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Remote Lead Claims Examiner

Remote / Online - Candidates ideally in
Orange, Orange County, California, 92613, USA
Listing for: CalOptima Health Partnership
Remote/Work from Home position
Listed on 2026-10-09
Job specializations:
  • Insurance
Salary/Wage Range or Industry Benchmark: 56000 - 84000 USD Yearly USD 56000.00 84000.00 YEAR
Job Description & How to Apply Below

Cal Optima Health Partnership seeks a Claims Examiner
- Lead to provide advanced technical expertise and workflow oversight within the CLA
- Claims Production team. This role supports claim adjudication, benefit interpretation and regulatory compliance while collaborating with providers and stakeholders.

The position offers Full Telework with optional in-office presence in Orange, CA. You will mentor examiners, monitor productivity, and drive quality, leveraging Facets and Jiva among other

The Remote Lead Claims Examiner position in the Finance field is open for applications.

This is a great opening to take on the Remote Lead Claims Examiner role at Cal Optima Health Partnership.

As a Remote Lead Claims Examiner, you will play an important part at Cal Optima Health Partnership in Orange, CA, United States.

We invite applications for the Remote Lead Claims Examiner position located in Orange, CA, United States.

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