Claims Examiner

Claims Examiner

This position entails the review, investigation, and evaluation of claims to determine eligibility. The role involves negotiating resolutions in compliance with all policies and state regulatory requirements while managing a large volume of claims.

Responsibilities

• Ensure timely and accurate payment to customers and providers.
• Communicate effectively with both internal and external customers.
• Handle customer reimbursement requests.
• Validate daily NHS wire payments and exceptions.
• Manage reconciliation of Customer Preferred Pricing transactions.
• Assist with customer inquiries regarding claim status.
• Analyze and validate a high volume of claims data, entering it into the proprietary operating system.
• Index invoices and move them to appropriate locations.
• Perform filing and other administrative duties as needed.

Essential Skills

Additional Skills & Qualifications

Work Environment

The work is performed within the Claims Management Department, which consists of a team of 15, including two Claims Supervisors and thirteen Claims Examiners. The brand new office in Naperville features a gym, basketball court, coffee shop, and convenience store, providing a modern, energetic environment with a pit-style layout. The office includes a nice kitchen area equipped with a soda machine. The work schedule is Monday through Friday, from 7 : 00 AM to 3 : 30 PM.

Job Type & Location

This is a Contract position based out of Naperville, Illinois.

Pay and Benefits

The pay range for this position is $18.00 - $20.00 / hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following :

Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off / Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully onsite position in Naperville,IL.

Application Deadline

This position is anticipated to close on Oct 10, 2025.

About Aston Carter :

Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing double diamond winner for both client and talent service.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email astoncarteraccommodation@astoncarter.com for other accommodation options.