Claims Examiner

Job Summary

A company is looking for a Claims Examiner.

Key Responsibilities

• Evaluate incoming claims for eligibility, coverage, and validity
• Communicate with policyholders and healthcare providers regarding claim status and requirements
• Ensure compliance with policies and maintain accurate records related to claims activities

Required Qualifications

• Experience in claims processing or a related field
• Knowledge of insurance policies and regulations
• Familiarity with claims management systems
• Ability to analyze data and generate reports
• High school diploma or equivalent; further education in a relevant field is a plus