Top 63 Claims representative Jobs in San Francisco, Ca

Claims Assistant
PG&E Corporation —Oakland, CA
- $52,000 - $83,000 a year
- Full-time
- Microsoft Word
- Microsoft Excel
- Computer literacy
23h
Senior Collections Representative
University of California San Francisco —Emeryville, CA
- Full-time
- Computer literacy
- Medical office experience
- HIPAA
Liability Claims Clerk, Professional Liability
BETA HEALTHCARE GROUP RISK MANAGEMENT —Alamo, CA
- $34.36 - $38.46 an hour
- Full-time
- Hybrid work
- Office
- High school diploma or GED
- Data entry
- Work from home
Quick Apply
Property & Casualty Claims Advocate
HUB International —San Francisco, CA
- $68,000 - $100,000 a year
- Online Application
- Microsoft Outlook
- Writing skills
- Mid-level
- Health savings account
- Disability insurance
Workers’ Compensation Specialist
TransPak, Inc. —Hayward, CA
- $40,000 - $70,000 a year
- Full-time
- Remote
- Microsoft Excel
- Mid-level
- Bachelor's degree
Quick Apply
Claims Analyst or (Senior) Claims & Patient Safety Specialist
MIEC —Oakland, CA
- $73,050 - $156,958 a year
- Full-time
- Remote
- Customer service
- 5 years
- Bachelor of Science
- Health insurance
- Dental insurance
COLL REPR SR
University of California San Francisco —San Francisco, CA
- Dental office
- Microsoft Outlook
- Medical office experience
PROVIDER AND CLIENT SERVICES REPRESENTATIVE
NORTH EAST MEDICAL SERVICES —Burlingame, CA
- $32.08 - $36.15 an hour
- Full-time
- Microsoft Outlook
- Word processing
- Computer literacy
- Health insurance
- Dental insurance
Hospital Billing and Follow Up Specialist - Limited Term
County of San Mateo —San Mateo, CA
- $75,940.80 - $94,972.80 a year
- Full-time
- Microsoft Word
- Hospital
- Basic math
- Retirement plan
Member Services Representative – Temporary Full Time
CCHP Health Plan —San Francisco Bay Area, CA
- $24.00 - $39.39 an hour
- 8 hour shift
- Spanish
- English
- Research
Quick Apply
Related Services Billing & Compliance Coordinator
Rocketship Public Schools —San Francisco Bay Area, CA
- $70,304 - $77,760 a year
- Weekends as needed
- Hybrid work
- School experience
- Mid-level
- 3 years
- Health insurance
- Flexible spending account
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Brandon Yim - State Farm Agent —Burlingame, CA
- $75,000 - $80,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Paid holidays
- Health insurance
Quick Apply
Independent Contractor Daily Property Field Adjuster/ Surrounding San Francisco CA
Alacrity Claims Solutions, LLC —San Francisco, CA
- Contract
- Mid-level
- Travel
- Computer skills
Quick Apply
Provider Enrollment Specialist II
Altais Health Solutions —Oakland, CA
- $21 - $25 an hour
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Health insurance
Quick Apply
Patient Care Coordinator
University of the Pacific —San Francisco, CA
- $35.29 an hour
- Full-time
- Bilingual
- Background check
- Mid-level
5d
Revenue Cycle Informatics Administrative Assistant I (Open & Promotional)
County of San Mateo —San Mateo, CA
- $84,260.80 - $105,331.20 a year
- Full-time
- Research
- Mid-level
- Office
- Retirement plan
7d
RCM Process & Quality Analyst Lead
iRhythm Technologies, Inc. —San Francisco, CA
- $115,000 - $149,000 a year
- Full-time
- 5 years
- Finance
- Analysis skills
Quick Apply
Patient Account Representative - Dental
Marin Community Clinics —Novato, CA
- $25.00 - $29.25 an hour
- Part-time
- Microsoft Excel
- Mid-level
- Windows
Customer Service Representative - State Farm Agent Team Member
Bal Claire - State Farm Agent —San Rafael, CA
- $52,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Health insurance
- Paid time off
Quick Apply
Dental Billing & Collections Specialist
San Francisco Dental Arts —San Francisco, CA
- $22 - $35 an hour
- Part-time
- Dental office
- Research
- High school diploma or GED
Quick Apply

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Claims Assistant

PG&E Corporation -
Oakland, CA

Apply Now

Job Details

Full-time
$52,000 - $83,000 a year
23 hours ago

Qualifications

Microsoft Word
Computer operation
Microsoft Excel
FMLA
Phone communication
Writing skills
Workplace dispute resolution
Employment & labor law
Workers' compensation insurance knowledge
High school diploma or GED
Vendor communication
Typing
Medical terminology

Full Job Description

Requisition ID # 173517

Job Category: Administrative / Clerical
Job Level: Individual Contributor
Business Unit: Energy Delivery
Work Type: Onsite
Job Location: Oakland

Position Summary:
Job responsibilities may include, but are not limited to: Assist in any administrative or Workers’ Compensation (WC) claims activities which may be required in order to provide timely, accurate, professional services to our clients and comply with requirements under Workers’ Compensation Law. The claims assistants report directly to the Workers’ Compensation Supervisor (WCS). However, the claims assistants will work under the broad direction and guidance of the individual Workers’ Compensation Representative (WCR). The position requires solid management skills, effective communication skills (oral and written), interpersonal skills, conflict resolution skills, the ability to interact with others, including external and internal clients (venders, medical and legal professionals, etc.), knowledge of medical terminology and WC rules and regulations. The WCA must employ analysis skills, have a working knowledge of other leave types (FMLA, LTD, etc.), the ability to recognize HR overlap issues (FEHA, EEOC, Bargaining Unit issues, etc.). Must have strong organizational skills, the ability to prioritize, basic arithmetic, computation skills and must be able to make “judgment calls” as needed, when the WCR/WCS is unavailable to provide direction. This job is also eligible to participate in PG&E’s discretionary incentive compensation programs PG&E is providing the salary range that the company in good faith believes it might pay for this position at the time of the job posting. This compensation range is specific to the locality of the job. The actual salary paid to an individual will be based on multiple factors, including, but not limited to, specific skills, education, licenses or certifications, experience, market value, geographic location, and internal equity. Although we estimate the successful candidate hired into this role will be placed towards the middle or entry point of the range, the decision will be made on a case-by-case basis related to these factors. A reasonable salary range is: Bay Area Minimum: $55k. Bay Area Maximum: $83k. &/OR California Minimum: $52k. California Maximum: $79k.

Job Responsibilities:
WC Claims Assistant – Intermediate (#50010935)
Performs diverse clerical or technical tasks requiring judgment and initiative.
Examples include preparing moderately complex forms in an established manner, composing routine correspondence, and answering technical inquiries and
scheduling appointments.
Overall responsibility is to assist assigned WCR in the management of workers’ compensation claims. Generally requires limited supervision. C/A should be able to recognize and handle issues within the C/A’s skill set, as agreed with supported WCRs. Typical duties and responsibilities include, but are not limited to:

Reviews and prioritize assigned work
Performs general data entry, as requested
Documents VOS (WC claims management system) as required
Performs all copy work as requested
Schedule medical appointments, as assigned
Process employee reimbursement requests
Maintains all documents and

correspondence in the claim files, as required per Quality Claims Management (QCM), requirements

Communicates with internal and external clients in a clear, concise manner to appropriately assist in the administration of benefits. [External clients include but are not limited to attorneys, medical professionals (including doctors), and vendors related to the administration of WC Claims.]
Request/subpoena records
Processes file and serves as assigned
Processes legal forms and documents as assigned
Makes travel arrangements as needed
Researches information when necessary
Develops the ability to manage the Helpline, responding to questions regarding WC benefits, answering basic questions, in lieu of transferring the call to the WCR or WCS for handling
Applies standard techniques, procedures, criteria to routine and limited scope assignments.
Typically receives minimal instructions on routine assignments, and general instructions on new assignments or projects.
Assignments are regularly reviewed.
Primary focus is working with peers within department and some internal and external clients.

Qualifications :Minimum :

HS Diploma or Equivalent Required
BA – Desired
1 to 5 years Claims Assistant experience or equivalent preferred, sufficient to provide basic knowledge of WC requirements and processes.

Desired :

Must have knowledge of Microsoft Word and Excel
Must have working knowledge and skills to use computer terminal keyboard/computer
Telephone
Printer
Photocopy machine
Writing implements
Overall general office equipment (adding machine, fax machine, etc.)
Must have ability to learn software

Apply Now

Refine Your Search

claims representative jobs in san francisco, ca

Claims Assistant

Senior Collections Representative

Liability Claims Clerk, Professional Liability

Property & Casualty Claims Advocate

Workers’ Compensation Specialist

Claims Analyst or (Senior) Claims & Patient Safety Specialist

COLL REPR SR

PROVIDER AND CLIENT SERVICES REPRESENTATIVE

Hospital Billing and Follow Up Specialist - Limited Term

Member Services Representative – Temporary Full Time

Related Services Billing & Compliance Coordinator

Customer Service Representative - State Farm Agent Team Member

Independent Contractor Daily Property Field Adjuster/ Surrounding San Francisco CA

Provider Enrollment Specialist II

Patient Care Coordinator

Revenue Cycle Informatics Administrative Assistant I (Open & Promotional)

RCM Process & Quality Analyst Lead

Patient Account Representative - Dental

Customer Service Representative - State Farm Agent Team Member

Dental Billing & Collections Specialist

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