Claims Examiner II

Job Summary

A company is looking for a Claims Examiner II, fully remote position.

Key Responsibilities

• Adjudicate healthcare claims by interpreting claim rules and analyzing claims for accuracy and completeness
• Review medical records and documentation to determine payment liability and process claims within quality standards
• Collaborate with team members and provide guidance to less experienced claims examiners while identifying areas for process improvement

Required Qualifications

• High School degree
• Proficiency as a Claims Examiner I or relevant healthcare experience
• Ability to work with minimal supervision
• Strong work ethic with the ability to multi-task
• Team collaboration skills