Claims Examiner Florida

Job Summary

A company is looking for a Claims Examiner.

Key Responsibilities

• Adjudicating HP/AD claims and handling all outbound calls
• Researching, reviewing, summarizing, and recommending actions on claims related to appeals or grievances
• Ensuring compliance with client/company guidelines and responding to claims received via email

Required Qualifications

• Experience in handling US HIP claims
• Knowledge of ICD 10, CPT, medical terminology, and medical documents
• Verification of high school diploma, GED, or college diploma upon request
• Ability to work independently and manage a remote work environment
• Timely responses from three professional references