Wisconsin Licensed Claims Examiner

Job Summary

A company is looking for a Claims Examiner to manage insurance claims processing.

Key Responsibilities

• Enter and process insurance claims received electronically or in written form
• Evaluate claims and verify policyholder information to determine claim eligibility
• Investigate claims, negotiate settlements, and process payments as needed

Required Qualifications

• High school diploma or G.E.D
• Fellowship of Life Health Claims (FLHC) Certification preferred
• Two or more years of relevant experience in auditing, accounting, contracts, or information technology
• Experience with insurance and/or medical terminology
• Familiarity with claims processing procedures and documentation