What are the responsibilities and job description for the Claims Examiner position at TEKsystems?
Claims Specialist * Onsite - West Hills, CA*
We are hiring a Claims Specialist to support claims compliance, authorization review, and auditing activities. This is a fully onsite role based in West Hills, CA.
*Note:* An integrity assessment is required to move forward in the interview process.
Responsibilities:
* Review institutional and professional claims to validate prior authorization requirements
* Confirm authorization accuracy and update *EZ CAP* accordingly
* Prepare cases for denial when appropriate and return to Claims Examiners
* Follow up on cases sent to Medical Directors and track updates in EZ CAP
* Review sensitive services and Guardant cases; process administrative denials as needed
* Track and trend findings from audits and special projects
Qualifications:
* *5 years* of experience in healthcare claims processing
* Working knowledge of *EZ CAP* or similar claims systems
* Strong understanding of authorizations, denials, and claims compliance
* Detailoriented with strong analytical and followup skills
* Able to collaborate effectively with management and crossfunctional teams
Work Details:
* *100% onsite - West Hills, CA*
* *Highvolume, detaildriven claims environment*
* *Integrity test required during the interview process*
*Job Type & Location*
This is a Contract to Hire position based out of Canoga Park, CA 91304.
*Pay and Benefits*The pay range for this position is $26.00 - $26.00/hr.
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)
*Workplace Type*This is a fully onsite position in Canoga Park,CA 91304.
*Application Deadline*This position is anticipated to close on Apr 24, 2026.
h4>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
We're 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. We're 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. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're 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.
We are hiring a Claims Specialist to support claims compliance, authorization review, and auditing activities. This is a fully onsite role based in West Hills, CA.
*Note:* An integrity assessment is required to move forward in the interview process.
Responsibilities:
* Review institutional and professional claims to validate prior authorization requirements
* Confirm authorization accuracy and update *EZ CAP* accordingly
* Prepare cases for denial when appropriate and return to Claims Examiners
* Follow up on cases sent to Medical Directors and track updates in EZ CAP
* Review sensitive services and Guardant cases; process administrative denials as needed
* Track and trend findings from audits and special projects
Qualifications:
* *5 years* of experience in healthcare claims processing
* Working knowledge of *EZ CAP* or similar claims systems
* Strong understanding of authorizations, denials, and claims compliance
* Detailoriented with strong analytical and followup skills
* Able to collaborate effectively with management and crossfunctional teams
Work Details:
* *100% onsite - West Hills, CA*
* *Highvolume, detaildriven claims environment*
* *Integrity test required during the interview process*
*Job Type & Location*
This is a Contract to Hire position based out of Canoga Park, CA 91304.
*Pay and Benefits*The pay range for this position is $26.00 - $26.00/hr.
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)
*Workplace Type*This is a fully onsite position in Canoga Park,CA 91304.
*Application Deadline*This position is anticipated to close on Apr 24, 2026.
h4>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
We're 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. We're 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. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're 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.
Salary : $26