SECONDARY DUTIES AND RESPONSIBILITIES * Assist with system testing as needed. * Other duties as ... Employment Type: FULL_TIME
SECONDARY DUTIES AND RESPONSIBILITIES * Assist with system testing as needed. * Other duties as ... Employment Type: FULL_TIME
SECONDARY DUTIES AND RESPONSIBILITIES * Assist with system testing as needed. * Other duties as ... Employment Type: FULL_TIME
SECONDARY DUTIES AND RESPONSIBILITIES * Assist with system testing as needed. * Other duties as ... Employment Type: FULL_TIME
Claims/Finance Assistant - Full Time - Permanent
Durham, NC · On-site
$18 - $23/hr
ADMINISTRATIVE ASSISTANT (Claim and/or Finance)- FULL TIME, PERMANENT - Durham/Chapel Hill Area ... Various testing on wpm & Microsoft Office may apply. Candidate should have an impeccable attention ...
Claims/Finance Assistant - Full Time - Permanent
Durham, NC · On-site
$18 - $23/hr
ADMINISTRATIVE ASSISTANT (Claim and/or Finance)- FULL TIME, PERMANENT - Durham/Chapel Hill Area ... Various testing on wpm & Microsoft Office may apply. Candidate should have an impeccable attention ...
Manager, Claims Compliance
Chicago, IL · On-site +1
... testing and deficiency closure. * Represent Claims in SOX, statutory, and carrier audits ... Some roles, like those at greenlight hubs, require full-time in-office presence. Ask your Recruiter ...
Manager, Claims Compliance
Chicago, IL · On-site +1
... testing and deficiency closure. * Represent Claims in SOX, statutory, and carrier audits ... Some roles, like those at greenlight hubs, require full-time in-office presence. Ask your Recruiter ...
Manager, Claims Compliance
Chicago, IL · On-site
... testing and deficiency closure. * Represent Claims in SOX, statutory, and carrier audits ... All full-time employees are eligible to participate in a 401(k) plan. You will also be eligible for ...
Manager, Claims Compliance
Chicago, IL · On-site
... testing and deficiency closure. * Represent Claims in SOX, statutory, and carrier audits ... All full-time employees are eligible to participate in a 401(k) plan. You will also be eligible for ...
Risk and Claims Manager
Cincinnati, OH · On-site
This position is full-time, in-person, at our corporate headquarters with occasional trips to our ... Must successfully complete pre-employment testing * Must be able to read and speak the English ...
Risk and Claims Manager
Cincinnati, OH · On-site
This position is full-time, in-person, at our corporate headquarters with occasional trips to our ... Must successfully complete pre-employment testing * Must be able to read and speak the English ...
... testing for system upgrades, conversions, or implementation of new processes. * Serves as a ... Work Schedule: 5 Days - 8 Hours Work Type: Full Time
... testing for system upgrades, conversions, or implementation of new processes. * Serves as a ... Work Schedule: 5 Days - 8 Hours Work Type: Full Time
This position is full-time, in-person, at our corporate headquarters with occasional trips to our ... Must successfully complete pre-employment testing * Must be able to read and speak the English ...
This position is full-time, in-person, at our corporate headquarters with occasional trips to our ... Must successfully complete pre-employment testing * Must be able to read and speak the English ...
This position is full-time, in-person, at our corporate headquarters with occasional trips to our ... Must successfully complete pre-employment testing * Must be able to read and speak the English ...
Quick apply
This position is full-time, in-person, at our corporate headquarters with occasional trips to our ... Must successfully complete pre-employment testing * Must be able to read and speak the English ...
... testing for system upgrades, conversions, or implementation of new processes. * Serves as a ... Work Schedule: 5 Days - 8 Hours Work Type: Full Time
... testing for system upgrades, conversions, or implementation of new processes. * Serves as a ... Work Schedule: 5 Days - 8 Hours Work Type: Full Time
Claims Adjuster - Workers Compensation
Green Bay, WI · Hybrid
$64K - $83K/yr
Full time; Monday-Friday, 7:30 a.m.-4:30 p.m. Apply now Get job alerts Job overview: Schneider is ... pre-employment testing, or job interview or to otherwise participate in the hiring process ...
Claims Adjuster - Workers Compensation
Green Bay, WI · Hybrid
$64K - $83K/yr
Full time; Monday-Friday, 7:30 a.m.-4:30 p.m. Apply now Get job alerts Job overview: Schneider is ... pre-employment testing, or job interview or to otherwise participate in the hiring process ...
Participate in projects and testing initiatives. Display flexibility to support evolving department ... All full-time employees have the option to select from multiple health, dental and vision insurance ...
Participate in projects and testing initiatives. Display flexibility to support evolving department ... All full-time employees have the option to select from multiple health, dental and vision insurance ...
Participate in projects and testing initiatives. Display flexibility to support evolving department ... All full-time employees have the option to select from multiple health, dental and vision insurance ...
Participate in projects and testing initiatives. Display flexibility to support evolving department ... All full-time employees have the option to select from multiple health, dental and vision insurance ...
Participate in projects and testing initiatives. Display flexibility to support evolving department ... All full-time employees have the option to select from multiple health, dental and vision insurance ...
Participate in projects and testing initiatives. Display flexibility to support evolving department ... All full-time employees have the option to select from multiple health, dental and vision insurance ...
Participate in projects and testing initiatives. Display flexibility to support evolving department ... All full-time employees have the option to select from multiple health, dental and vision insurance ...
Participate in projects and testing initiatives. Display flexibility to support evolving department ... All full-time employees have the option to select from multiple health, dental and vision insurance ...
Participate in projects and testing initiatives. Display flexibility to support evolving department ... All full-time employees have the option to select from multiple health, dental and vision insurance ...
Participate in projects and testing initiatives. Display flexibility to support evolving department ... All full-time employees have the option to select from multiple health, dental and vision insurance ...
Participate in projects and testing initiatives. Display flexibility to support evolving department ... All full-time employees have the option to select from multiple health, dental and vision insurance ...
Participate in projects and testing initiatives. Display flexibility to support evolving department ... All full-time employees have the option to select from multiple health, dental and vision insurance ...
Participate in projects and testing initiatives. • Display flexibility to support evolving ... All full-time employees have the option to select from multiple health, dental and vision insurance ...
Participate in projects and testing initiatives. • Display flexibility to support evolving ... All full-time employees have the option to select from multiple health, dental and vision insurance ...
Participate in projects and testing initiatives. Display flexibility to support evolving department ... All full-time employees have the option to select from multiple health, dental and vision insurance ...
Participate in projects and testing initiatives. Display flexibility to support evolving department ... All full-time employees have the option to select from multiple health, dental and vision insurance ...
Participate in projects and testing initiatives. Display flexibility to support evolving department ... All full-time employees have the option to select from multiple health, dental and vision insurance ...
Participate in projects and testing initiatives. Display flexibility to support evolving department ... All full-time employees have the option to select from multiple health, dental and vision insurance ...
Full Time Claims Tester information
See salary details
$41K - $46.3K
1% of jobs
$46.3K - $51.5K
4% of jobs
$51.5K - $56.8K
3% of jobs
$56.8K - $62.1K
6% of jobs
$66.6K is the 25th percentile. Wages below this are outliers.
$62.1K - $67.4K
12% of jobs
$67.4K - $72.6K
14% of jobs
The median wage is $77K / yr.
$72.6K - $77.9K
12% of jobs
$77.9K - $83.2K
18% of jobs
$84.9K is the 75th percentile. Wages above this are outliers.
$83.2K - $88.5K
15% of jobs
$88.5K - $93.7K
12% of jobs
$93.7K - $99K
3% of jobs
$41K
$76K
$99K
How much do full time claims tester jobs pay per year?

Job description
Train examiner and customer service level I staff on all related claim types for all Partnership lines of business using AMISYS Advance system and Claims Operating Instruction Memorandums.
Responsibilities- Train all levels of staff on all claim types on-site or regional site(s).
- Train all levels of staff on CIF processing, generating and processing adjustments both on-site and regional site(s)
- Provide feedback and recommendation to the Claims Audit Supervisor and Associate Director of Claims on staff training needs and system adjustments.
- Create and maintain training materials
- Maintain current knowledge of Partnerhsip Claims Policy and Procedures for all lines of business, Medi-Cal Provider Manual, Title 22 regulations, Knox Keene regulations, and CMS Medicare regulations.
- Draft Claims Operating Instruction documentation for the Claims Director as assigned.
SECONDARY DUTIES AND RESPONSIBILITIES
- Assist with system testing as needed.
- Other duties as assigned.
Education and Experience
Minimum two (2) years of claims examining experience and completion of Partnership Claims training; or equivalent combination of education the experience.
Special Skills, Licenses and Certifications
Familiar with Medi0Cal and/or managed care claims processing. Knowledge of CPT, HCPC procedure coding, and ICD -9/ICD10 diagnostic coding. Typing speed 30 wpm and proficient use of 10-key calculator. Familiar with AMISYS or similar claims systems. Understanding of claims examining requirements. Valid California driver's license and proof of current automobile insurance compliant with Partnerrship policy are required to operate a vehicle and travel for company business.
Performance Based Competencies
Excellent oral and written communication skills. Ability to effectively exercise good judgment within scope of authority and handle sensitive issues with tact and diplomacy. Ability to work on multiple tasks within established time frames and sometimes conflicting priorities. Good organizational skills with ability to maintain accurate records and documentation of actions and decisions.
Work Environment And Physical Demands
Ability to use a computer keyboard. More than 60% of work time is spent in front of a computer monitor. When required, ability to move, carry or list objects of varying size, weighing up to 5 lbs.
All HealthPlan employees are expected to:
- Provide the highest possible level of service to clients;
- Promote teamwork and cooperative effort among employees;
- Maintain safe practices; and
- Abide by the HealthPlan's policies and procedures, as they may from time to time be updated.
HIRING RANGE:
$ 33.65 - $ 40.38
IMPORTANT DISCLAIMER NOTICE
The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.
Employment Type: FULL_TIMEAbout Partnership HealthPlan of California
Sourced by ZipRecruiter
Industry
Insurance services
Company size
501 - 1,000 Employees
Headquarters location
Fairfield, CA, US
Year founded
1994