Claims Examiner

Job Summary

A company is looking for a Claims Examiner.

Key Responsibilities

• Handle inbound calls from providers and health plans, adjudicating physician claims accurately and timely
• Process medical claims, ensuring compliance with accuracy standards and timely follow-up on inquiries
• Participate in meetings and training, implementing feedback for continuous improvement

Required Qualifications

• One year of claims processing, claims logging, or customer service experience in a managed care environment
• Demonstrated minimum of 100 SPM on ten key and 30 WPM typing
• Associates degree or some college-level coursework from an accredited institution is preferred
• Consistent accuracy and processing efficiency in work
• Ability to resolve complex claims problems