A company is looking for a Claims Examiner to evaluate insurance claims and determine compensation for policyholders.
Key Responsibilities
Review insurance claims for validity and adherence to policy terms
Collect and analyze relevant documentation related to claims
Communicate with claimants and stakeholders to explain the claims process and provide updates
Required Qualifications
High School diploma or equivalent required
Knowledge of healthcare claims processing and familiarity with claims systems
Understanding of HIPAA regulations and basic medical terminology
Ability to spot discrepancies in claims and review large volumes of data
Ability to pass pre-employment background investigation and requirements
Examiner • Minneapolis, Minnesota, United States