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Medical Claims Examiner

8/29/2025

Remote

Job Summary

A company is looking for a Medical Only Claims Examiner to manage and investigate medical claims remotely.

Key Responsibilities
  • Investigate claims thoroughly, including coverage and identifying subrogation
  • Manage medical issues and schedule timely appointments
  • Ensure that all medical payments are issued timely and appropriately
Required Qualifications
  • Successfully pass tests in states where they are required for license
  • Complete required ongoing education credits to maintain license
  • Attend training and become proficient with workers' compensation statutes for assigned states
  • Proficient knowledge of Microsoft Office suite
  • Time management skills and demonstrated ability to manage multiple priorities

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