Claims Examiner

Job Summary

A company is looking for a Claims Examiner to evaluate insurance claims and determine compensation amounts.

Key Responsibilities

• Review insurance claims for validity, completeness, and adherence to policy terms
• Collect and analyze relevant documentation, including medical records and policy information
• Communicate with claimants and stakeholders to explain the claims process and provide updates

Required Qualifications

• High School diploma or equivalent required
• Medical claims processing experience required, including familiarity with claims processing software
• Knowledge of medical terminology, coding, and HIPAA regulations preferred
• Ability to pass a pre-employment background investigation
• Ability to download 2-factor authentication applications on personal devices