A company is looking for a Claims Examiner to evaluate insurance claims and determine compensation for policyholders.
Key Responsibilities
Review insurance claims for validity, completeness, and adherence to policy terms
Collect and analyze relevant documentation to assess claims
Communicate with stakeholders to explain the claims process and provide updates
Required Qualifications
High School diploma or equivalent required
Medical claims processing experience required
Knowledge of medical terminology, coding, and HIPAA regulations preferred
Ability to pass pre-employment background investigation
Ability to download 2-factor authentication applications on personal devices
Claim Examiner • Jacksonville, Florida, United States