Remote Claims Examiner

Job Summary

A company is looking for a Remote Claims Processing Associate.

Key Responsibilities

• Process professional claim forms and review policies and benefits
• Ensure compliance with HIPAA and company regulations while meeting productivity and quality targets
• Adjudicate claims according to defined workflows and resolve claims received via email in a timely manner

Required Qualifications

• 3 years of hands-on experience in healthcare claims processing
• 2+ years of experience using Windows applications and navigating multiple computer systems
• High school diploma or GED
• Experience working in a productivity and quality-focused environment
• Familiarity with MS Office products, including Outlook, Word, and Excel