Claims Examiner

A company is looking for a Claims Examiner. Key Responsibilities Handle inbound calls from providers and health plans, adjudicating physician claims accurately and timely Process medical claims, ensuring compliance with accuracy standards and timely follow-up on inquiries Participate in meetings and training, implementing feedback for continuous improvement Required Qualifications One year of claims processing, claims logging, or customer service experience in a managed care environment Demonstrated minimum of 100 SPM on ten key and 30 WPM typing Associates degree or some college-level coursework from an accredited institution is preferred Consistent accuracy and processing efficiency in work Ability to resolve complex claims problems

Jun 4, 2025 - 02:00

A company is looking for a Claims Examiner. Key Responsibilities Handle inbound calls from providers and health plans, adjudicating physician claims accurately and timely Process medical claims, ensuring compliance with accuracy standards and timely follow-up on inquiries Participate in meetings and training, implementing feedback for continuous improvement Required Qualifications One year of claims processing, claims logging, or customer service experience in a managed care environment Demonstrated minimum of 100 SPM on ten key and 30 WPM typing Associates degree or some college-level coursework from an accredited institution is preferred Consistent accuracy and processing efficiency in work Ability to resolve complex claims problems