This growing organization is seeking an experienced and detail-oriented Claims Examiner to join its Claims Department. This role is responsible for accurately and efficiently processing medical, dental, weekly disability, and life insurance claims for participants, in accordance with plan benefits, procedures, and regulatory requirements. The ideal candidate will have a minimum of two years of recent experience in on-line claims adjudication, along with a solid understanding of group benefit plans, claims codes, medical terminology, and PPO guidelines.

The Claims Examiner will also provide exceptional customer service by responding to inquiries from participants and providers via phone, email, and correspondence. The position requires proficiency in Microsoft Word, Excel, and Access; strong written and verbal communication skills; and the ability to perform data entry, recalculations, and interpret complex plan documentation with accuracy and attention to detail. The ability to multi-task, meet productivity benchmarks, and collaborate effectively in a team-oriented environment is essential. This is a great opportunity to join a dedicated team in a stable and structured work environment focused on accuracy, service, and compliance.

Equal Opportunity Employer / Disabled / Protected Veterans

The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf

The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf

For temporary assignments lasting 13 weeks or longer, AppleOne is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf

We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.