Health Claims Examiner

Job Summary

A company is looking for a Health Claims Examiner.

Key Responsibilities

• Process medical, dental, vision, and prescription drug claims accurately and timely
• Collaborate with various stakeholders to obtain necessary information for claim processing
• Assist with claim appeals, disputes, and audits as needed

Required Qualifications

• High school graduation or GED required
• 1+ year of LUMINX Processing experience is required
• Basic mathematical skills
• Ability to learn claims processing software and adapt to changes
• Thorough knowledge of claims processing procedures and requirements