Medical Claims Examiner

Job Summary

A company is looking for a Claims Examiner to evaluate and process insurance claims remotely.

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 required
• Knowledge of medical terminology and coding preferred
• Ability to pass a pre-employment background investigation
• Basic computer skills and familiarity with claims processing software