Job is Expired
Location: Alabama, Arizona, Colorado, Connecticut, Florida, Georgia, Indiana, Iowa, Kansas, Louisiana, Maine, Maryland, Massachusetts, Minnesota, Mississippi, Nebraska, Nevada, New Hampshire, New Jersey, New York, North Carolina, North Dakota, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wyoming
Compensation: To Be Discussed
Staff Reviewed: Fri, May 13, 2022
Job Summary
A health insurance company has a current position open for a Remote Claims Adjustment Examiner.
Core Responsibilities of this position include:
- Reviewing and investigating claims and encounters for medical, facility, pharmacy, dental and vision services
- Applying claim processing expertise to adjust, uphold or correct claims in accordance with company guidelines and interpretation of industry standards
- Communicating findings to a variety of audiences both verbally and in writing in non-technical language
Skills and Requirements Include:
- High School Diploma or GED from an accredited institution
- Experience identifying root cause claims adjudication process failures
- Experience with the investigation, determination and reporting of claims processes
- Experience handling Personal Health Information (PHI) in a professional manner