Senior Claims Examiner

Job Summary

A company is looking for a Senior Claims Examiner, National Remote.

Key Responsibilities:

• Review and process medical claims based on standard operating procedures
• Examine claims for coding accuracy and manually adjust escalated claims as needed
• Communicate with external stakeholders to resolve claims errors and ensure reporting requirements are met

Required Qualifications:

• High School Diploma / GED
• 2+ years of experience in a metric-based environment
• 1+ years of experience processing medical claims
• Proficiency with Microsoft Office Suite
• Ability to work full time with flexible scheduling during business hours