Claims Specialist

4Consulting, Inc.; La Palma (CA); On-site; USD 65,000 - 85,000; Full time

Job summary

4Consulting, Inc. is seeking a Claims Intake Specialist to manage submissions, verify documentation, and maintain accurate records across high-volume programs.

The role requires coordinating with multiple teams and communicating with claimants to gather information and resolve intake issues. Preferred candidates have Medicaid or healthcare claims experience and multilingual abilities in Spanish, Vietnamese, or Korean.

Qualifications

• Bachelor's degree in Computer Science, Information Technology, Engineering, Business, or related field, or equivalent combination of education and experience.
• Experience managing claims intake, claims administration, or high-volume claims processing operations.
• Experience supporting healthcare or public-benefit claims processes (Medicaid preferred).
• Fluency or working proficiency in Spanish, Vietnamese, or Korean.

Responsibilities

• Receive and process claims submissions, review claimant information, and verify supporting documentation for completeness and accuracy.
• Maintain claims records, update case information, and manage intake documentation per procedures.
• Communicate with claimants to gather missing information and answer intake questions throughout the submission process.
• Support high-volume claims processing activities and coordinate with internal teams to maintain accurate records.

Skills

Claims intake processing

Documentation management

Stakeholder communication

Multilingual communication

Education

Bachelor's degree or equivalent

Job description

Essential Duties and Responsibilities

• Receive and process claims submissions, review claimant information, and verify supporting documentation for completeness and accuracy.
• Maintain claims records, update case information, and manage intake documentation in accordance with established settlement program procedures.
• Communicate with claimants to gather missing information, answer intake-related questions, and provide assistance throughout the claims submission process.
• Support high-volume claims processing activities, resolve documentation issues, and coordinate with internal teams to maintain accurate records and timely claim intake.

Minimum Qualifications

Education

Bachelor’s degree in Computer Science, Information Technology, Engineering, Business, or related field, or equivalent combination of education and experience.

Experience

Experience managing claims intake, claims administration, or high-volume claims processing operations, preferably within class action settlements, mass tort claims, large settlement programs, or similar environments.

Business / Domain Skills

Experience supporting large-scale settlement claims programs, including class action settlements, mass tort claims, and other high-volume claims administration environments.

Experience managing claimant information, reviewing supporting documentation, maintaining case records, and coordinating claims intake workflows.

Experience supporting healthcare or public-benefit claims processes, with prior Medicaid experience preferred.

Experience assisting diverse claimant populations through multilingual communication in Spanish, Vietnamese, or Korean.

Communication

Ability to communicate with technical and business stakeholders.

Documentation

Ability to prepare project documentation, status updates, and deliverables.

Work Authorization

Must be legally authorized to work in the United States. Sponsorship may be considered where permitted by company policy and project requirements.

Certification Required

None

Travel Required

None

Supervisory Role

No

Preferred Qualifications

Prior experience supporting Medicaid programs, healthcare claims, or public-benefit administration is preferred.

Fluency or strong working proficiency in at least one of the following languages: Spanish, Vietnamese, or Korean.

Strong attention to detail, communication, organizational, and customer service skills, with the ability to manage high-volume workloads and sensitive claimant information.

Equal Employment Opportunity Statement

4Consulting, Inc is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, national origin, age, disability, veteran status, citizenship status, immigration status where protected by law, or any other legally protected status. All candidates will be evaluated based on job-related qualifications, experience, skills, availability, and ability to perform the essential duties of the position.