Claims Coordinator

LIBERTY DENTAL PLAN CORPORATION•Tustin, CA

1d•$21 - $26•Hybrid

About The Position

We’re looking for a proactive and detail-oriented Claims Coordinator to join our Post Audit team. In this role, you’ll be a key partner in ensuring claims accuracy, supporting audit processes, and delivering an exceptional experience to our provider network. You’ll serve as a primary point of contact for providers—helping resolve claim inquiries, guiding them through audit outcomes, and ensuring all activities are handled with precision, accountability, and compliance.

Requirements

High School Diploma or GED required
2+ years of experience in claims processing, healthcare operations, or a related environment
Strong customer service and communication skills, with the ability to manage provider interactions professionally
Ability to research, analyze, and resolve claims-related issues with strong attention to detail
Comfortable navigating high-volume workflows and managing multiple priorities
Proven ability to build relationships and effectively communicate with external partners
Proficiency in Microsoft Excel and experience with data tracking or reporting
Must maintain confidentiality and adhere to all regulatory and compliance requirements

Nice To Haves

Associate’s or Bachelor’s degree in Healthcare Administration, Business, or a related field preferred
Familiarity with healthcare compliance standards, audits, or appeals processes is a plus

Responsibilities

Serve as a trusted resource for providers by responding to inquiries via phone and email with professionalism, accuracy, and timely follow-up
Research and investigate claim statuses by reviewing documentation, system data, and applicable guidelines to deliver clear and concise responses
Act as a central point of contact for assigned hospitals and health systems, building strong and effective relationships
Support audit processes by communicating findings, coordinating outreach, and influencing providers to obtain audit signoff
Manage daily claims activities, including sending audit findings and appeal determination responses
Track, monitor, and follow up on outstanding audit and claims-related items to ensure timely resolution
Assist in obtaining and triaging provider appeals to the appropriate internal teams
Ensure adherence to federal compliance standards, policies, and contractual requirements
Analyze and create spreadsheets to track claims activity, audit outcomes, and provider interactions

Benefits

Competitive pay structure
Savings options
Excellent 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines
Affordable medical insurance, with low-cost premiums for employee-only coverage. Liberty subsidizes the cost for eligible dependents enrolled in the plan.
100% employer-paid dental coverage for employees and eligible dependents
Vision insurance with low-cost premiums for employee-only coverage and dependents
Company-paid basic life and AD&D insurance, equal to one times your base salary, with options to purchase additional supplemental coverage
Flexible Spending Accounts for healthcare and dependent care expenses
Voluntary benefit programs, including accident, critical illness, and hospital indemnity insurance
Long-term disability coverage
Expansive wellness programs, including company-wide wellness challenges, BurnAlong memberships, and gym discounts
Employee Assistance Program (EAP) to support mental health and well-being
Generous vacation and sick leave policies, with the ability to roll over unused time
10 paid company holidays
Tuition reimbursement for eligible educational expenses
Remote or hybrid work options available for various positions