Claims Examiner

Job Summary

Working remotely from a secure location within the United States, the full-time Claims Examiner will analyze and process healthcare claims, ensuring compliance with guidelines and maintaining organized records for audit and reporting.

Key responsibilities

• Review and process healthcare claims in alignment with policies and regulations, ensuring accuracy and compliance
• Document claim status, decisions, and follow-up actions, maintaining organized records for audit and reporting
• Identify claim discrepancies and collaborate with relevant teams to resolve issues efficiently

Required qualifications

• Previous experience in claims processing or a related field
• Strong organizational skills with attention to detail and accuracy
• Proficiency in Microsoft Office Suite and claims processing software
• Ability to manage time and prioritize tasks effectively in a high-paced environment
• Excellent written and verbal communication skills to interact effectively with team members