Claims Examiner

Job Summary

Working remotely, the full-time Associate Claims Examiner will manage front-end claim tasks, including organizing newly reported claims, initiating customer interactions, and obtaining necessary information for claims processing.

Key responsibilities

• Receive, organize, and index newly reported claims via RightFax and paper mail
• Initiate and document results of First Occurrence phone calls to customers and leadership
• Request additional information from members and providers to facilitate claims processing

Required qualifications

• High School Diploma required; Associate's or Bachelor's Degree preferred
• Highly organized and detail-oriented with decision-making abilities
• Proficiency in Microsoft Office Suite and basic computer programs
• Self-motivated and adaptable, thriving in a fast-paced environment
• Strong interpersonal skills with excellent written and typing abilities