Medical Claims Examiner

A company is looking for a Claims Examiner to evaluate insurance claims and determine compensation amounts.

Key Responsibilities

Review insurance claims for validity and adherence to policy terms

Collect and analyze relevant documentation to support claims processing

Communicate with stakeholders to explain the claims process and provide updates

Required Qualifications

High School diploma or equivalent required

Medical claims processing experience, including use of claims processing software

Knowledge of medical terminology, coding, and HIPAA regulations preferred

Ability to pass pre-employment background checks

Basic computer skills and ability to use 2-factor authentication applications