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CLAIMS ADJUSTER

Dea96d61 5851 44ef Ab43 82f6e3d6453b 9200012208846 2 · Pleasanton, CA, US, Pleasanton, CA · Active · $33–$37 / hour · ADP Workforce Now Recruiting

Job facts

FieldValue
CompanyDea96d61 5851 44ef Ab43 82f6e3d6453b 9200012208846 2
TitleCLAIMS ADJUSTER
Normalized title-
Department / team-
LocationPleasanton, CA, United States
Work model-
Employment type-
Salary$33–$37 / hour
Statusactive
ATS providerADP Workforce Now Recruiting
Posted / first seen2026-05-13 / 2026-05-31
Changed / last seen2026-06-06 / 2026-06-06

Related slices

PageWhat it containsOpen
Company jobsActive postings from Dea96d61 5851 44ef Ab43 82f6e3d6453b 9200012208846 2.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through ADP Workforce Now Recruiting.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in Pleasanton.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

CompanyDea96d61 5851 44ef Ab43 82f6e3d6453b 9200012208846 2
Source9c4d6e51-633a-4fdd-a89e-96aa0cb0024a
ATS providerADP Workforce Now Recruiting

Description

About Our Company The Laborers Funds Administrative Office of Northern California, Inc. is a not-for-profit corporation providing administrative services under contractual agreements for Northern California Laborers Trust Funds. We employ over 100 employees and provide services for over 30,000 Laborers and beneficiaries in the various employee benefit plans we have administered since 1963. Role Overview We are seeking a medical Claims Adjuster to join our team and deliver outstanding administrative support and customer service to union Laborers and their families. Job Description A medical Claims Adjuster is responsible for administering union-negotiated fringe benefits (health and welfare) in accordance with plan documents, with a primary focus on processing medical claims in a fast-paced, high-volume environment. This role involves frequent interaction with members, providers, and partnership vendors to ensure effective communication and resolution of claim-related matters. The adjuster processes medical claims accurately and efficiently, provides excellent customer service by phone and in person to members and their families, and communicates policies, regulations, and benefit information clearly. The adjuster responds to correspondence and inquiries from members, dependents, and providers, collaborates with providers and vendors to resolve claim issues, prepares reports, and assists with special tasks and projects related to claims. Additional responsibilities include responding to legal inquiries, including subpoenas, verifying and updating eligibility with network vendors, assisting and resolving issues on behalf of members, and performing additional duties as assigned by supervisors or management. The adjuster must monitor and adapt to frequent changes and evolving requirements in regulations, organizational guidelines, and medical insurance policies or laws that may impact claims and operations. The adjuster must also be able to independently research updates in medical coding and medical policies. Qualifications Strong organizational and communication skills Two years of prior experience in medical claims processing and customer service Preferred Bi-lingual in Spanish Ability to work independently and within a high-paced, team-oriented environment Proficient in MS Suite (Outlook, Excel, Word) and computer systems and applications Ability to multi-task, prioritize and meet deadlines Self-motivated and remain calm under pressure Analytical and detail-oriented with attention to accuracy Flexible and adaptable to changes Ability to independently research and remain current on medical coding and policy changes Discretion with ability to maintain confidentiality Strong interpersonal skills in working with employees, members and other departments Basic understanding of call center ACD and IVR systems What You’ll Love Medical, dental and vision coverage paid by the employer An employee Pension and Annuity plan contributed into by the employer Optional participation in a 401K plan Sick, vacation time, 8 major holidays, and 2 annual floating holidays u nder a Collective Bargaining Agreement Conditions of Employment 150‐day probationary period Microsoft Office Suite Testing is required Work under Collective Bargaining Agreement Union job with union dues ( http://www.opeiu29.org/ ) Fringe Benefits Administered by Laborers Trust Funds ( https://norcalaborers.org/ ) Background check and drug testing Work Environment Moderate noise level is typical of an office environment

Full job record

Job IDcd4ae2144f1495c9ac99d074d1f30fc9ec8a04c0
Org IDbf636499-370e-4d83-9f57-006271d85b1c
Source ID9c4d6e51-633a-4fdd-a89e-96aa0cb0024a
Board ID9c4d6e51-633a-4fdd-a89e-96aa0cb0024a
Provideradp_workforcenow
Provider Job Key956337
TitleCLAIMS ADJUSTER
Normalized Title—
Statusactive
Activeyes
Location TextPleasanton, CA, US, Pleasanton, CA
Department—
Team—
Employment Type—
Workplace Type—
Remote Policy—
CountryUnited States
RegionCA
CityPleasanton
Salary Raw33.45 To 36.86 (USD) Hourly
Salary Min33.45
Salary Max36.86
Salary CurrencyUSD
Salary Periodhour
Source URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=dea96d61-5851-44ef-ab43-82f6e3d6453b&ccId=9200012208846_2&lang=en_US&type=JS&jobId=956337&jwId=9201528859240_1
Apply URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=dea96d61-5851-44ef-ab43-82f6e3d6453b&ccId=9200012208846_2&lang=en_US&type=JS&jobId=956337&jwId=9201528859240_1
First Seen At2026-05-31 18:45:45Z
Last Seen At2026-06-06 11:44:33Z
Last Checked At2026-06-06 11:44:33Z
Last Changed At2026-06-06 11:44:33Z
Inactive At—
Source Posted At2026-05-13 20:47:00Z
Source Updated At—
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Event Fields
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Parsed Structured
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Extensions
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Native Structured
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    "requisitionDescription": "<div><link href=\"https://static.workforcenow.adp.com/mas/mdf-components/23.32.32/styles/froala_editor.pkgd.min.css\" rel=\"stylesheet\" type=\"text/css\">&nbsp;</div><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;text-align:justify;background:white;' data-pasted=\"true\"><strong><span style='font-size:15px;font-family:\"Calibri\",sans-serif;color:black;'>About Our Company</span></strong></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;text-align:justify;background:white;'><br></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;'><span style='font-size:15px;font-family:\"Calibri\",sans-serif;color:#0E101A;'>The Laborers Funds Administrative Office of Northern California, Inc. is a not-for-profit corporation providing administrative services under contractual agreements for Northern California Laborers Trust Funds. We employ over 100 employees and provide services for over 30,000 Laborers and beneficiaries in the various employee benefit plans we have administered since 1963.</span></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;'><br></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;text-align:justify;background:white;'><strong><span style='font-size:15px;font-family:\"Calibri\",sans-serif;color:black;'>Role Overview</span></strong></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;text-align:justify;background:white;'><strong>&nbsp;</strong></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;text-align:justify;background:white;'><span style='font-size:15px;font-family:\"Calibri\",sans-serif;color:black;background:white;'>We are seeking a medical Claims Adjuster to join our team and deliver outstanding administrative support and customer service to union Laborers and their families.</span></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;text-align:justify;background:white;'><strong>&nbsp;</strong></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;background:white;vertical-align:baseline;'><strong><span style='font-size:15px;font-family:\"Calibri\",sans-serif;color:black;border:none windowtext 1.0pt;padding:0in;'>Job Description</span></strong></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;background:white;vertical-align:baseline;'><strong>&nbsp;</strong></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;margin-top:3.75pt;margin-bottom:0in;background:white;vertical-align:baseline;'><span style='font-size:15px;font-family:\"Calibri\",sans-serif;color:black;'>A medical Claims Adjuster is responsible for administering union-negotiated fringe benefits (health and welfare) in accordance with plan documents, with a primary focus on processing medical claims in a fast-paced, high-volume environment. This role involves frequent interaction with members, providers, and partnership vendors to ensure effective communication and resolution of claim-related matters. The adjuster processes medical claims accurately and efficiently, provides excellent customer service by phone and in person to members and their families, and communicates policies, regulations, and benefit information clearly. The adjuster responds to correspondence and inquiries from members, dependents, and providers, collaborates with providers and vendors to resolve claim issues, prepares reports, and assists with special tasks and projects related to claims. Additional responsibilities include responding to legal inquiries, including subpoenas, verifying and updating eligibility with network vendors, assisting and resolving issues on behalf of members, and performing additional duties as assigned by supervisors or management. The adjuster must monitor and adapt to frequent changes and evolving requirements in regulations, organizational guidelines, and medical insurance policies or laws that may impact claims and operations. The adjuster must also be able to independently research updates in medical coding and medical policies.</span></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;'><br></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;background:white;'><strong><span style='font-size:15px;font-family:\"Calibri\",sans-serif;color:black;'>Qualifications</span></strong></p><div style='margin:0in;font-size:16px;font-family:\"Times New Roman\",serif;'><ul style=\"margin-bottom:0in;list-style-type: disc;\"><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:#262321;'>Strong organizational and communication skills</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:#262321;'>Two years of prior experience in medical claims processing and customer service</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:#262321;'>Preferred Bi-lingual in Spanish</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:#262321;'>Ability to work independently and within a high-paced, team-oriented environment</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:#262321;'>Proficient in MS Suite (Outlook, Excel, Word) and computer systems and applications</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:#262321;'>Ability to multi-task, prioritize and meet deadlines</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:#262321;'>Self-motivated and remain calm under pressure</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:#262321;'>Analytical and detail-oriented with attention to accuracy</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:#262321;'>Flexible and adaptable to changes</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:#262321;'>Ability to independently research and remain current on medical coding and policy changes</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:#262321;'>Discretion with ability to maintain confidentiality</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:#262321;'>Strong interpersonal skills in working with employees, members and other departments</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:#262321;'>Basic understanding of call center ACD and IVR systems</span></li></ul></div><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;text-align:justify;background:white;'><strong>&nbsp;</strong></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;text-align:justify;background:white;'><strong><span style='font-size:15px;font-family:\"Calibri\",sans-serif;color:black;'>What You&rsquo;ll Love</span></strong></p><div style='margin:0in;font-size:16px;font-family:\"Times New Roman\",serif;'><ul style=\"margin-bottom:0in;list-style-type: disc;\"><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:#262321;'>Medical, dental and vision coverage paid by the employer</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:#262321;'>An employee Pension and Annuity plan contributed into by the employer</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:#262321;'>Optional participation in a 401K plan</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:#262321;'>Sick, vacation time, 8 major holidays,</span><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:black;'>&nbsp;and 2 annual floating holidays u</span><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:#262321;'>nder a Collective Bargaining Agreement</span></li></ul><p><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:#262321;'><br></span></p></div><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;text-align:justify;background:white;'><strong><span style='font-size:15px;font-family:\"Calibri\",sans-serif;color:black;'>Conditions of Employment</span></strong></p><div style='margin:0in;font-size:16px;font-family:\"Times New Roman\",serif;'><ul style=\"margin-bottom:0in;list-style-type: disc;\"><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:black;'>150‐day probationary period</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:black;'>Microsoft Office Suite Testing is required</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:black;'>Work under Collective Bargaining Agreement</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:black;'>Union job with union dues (</span><span style=\"color:black;\"><a href=\"http://www.opeiu29.org/\" target=\"_blank\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:black;'>http://www.opeiu29.org/</span></a></span><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:black;'>)</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:black;'>Fringe Benefits Administered by Laborers Trust Funds (</span><span style=\"color:black;\"><a href=\"https://norcalaborers.org/)\" target=\"_blank\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:black;'>https://norcalaborers.org/</span></a></span><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:black;'>)</span></li><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:black;'>Background check and drug testing</span></li></ul><p><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:black;'><br></span></p></div><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;text-align:justify;background:white;'><strong><span style='font-size:15px;font-family:\"Calibri\",sans-serif;color:black;'>Work Environment</span></strong></p><div style='margin:0in;font-size:16px;font-family:\"Times New Roman\",serif;'><ul style=\"margin-bottom:0in;list-style-type: disc;\"><li style=\"margin:0in;font-size:16px;font-family: initial;\"><span style='font-family:\"Calibri\",sans-serif;font-size:15px;color:black;'>Moderate noise level is typical of an office environment</span></li></ul></div><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;'><br></p><p style='margin-right:0in;margin-left:0in;font-size:16px;font-family:\"Times New Roman\",serif;margin:0in;'><em>&nbsp;</em></p><div><link href=\"https://static.workforcenow.adp.com/mas/mdf-components/23.32.32/styles/froala_style.min.css\" rel=\"stylesheet\" type=\"text/css\"><div class=\"fr-view\"><div><div><link href=\"https://static.workforcenow.adp.com/mas/mdf-components/23.23.16/styles/froala_editor.pkgd.min.css\" rel=\"stylesheet\" type=\"text/css\">&nbsp;<link href=\"https://static.workforcenow.adp.com/mas/mdf-components/23.23.16/styles/froala_style.min.css\" rel=\"stylesheet\" type=\"text/css\"><div class=\"fr-view\"><link 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    },
    "requisitionTitle": "CLAIMS ADJUSTER",
    "clientRequisitionID": "1126",
    "organizationalUnits": [],
    "postingInstructions": [],
    "additionalProperties": {},
    "requisitionLocations": [
      {
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          "countrySubdivisionLevel1": {
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        },
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        },
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    "screeningRequirements": [],
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}
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