CA

Member Services Representative jobs in Long Beach, CA

Medical Support Assistant jobs in Los Angeles, CA

Patient Access Representative jobs in Arcadia, CA

Call Center Representative jobs in Los Angeles, CA

Customer Service Representative jobs in Arcadia, CA

Patient Service Representative jobs in Las Vegas, NV

Customer Service Representative jobs in Metairie, LA

Customer Service Representative jobs in Buford, GA

Customer Service Representative jobs in Gastonia, NC

Pharmaceutical Sales Representative jobs in Pittsburgh, PA

Customer Service Representative jobs in Arlington, TX

Software Sales Representative jobs in Dallas, TX

Admitting Representative jobs in Los Angeles, CA

Admitting Representative jobs in Las Vegas, NV

Customer Service Representative jobs in Las Vegas, NV

Customer Service Representative (Bilingual Korean)

Clever Care Health Plan -
Arcadia, CA

Apply Now

Job Details

Full-time
$20 - $23 an hour
10 days ago

Qualifications

High school diploma or GED

Full Job Description

Must be available to work from 11:30AM to 8:00PM.
This position operates on a hybrid work schedule. Candidate must reside in Los Angeles or Orange County.

Are you ready to make a lasting impact and transform the healthcare space? We are one of Southern California’s fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth.

Who Are We? ✨

Clever Care was created to meet the unique needs of the diverse communities we serve. Our innovative benefit plans combine Western medicine with holistic Eastern practices, offering benefits that align with our members’ culture and values.

Why Join Us?

We’re on a mission! Our rapid growth reflects our commitment to making healthcare accessible for underserved communities. At Clever Care, you’ll have the opportunity to make a real difference, shape the future of healthcare, and be part of a fast-moving, game-changing organization that celebrates diversity and innovation.

Job Summary

Member Advocates are the main point of contact at Clever Care; interfacing with members, prospective members, providers, brokers, and vendors. Serves members by being the main point of contact at Clever Care for member questions and concerns regarding benefits, eligibility, referrals, claims, and any other aspects of plan benefits and services. A successful Member Advocate I ensures member satisfaction by providing superior customer service and displaying a willingness to help at all times while maintaining a professional demeanor.

Member Services Representatives are expected to assess the needs of the caller and determine, based on strong operational understanding, the most appropriate and effective course of action.

Functions & Job Responsibilities

Educates members, family, providers and caregivers regarding benefits and plan options.
Accurately explains benefits and plan options in person, via email, fax, or telephonically.
Provides follow-up with members by clarifying the customer’s issue, determining the cause, and identifying and explaining the solution. Escalates appropriate member issues to management or other departments as required.
Provides follow-up with members by clarifying the customer’s issue, determining the cause, and identifying and explaining the solution. Escalates appropriate member issues to management or other departments as required.
Participates in member calling projects as assigned by management to support the overall Clever Care goal of membership retention.
Follows policies and procedures and job aids in order to maintain efficient and complaint operations; communicates suggestions for improvement and efficiencies to management; identifies and reports problems with workflows following proper departmental procedures; actively participates in departmental staff meetings and training sessions.
Follows all appropriate Federal and State regulatory requirements and guidelines applicable to Clever Care Health Plan operations, as documented I company policies and procedures. Follows all HIPAA requirements.
Documents transactions by completing applicable member forms and summarizing actions taken in appropriate computer system and following standards set by the department or by other authorized individuals.
Ability to work in an environment where continuous coaching and feedback is the standard practice.

Other duties as assigned

Qualifications

Education and Experience:

High School Diploma or equivalent required.
Bachelor’s Degree or equivalent work experience preferred
Two (2) years Customer Service experience preferably in healthcare management and/or a call center setting

Skills:

Familiarity with Centers for Medicare and Medicaid Services (CMS) regulations
Bilingual in Cantonese, Mandarin, Vietnamese, Korean, Spanish, Thai, Khmer, Japanese may be required.
Exceptional customer service skills, including verbal and written communication
Strong active listening skills
Ability to collaborate and be a team player
Must be a quick learner
Ability to remain calm and courteous when handling upset members and offering solutions to their problems and knowing when to escalate the call
Ability to listen, talk, and type at the same time.
Proficiency with Microsoft Office (Word, Excel, Outlook)
Type 40 wpm. 60 wpm preferred

Other:

Must be willing and able to work some weekends from October-March

Wage Range: $20.00 to $23.00 per hour

Physical & Working Environment.

Physical requirements needed to perform the essential functions of the job, with or without reasonable accommodation:

Must be able to travel when needed or required
Ability to operate a keyboard, mouse, phone and perform repetitive motion (keyboard); writing (note-taking)
Ability to sit for long periods; stand, sit, reach, bend, lift up to fifteen (15) lbs.

Ability to express or exchange ideas to impart information to the public and to convey detailed instructions to staff accurately and quickly.

Work is performed in an office environment and/or remotely. The job involves frequent contact with staff and public. May occasionally be required to work irregular hours based on the needs of the business.

Physical & Working Environment.

Physical requirements needed to perform the essential functions of the job, with or without reasonable accommodation:

Must be able to travel when needed or required
Ability to operate a keyboard, mouse, phone and perform repetitive motion (keyboard); writing (note-taking)
Ability to sit for long periods; stand, sit, reach, bend, lift up to fifteen (15) lbs.

Ability to express or exchange ideas to impart information to the public and to convey detailed instructions to staff accurately and quickly.

Clever Care Health Plan is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.

Salary ranges posted on the job posting are based on California wages. Salary may be higher or lower depending on the candidate’s state residency.

#LI-Hybrid

Apply Now

Refine Your Search

claims representative jobs in glendale ca

Customer Service Representative (Bilingual Korean)

Member Service Representative

AFLAC Benefits Consultant

Bilingual Property & Casualty Customer Service Representative - Remote (11575)

Customer Service Representative (Bilingual Mandarin or Cantonese/English)

Claims - Field Claims Representative

Claims Representative- Healthcare Billing

ESIS Senior Claims Representative, WC

Account Representative - USC Care MSO CBO - Full Time 8 Hour Days (Non-Exempt)(Non-Union)

ESIS Claims Representative, WC

Property Claims Specialist

Admitting Representative

Medical Support Assistant (Advanced)

Collections Representative

Supervisory Medical Support Assistant

Customer Service Representative

Patient Access Rep - ED Registration - Per Diem 8 Hours Nights (11:00PM to 7:30AM) (Union, Non-Exempt)

Contact Center Representative I

Insurance Collector I

Claims Examiner

I want to receive the latest job alert for claims representative in glendale ca

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected