Claims Examiner

Job Summary

A company is looking for a Claims Examiner.

Key Responsibilities

• Process professional claim forms and review policies and benefits
• Ensure compliance with HIPAA regulations and client-defined workflows
• Adjudicate claims efficiently while maintaining quality scores above specified targets

Required Qualifications

• 1-3 years of hands-on experience in healthcare claims processing
• 2+ years of experience using Windows applications and navigating multiple screens
• High school diploma or GED
• Experience in a productivity and quality-focused work environment
• Working knowledge of MS Office products, including Outlook, Word, and Excel