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

May 29, 2025 - 11:00
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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