Health Claims Examiner

A company is looking for a Health Claims Examiner.

Key Responsibilities

Process medical, dental, vision, and prescription drug claims accurately and timely

Collaborate with various stakeholders to obtain necessary information for claim processing

Assist with claim appeals, disputes, and audits as needed

Required Qualifications

High school graduation or GED required

1+ year of LUMINX Processing experience is required

Basic mathematical skills

Ability to learn claims processing software and adapt to changes

Thorough knowledge of claims processing procedures and requirements