Senior Claims Examiner

Job Summary

A company is looking for a Senior Claims Examiner, National Remote.

Key Responsibilities:

• Review, process, and identify medical claims based on standard operating procedures
• Examine claims for appropriate coding and manually adjust pended escalated claims
• Communicate and collaborate with external stakeholders to resolve claims errors/issues

Required Qualifications:

• High School Diploma / GED
• Must be 18 years of age or older
• 2+ years of experience in a metric-based environment
• 1+ years of experience processing medical claims
• Proficiency with Microsoft Office applications