Healthcare Claims Adjuster

Job Summary

Detail-oriented and proactive, the contract-to-hire Healthcare Claims Adjuster I will investigate, evaluate, and resolve insurance claims remotely while ensuring accuracy and compliance for all stakeholders.

Key responsibilities

• Investigate and evaluate claims to determine validity and coverage, ensuring adherence to company policies
• Maintain accurate records by updating claims systems and securing claim-related data
• Process claim settlements and prepare reports by analyzing claims data and trends

Required qualifications

• High School Diploma or GED required
• 3+ years of claims adjusting experience
• Strong understanding of claims systems, policies, and procedures
• Experience with medical claims processing and adjustment preferred
• Familiarity with medical terminology and claims disbursements