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7 results for Insurance Authorization Specialist in Santa Clara, CA

Insurance Coordinator

San Jose, CA
onsite
Temporary / Contract
23.75 - 27.5 USD / Hourly
We are looking for an Insurance Coordinator to support insurance-related workflows for a service-focused team in San Jose, California. This Long-term Contract position is ideal for someone who is highly organized, detail-oriented, and experienced in reviewing coverage information to help ensure efficient coordination of services. The person in this role will work closely with patients, providers, and payers to confirm benefits, secure approvals, and maintain accurate documentation. Responsibilities: • Confirm active medical coverage and benefit details with insurance carriers before services are scheduled or delivered. • Obtain required prior authorizations and referrals to prevent delays in service and support timely care coordination. • Review payer guidelines and plan rules to determine eligibility, coverage limits, and out-of-pocket responsibilities. • Communicate with internal teams, patients, and insurance representatives to resolve verification issues and missing information. • Maintain complete and accurate records of insurance activity, authorization status, and follow-up actions in appropriate systems. • Track pending approvals and proactively follow up with payers to ensure decisions are received within expected timeframes. • Escalate complex coverage or authorization concerns when additional review or intervention is needed.
2026-07-03T00:00:00Z

AP Specialist

Oakland, CA
onsite
Temporary / Contract
30 - 35 USD / Hourly
Are you an experienced Accounts Payable Specialist with expertise in NetSuite? Robert Half is seeking a detail-oriented and tech-savvy professional to support accounts payable functions for one of our clients. The ideal candidate will have strong proficiency with NetSuite, exceptional organizational skills, and a solid understanding of accounting processes. This is an excellent opportunity to work with a growing company in a dynamic and collaborative environment. Based on general knowledge.
2026-06-19T00:00:00Z

Medical Claims Representative

Pleasanton, CA
onsite
Temporary to Hire
31.35 - 36.3 USD / Hourly
We are looking for a Medical Claims Representative to join our team in Pleasanton, California in a Contract to Permanent role. This position is ideal for someone with experience handling medical claims, billing activity, and insurance-related documentation in a fast-paced environment. The person in this role will support accurate claim review and member-related processing while communicating clearly with Spanish-speaking members and internal teams. Success in this position requires strong knowledge of medical terminology, benefit plans, and claims administration procedures. Responsibilities: • Review, evaluate, and process medical claims with close attention to accuracy, completeness, and applicable coverage details. • Enter and maintain member, enrollment, beneficiary, and medical information within internal claims systems while following established procedures. • Verify insurance details and confirm benefit eligibility to support timely and correct claim handling. • Interpret billing information, coding details, and supporting documentation to determine appropriate claim outcomes. • Communicate with members, providers, and internal partners regarding claim status, required documentation, and benefit-related questions. • Assist Spanish-speaking members by providing clear and thorough support in both English and Spanish. • Apply working knowledge of healthcare benefits, policies, and regulatory guidelines when reviewing claim activity. • Escalate complex or legally sensitive claim matters to leadership when additional review or direction is needed.
2026-06-22T00:00:00Z

Claims Adjuster

Dublin, CA
onsite
Temporary / Contract
30 - 35 USD / Hourly
Our client in the insurance industry is seeking a Bilingual Claims Adjuster to join their team. This role is ideal for a detail-oriented professional with strong investigative skills, excellent customer service, and the ability to communicate effectively in both Spanish and English. The Claims Adjuster will be responsible for reviewing, investigating, and resolving insurance claims while ensuring compliance with company policies and regulatory requirements. Based on general knowledge. Key Responsibilities:<ul><li>Investigate, evaluate, and process insurance claims from initial report through resolution. Based on general knowledge.</li><li>Review documentation, interview claimants and witnesses, and gather facts to determine claim validity. Based on general knowledge.</li><li>Communicate with policyholders, attorneys, medical providers, repair vendors, and internal teams in both Spanish and English. Based on general knowledge.</li><li>Assess coverage, determine liability, and calculate appropriate settlement amounts. Based on general knowledge.</li><li>Maintain accurate claim files, notes, and supporting documentation in the claims management system. Based on general knowledge.</li><li>Negotiate settlements within authority limits and escalate complex claims as needed. Based on general knowledge.</li><li>Ensure timely handling of claims in accordance with service standards and regulatory requirements. Based on general knowledge.</li><li>Provide professional, empathetic customer service during potentially sensitive situations. Based on general knowledge.</li></ul> If you are interested in this opportunity, please call Dennis Brinkmann at 925-271-4809.
2026-06-20T00:00:00Z

Risk and Insurance Assistant

Santa Clara, CA
onsite
Temporary / Contract
31.6635 - 36.663 USD / Hourly
We are looking for a Risk and Insurance Assistant to support administrative and coordination activities across risk, compliance, and insurance programs in Santa Clara, California. This Long-term Contract position is ideal for someone who can manage multiple processes, maintain accurate records, and work closely with campus partners, insurance representatives, and internal leadership. The role focuses on keeping key programs organized, compliant, and responsive while helping the Risk Management Office operate efficiently. Responsibilities: • Administer daily activities for operational risk programs, including support for driver eligibility reviews and youth protection compliance processes. • Review and process program requests, maintain documentation, and monitor completion of certifications, renewals, and related compliance requirements. • Coordinate training schedules, background screening steps, and required records with internal departments to ensure timely program participation. • Track outstanding compliance items, follow up with stakeholders, and bring policy or eligibility concerns to the attention of risk management leadership. • Manage claims-related administration by organizing intake details, maintaining case documentation, and monitoring status updates across insurance matters. • Act as a point of coordination between campus teams, insurance carriers, and third-party administrators to support clear communication and timely issue resolution. • Assist with insurance program administration by collecting renewal information, preparing supporting materials, and maintaining policy and coverage records. • Help oversee office operations by supporting certificate requests, routing risk-related inquiries, maintaining program files, and guiding student assistants as needed. • Contribute to risk management projects, resource development, and departmental efforts to strengthen procedures and reduce operational exposure.
2026-07-02T00:00:00Z

Contract Specialist

Oakland, CA
onsite
Temporary / Contract
30 - 35 USD / Hourly
Contract SpecialistJob Description:We are seeking a Contract Specialist to support the preparation, review, and administration of contracts and related documents. This role requires strong analytical skills, attention to detail, and the ability to coordinate across departments.Responsibilities:<ul><li>Draft, review, and process contracts, amendments, and renewals</li><li>Track contract timelines, obligations, and compliance requirements</li><li>Maintain organized contract files and databases</li><li>Coordinate with legal, procurement, and business teams on contract matters</li><li>Identify discrepancies and assist with contract issue resolution</li></ul>
2026-07-02T00:00:00Z

Associate Financial Advisor - RIA

San Francisco, CA
onsite
Permanent / Full Time
90000 - 120000 USD / Yearly
Reach out to Michelle Espejo via email or LinkedIn for additional information or questions regarding this listing. Associate Financial Advisor | Wealth Management | San Francisco; Hybrid; 3 days A growing independent wealth management firm is expanding its team. Known for delivering thoughtful, personalized financial guidance, the firm offers an environment where employees are highly valued, supported, and given meaningful exposure to comprehensive wealth planning. This is an exciting opportunity to work alongside experienced advisors, build deep client relationships, and gain hands-on exposure across financial planning, investment operations, and wealth management strategy. The firm offers a hybrid schedule, competitive compensation with bonus potential, strong benefits, educational support, and clear long-term growth opportunities within a high-performing, team-oriented environment. Responsibilities<ul><li>Prepare and update financial plans using planning software</li><li>Support advisors with comprehensive financial planning and client service</li><li>Participate in client meetings and maintain ongoing client relationships</li><li>Assist with account administration, investment service requests, and portfolio maintenance</li><li>Help improve workflows, processes, and client service delivery</li><li>Collaborate with advisors and internal specialists to support client goals</li><li>Stay current on compliance requirements, firm policies, and industry trends</li></ul>For fastest consideration, reach out to Michelle Espejo via email or LinkedIn
2026-06-24T00:00:00Z