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Lead Claims Examiner – Telework Eligible

Job in Riverside, Riverside County, California, 92501, USA
Listing for: CalOptima
Full Time position
Listed on 2026-09-23
Job specializations:
  • Management
    Regulatory Compliance Specialist, Project & Program Management
Salary/Wage Range or Industry Benchmark: 56000 - 84000 USD Yearly USD 56000.00 84000.00 YEAR
Job Description & How to Apply Below
Position: Lead Claims Examiner – Full Telework Eligible

Cal Optima in Orange, CA seeks a Lead Claims Examiner to oversee complex claim adjudication, ensure regulatory compliance, and guide the Claims Administration team across all lines of business.

The role partners with supervisors to optimize workflow, monitor quality metrics, and support staff development, with strong emphasis on accuracy and collaboration with providers and stakeholders.

We have an opening for a Lead Claims Examiner – Full Telework Eligible in Orange, CA, United States within Finance, Bio & Pharmacology & Health.

The Lead Claims Examiner – Full Telework Eligible position in the Finance, Bio & Pharmacology & Health field is open for applications.

This role, Lead Claims Examiner – Full Telework Eligible at Cal Optima, could be your next opportunity.

Are you ready to take on the Lead Claims Examiner – Full Telework Eligible role at Cal Optima?

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