Remote Claims Examiner

A company is looking for a Remote Claims Examiner with FACETS experience. Key Responsibilities Review insurance claims for validity, completeness, and adherence to policy terms Collect and analyze relevant documentation, ensuring compliance with policies and regulations Communicate with claimants and stakeholders to explain the claims process and provide updates Required Qualifications High School diploma or equivalent required Health claims processing experience required, including use of FACETS software Knowledge of medical terminology, ICD-9/ICS-10, CPT, and HCPCS coding preferred Understanding of insurance policies and regulations preferred Ability to pass pre-employment background checks

Mar 11, 2025 - 19:57

A company is looking for a Remote Claims Examiner with FACETS experience. Key Responsibilities Review insurance claims for validity, completeness, and adherence to policy terms Collect and analyze relevant documentation, ensuring compliance with policies and regulations Communicate with claimants and stakeholders to explain the claims process and provide updates Required Qualifications High School diploma or equivalent required Health claims processing experience required, including use of FACETS software Knowledge of medical terminology, ICD-9/ICS-10, CPT, and HCPCS coding preferred Understanding of insurance policies and regulations preferred Ability to pass pre-employment background checks