Florida Licensed Medical Claims Examiner

Job Summary

A company is looking for a Medical Claim Examiner.

Key Responsibilities

• Process medical, dental, and vision claims according to plan guidelines
• Interpret medical plans to ensure correct coding in the system
• Address customer service inquiries related to claims and adjust claims as necessary

Required Qualifications

• High School Diploma or GED required
• Minimum 1 year of experience with medical claims
• Demonstrated skills in benefit plan interpretation
• Knowledge of CPT codes, ICD9/ICD10 codes, and/or medical terminology is a plus