Claims Examiner I – Ops

Centene Corporation

Claims Examiner reviewing and processing healthcare claims for compliance and reimbursement. Requires high school diploma and experience in medical billing with a Pharmacy Tech background.

Posted 4/30/2026full-timeLos Angeles • California • 🇺🇸 United StatesJuniorMid-Level💰 $16 - $27 per hourWebsite

About the role

Key responsibilities & impact

Review claims for adjudication, adjustment, billing, coding, compliance and reimbursement
Review, process and resolve pending medical, hospital and prescription claims
Maintain appropriate records, files, documentation, etc.
Enter manual claims into claims system
Work mandatory overtime as needed

Requirements

What you’ll need

High school diploma or equivalent
0-2 years of claim processing or medical billing experience in a managed care environment or physician’s office
Pharmacy Tech background

Benefits

Comp & perks

competitive pay
health insurance
401K and stock purchase plans
tuition reimbursement
paid time off plus holidays
flexible approach to work with remote, hybrid, field or office work schedules

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

claims processingmedical billingadjudicationcodingcompliancereimbursementrecord maintenancedocumentationmanual claims entry

Soft Skills

attention to detailproblem-solvingorganizational skillscommunication skills

Certifications

high school diplomaPharmacy Tech certification