Job Description
Job DescriptionMedical Claims Examiner
???? Locations: Fairfield, CA or Redding, CA
???? Pay Rate: $28.00/hour
???? Schedule: Monday-Friday, 8:00 AM-5:00 PM
Flexibility: Start time flexibility available after training
???? Training: Approximately 3 months onsite
Join a Respected Healthcare Organization
Are you detail-oriented, analytical, and experienced working with medical claims? We're seeking a Medical Claims Examiner to join a well-established health plan dedicated to serving California communities. This is an excellent opportunity to build your healthcare career while working for a reputable organization that makes a meaningful impact on its members.
What You'll Do
As a Medical Claims Examiner II, you'll review, research, and process a variety of Medi-Cal claims while ensuring accuracy, quality, and compliance with established guidelines.
Key Responsibilities:
- Review, research, and resolve pended Medi-Cal claims including:
- Medical
- Hospital
- Ancillary
- Long-Term Care
- Encounter Data
- Other Coverage Claims
- Batch Claims
- Process claims and claims-related worksheets accurately and efficiently.
- Investigate claim issues and determine appropriate resolutions.
- Route claims to internal departments when additional review is needed and follow up to ensure timely completion.
- Generate provider correspondence and documentation related to claim processing.
- Maintain accurate records of production and claim activity.
- Review audit findings and make necessary corrections within established timelines.
- Identify trends, process improvement opportunities, and provide feedback to management.
- Assist with special projects and additional departmental needs as assigned.
What We're Looking ForRequired Qualifications:
- Previous medical claims processing experience.
- Strong attention to detail and ability to maintain accuracy in a fast-paced environment.
- Effective written and verbal communication skills.
- Strong organizational and time management skills.
- Ability to meet production and quality goals consistently.
- Comfortable working independently and exercising sound judgment.
- Proficiency using computers and working in multiple systems throughout the day.
Preferred Qualifications:
- Knowledge of CPT and ICD-10 coding.
- Experience processing Medi-Cal claims.
- Healthcare, health plan, TPA, or insurance industry experience.
Work Environment
- 100% onsite in either Fairfield, CA or Redding, CA
- Monday-Friday schedule
- Training conducted onsite for approximately 3 months
- Majority of the workday is spent working on a computer processing claims and researching claim information
Interview Process
Candidates selected to move forward will be required to complete the following assessments prior to the interview stage:
- Microsoft Office Assessment
- 10-Key Data Entry Assessment
Job Type & Location
This is a Contract to Hire position based out of Redding, CA.
Pay and Benefits
The pay range for this position is $28.00 - $28.00/hr.
Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: 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)
Job Type & Location
This is a Contract to Hire position based out of Redding, CA.
Application Deadline
This position is anticipated to close on Nov 4, 2026.
Workplace Type
This is a fully onsite position in Redding,CA.
About TEKsystems
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About TEKsystems and TEKsystems Global Services
Were a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. Were a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. Were strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. Were building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.
Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.