Job Summary
A health plan is looking for a Claims Examiner to process hospital and medical claims, resolve claims of moderate complexity, as well as research, resolve and respond to inquiries.
Key Responsibilities:
- Process hospital and medical claims
- Resolve claims of moderate complexity
- Research and resolve claims
Qualifications:
- Experience with PowerMHS and/or PowerSTEPP
- 5+ years of claims examiner experience
- Comfortable managing inquiries
