Medical Claims Examiner

Job Summary

A company is looking for a Claims Examiner to evaluate insurance claims and determine compensation amounts.

Key Responsibilities

• Review insurance claims for validity and adherence to policy terms
• Collect and analyze relevant documentation to support claims processing
• Communicate with stakeholders to explain the claims process and provide updates

Required Qualifications

• High School diploma or equivalent required
• Medical claims processing experience, including use of claims processing software
• Knowledge of medical terminology, coding, and HIPAA regulations preferred
• Ability to pass pre-employment background checks
• Basic computer skills and ability to use 2-factor authentication applications