Remote Claims Examiner – Healthcare Adjudication
Remote / Online - Candidates ideally in
Orange, Orange County, California, 92613, USA
Listed on 2026-08-24
Orange, Orange County, California, 92613, USA
Listing for:
CalOptima
Remote/Work from Home
position Listed on 2026-08-24
Job specializations:
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Insurance
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Administrative/Clerical
Job Description & How to Apply Below
Cal Optima is seeking a Claims Examiner to analyze and validate claim data, adhere to regulatory guidelines, and support the Claims Administration team. This role offers Full Telework with California residency; occasional in-office presence may be required if partial telework occurs.
The team emphasizes accuracy, collaboration with providers and stakeholders, and building equitable health access. A high school diploma and claims experience are required.
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