TEKsystems · 9 hours ago
Claims Examiner
Los Angeles, CA
Full-time
Onsite
Entry, Mid Level
$24/hr - $24/hr
2+ years expTEKsystems is a leading provider of business and technology services, helping clients activate ideas and solutions for transformation. The Claims Examiner is responsible for benefit analysis, managing special projects, claim denials, and ensuring compliance in claims processing while collaborating with management to enhance operational efficiencies.
Information Technology
Responsibilities
Performing activities related to benefit analysis and system design
Managing special projects
Claim denials
Auto-adjudication applications
Oversight of all workflow, research, and documentation under limited supervision from Claims management
Identifying potential company risks
Implementing appropriate courses of action
Developing strategies to reduce adjudication errors
Analyzing all relevant information to track and trend the outcomes of special projects
Providing findings to the appropriate management
Qualification
Required
2+ years working knowledge of claims processing and system configuration, preferably EZCap or like systems
Strong ability to collaborate with management and other project managers to define business process issues, analyze operational efficiencies, implement creative solutions, and measure delivery results
Should exhibit a disciplined, process and data-driven approach and methodology
Requires strong organizational, communication and written skills
Must be able to function with minimal supervision and be able to prioritize all work tasks
Demonstrated ability to conduct and interpret qualitative and quantitative analysis and problem-solving skills
Ability to work well with individuals in all levels of the organization; must be an effective team player
Demonstrated ability to exercise initiative, independent judgment and be a self-starter
Strong PC-based business software skills including MS Office suite (Access, Excel, PowerPoint, Word)
Knowledge Of Claims Processing And Regulatory Agencies Requirements
Benefits
Medical, dental & vision
Critical Illness, Accident, and Hospital
401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
Life Insurance (Voluntary Life & AD&D for the employee and dependents)
Short and long-term disability
Health Spending Account (HSA)
Transportation benefits
Employee Assistance Program
Time Off/Leave (PTO, Vacation or Sick Leave)
Company
TEKsystems
At TEKsystems, they understand people. Every year they deploy over 80,000 IT professionals at 6,000 client sites across North America,
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Ryan Skains
Vice President, TEKsystems Global Services
Recent News
2025-11-19
2025-10-29
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