Claims Examiner

Job Summary

To support healthcare operations, the full-time remote Claims Examiner will review, research, and process insurance claims while ensuring accuracy and compliance with established policies and procedures.

Key responsibilities

• Review, evaluate, and process insurance claims received electronically or through written documentation
• Verify insurance eligibility, coverage information, and supporting documentation to determine appropriate claim processing
• Research claim discrepancies and investigate processing issues to identify necessary corrections or additional information needed

Required qualifications

• High school diploma or GED required; additional education in healthcare administration, insurance, or a related field preferred
• Two or more years of experience in insurance claims processing or healthcare operations
• Knowledge of insurance terminology and claims processing procedures
• Strong analytical and organizational skills with a focus on accuracy
• Proficiency with computer applications and data entry, including Microsoft Office