Claims Examiner

Job Summary

A company is looking for a SB Claims Examiner.

Key Responsibilities

• Provide timely and accurate claim resolutions by contacting necessary parties for information
• Review claims against contract terms and document decisions accurately in the claim system
• Maintain customer service excellence and resolve issues related to payments and claims efficiently

Required Qualifications

• High School Diploma required; college degree preferred
• 1-3 years of relevant experience in claims processing
• Ability to review and interpret policy language
• Experience with claim forms is ideal
• Experience reviewing medical records is preferred