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Senior Claims Examiner - Remote Healthcare Adjudication

Remote / Online - Candidates ideally in
Orange, Orange County, California, 92613, USA
Listing for: CalOptima Health Partnership
Remote/Work from Home position
Listed on 2026-10-12
Job specializations:
  • Insurance
    Health Insurance
  • Healthcare
    Health Insurance
Salary/Wage Range or Industry Benchmark: 52000 - 72000 USD Yearly USD 52000.00 72000.00 YEAR
Job Description & How to Apply Below

Cal Optima Health Partnership, located in California, is seeking a Sr Claims Examiner for Covered California to analyze and adjudicate complex claims, ensuring compliance with regulations and internal guidelines. You will support a mission-driven, member-focused culture and collaborate with providers and stakeholders to improve health outcomes.

The role offers full telework within California, with potential in-office presence at the Orange Main Office for partial telework, and involves

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

Full responsibilities and requirements are described in the listing above.

Learn more about the Senior Claims Examiner
- Remote Healthcare Adjudication role in the description above.

We appreciate your interest in this position.

Join Cal Optima Health Partnership and contribute to our ongoing work.

Position Requirements
10+ Years work experience
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