Top 9 Claims examiner Jobs in Simi Valley, Ca

Medical Claims Examiner
Insperity —Chatsworth, CA
- $24 - $30 an hour
- Hybrid work
- Mid-level
- Analysis skills
- Fair chance
- Disability insurance
- Health insurance
Institutional Claims Examiner I
Choice Physicians Network Inc —Camarillo, CA
- $22 - $30 an hour
- Full-time
- Hybrid work
- Mid-level
- Analysis skills
- Neurology
Quick Apply
Claims Examiner
MedPOINT Management —Sherman Oaks, CA
- $22 - $26 an hour
- Research
- Mid-level
- High school diploma or GED
Executive Claims Examiner, Miscellaneous Professional E&O
Markel Service Inc. —Woodland Hills, CA
- $97,520 - $134,090 a year
- Email
- Writing skills
- Mid-level
- Travel
- AD&D insurance
- Employee stock purchase plan
Quick Apply

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Institutional Claims Examiner I
Choice Physicians Network Inc —Camarillo, CA
The ideal candidate will demonstrate strong analytical skills, proficiency in CPT, ICD-10, Revenue, Bill Type, and HCPCS coding, and a commitment to maintaining…
$22 - $30 an hour
Quick Apply
Aviation Regulatory Affairs Manager
Rainmaker Technology Corporation —El Segundo, CA
Bachelor's degree in a relevant field (aviation, aerospace engineering, aviation management, atmospheric science, or related discipline); advanced degree or…
$120,000 - $140,000 a year
Quick Apply

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claims examiner jobs near simi valley, ca

Medical Claims Examiner

Insperity -
Chatsworth, CA

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Job Details

$24 - $30 an hour

Benefits

Disability insurance
Health insurance
Dental insurance
Flexible spending account
Paid time off
Vision insurance
401(k) matching
Flexible schedule

Qualifications

Medical claims processing

Full Job Description

General information

Client / Corporate

Client

Work Mode

Hybrid

Name

Medical Claims Examiner

Job ID

21986

City

Chatsworth (Local Remote)

Published date

07-Jul-2026

State

California

Country

United States

Zip Code

91311

Medical Claims Examiner- Chatsworth

Local Remote or In-Office

Join a team where your attention to detail and commitment to quality care make a difference. Thrifty Management Services, the dedicated MSO for Preferred IPA of California, seeks a skilled and compassionate Medical Claims Examiner to help us deliver exceptional healthcare support. In this role, you will be responsible for the accurate and timely adjudication of CMS 1500 and UB-04 claims, ensuring compliance with Medicare and Medi-Cal guidelines. At Thrifty, we pride ourselves on our people-first culture that values teamwork, compassion, and work-life balance. If you're passionate about improving healthcare, we’d love to meet you.

Best-in-Class Benefits and Culture:

We value our employees’ time and efforts. Our commitment to your success is enhanced by competitive compensation of $24-$30 per hour, depending on experience, and an extensive benefits package including:

Comprehensive health coverage: Medical, dental, and vision insurance provided
Robust retirement planning: 401(k) plan available with employer matching
Financial security: Life and disability insurance for added protection
Flexible financial options: Health savings and flexible spending accounts offered
Well-being and work-life balance: Paid time off, flexible schedule, and remote work choices provided

Plus, we work to maintain the best environment for our employees, where people can learn and grow with the company. We strive to provide a collaborative, creative environment where everyone feels encouraged to contribute to our processes, decisions, planning, and culture.

To thrive as the Medical Claims Examiner, you should have:

Minimum of 2 years of medical claims payment experience in an HMO environment (i.e., MSO, IPA, or health plan)
Solid knowledge of Medicare and Medi-Cal managed care claims processing and compliance guidelines.
Experience with CPT-4, ICD-10-CM, RBRVS, ASA, and HCPCS, as well as an in-depth understanding of Medicare and Medi-Cal guidelines that apply to COB and Medicare Secondary Payer.
Extensive familiarity and experience in planning benefit and co-payment determination, division of financial responsibility determination, claims policies and procedures, adjudication processes, and claim review and analysis involving NCCI rules.
Extensive working knowledge of reimbursement methodologies for professional claims, including injectable drugs.

Ready to make your mark in healthcare?

Step into a pivotal role where your precision powers patient care! Thrifty Management Services is searching for passionate Claims Examiners who thrive on accuracy, efficiency, and impact. This is your moment if you’re driven to ensure timely and accurate claims processing while supporting a people-first mission. Apply now and help us transform lives—one claim at a time!

We are an equal opportunity employer that welcomes and encourages diversity in the workplace. We do not discriminate based on race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.

Qualified applicants with arrest or conviction records will be considered for employment with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
#ZCL #PRO

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Refine Your Search

claims examiner jobs in simi valley, ca

Medical Claims Examiner

Institutional Claims Examiner I

Claims Examiner

Executive Claims Examiner, Miscellaneous Professional E&O

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