Health Insurance Claims Adjuster
A company is looking for a Health Insurance Claims Adjuster (Remote).
Key Responsibilities
Investigate and evaluate insurance claims, making necessary adjustments while adhering to company policies
Maintain and update claims audit records by accurately entering and securing claim-related data
Resolve standard and complex claims through appropriate adjudication methods, including payment or denial
Required Qualifications
High School Diploma or GED required
Minimum 5 years of insurance claims handling experience
Comprehensive knowledge of claims systems, policies, and procedural guidelines
Experience with inter-plan or multi-plan claim processing systems is a plus
A company is looking for a Health Insurance Claims Adjuster (Remote).
Key Responsibilities
Investigate and evaluate insurance claims, making necessary adjustments while adhering to company policies
Maintain and update claims audit records by accurately entering and securing claim-related data
Resolve standard and complex claims through appropriate adjudication methods, including payment or denial
Required Qualifications
High School Diploma or GED required
Minimum 5 years of insurance claims handling experience
Comprehensive knowledge of claims systems, policies, and procedural guidelines
Experience with inter-plan or multi-plan claim processing systems is a plus