California Licensed Claims Examiner

Job Summary

A company is looking for a Claims Examiner I-Ops.

Key Responsibilities

• Review, process, and resolve pending medical, hospital, and prescription claims
• Maintain appropriate records, files, and documentation
• Enter manual claims into the claims system and work mandatory overtime as needed

Required Qualifications

• High school diploma or equivalent
• 0-2 years of claim processing or medical billing experience in a managed care environment or physician's office
• Pharmacy Tech background preferred
• Ability to work remotely, preferably residing in California