Senior Claims Examiner

Job Summary

A company is looking for a Senior Claims Examiner to provide claims support by reviewing and processing complex health care claims.

Key Responsibilities

• Review and process medical claims according to standard operating procedures
• Examine claims for appropriate coding and manually adjust pended escalated claims
• Communicate with external stakeholders to resolve claims errors and ensure reporting requirements are met

Required Qualifications

• High School Diploma / GED
• 2+ years of experience in a metric-based environment
• 1+ years of experience processing medical claims
• Proficiency with Microsoft Office Suite
• Ability to work full-time with flexible scheduling during business hours