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Claims Examiner

Claims Examiner

VirtualVocationsSioux Falls, South Dakota, United States
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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

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Examiner • Sioux Falls, South Dakota, United States

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