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Claims Examiner - Stop Loss Coordinator - Fresno, CA

Community Health System · Fresno, CA · Claims Department

Compensation

$26.25 – $33.4 /hr

Employment type

Full-time

Work setting

On-site

Location

Fresno, CA

Schedule

Day shift

Posted

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Job overview

The Claims Examiner - Stop Loss Coordinator role is a full-time onsite position located in Fresno, CA. Compensation is $26.25 - $33.40 per hour. This role supports the Community Care Health team at Community Health System. This role exists to review and process complex healthcare claims and manage stop loss policies. The examiner contributes to the team by identifying discrepancies, verifying pricing, and ensuring compliance.

What you'll do

  • Review and process professional and hospital claims, track stop loss members, file stop loss claims, and train staff on system enhancements.

What we're looking for

Skills & competencies
full-time
day shift
fresno ca
claims
insurance
healthcare
$26.25-$33.40/hr
onsite
adjudication
compliance
Work arrangement
  • Weekend coverage required

Benefits & perks

  • Free continuing education, tuition reimbursement, 403(b) with matching, and vacation time.

Why this role

Recognized as a top employer with a commitment to diversity and inclusion.

About the employer

Community Health System is hiring for this role. Industry: Claims Adjusting. Sector: 52.

Additional details

Industry sector
52
Industry
Claims Adjusting
Occupation code
43-9041.00
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