Florida Licensed Claims Examiner

Job Summary

A company is looking for a Claims Examiner.

Key Responsibilities

• Adjudicate claims and manage outbound calls
• Research, review, and summarize claims for appeals or grievances
• Ensure compliance with client and company guidelines for claims processing

Required Qualifications

• Experience handling US HIP claims
• Knowledge of ICD 10, CPT, medical terminology, and medical documents
• Basic math skills for calculating claim amounts
• Ability to work independently and manage workload under pressure
• High school diploma or equivalent required