A company is looking for a Claims Examiner.
Key Responsibilities
Adjudicate HP / AD claims and handle all outbound calls
Research, review, and recommend actions on claims appeals or grievances
Ensure compliance with client / company guidelines and respond to claims received via email
Required Qualifications
High school diploma, GED, or college diploma verification required
Experience in handling US HIP claims
Knowledge of ICD 10, CPT, medical terminology, and medical documents
Ability to work independently and manage time effectively
Reliable internet connection and a dedicated remote work location required
Claims Examiner • Chandler, Arizona, United States