Claims Examiner
VirtualVocationsRacine, Wisconsin, United Statesjob_description.job_card.30_days_ago
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A company is looking for a Claims Examiner I.
Key Responsibilities
Process and adjudicate healthcare claims including medical, dental, vision, and mental health claims
Conduct claims investigations, negotiate settlements, and manage overpayment reviews
Resolve claims appeals and verify benefits and plan loading
Required Qualifications
2+ years of related work experience in claims examination or adjudication
High school diploma or GED
Knowledge of CPT and ICD-9 coding
Understanding of COBRA, HIPAA, and coordination of benefits
Proficiency in using Microsoft Windows, Word, and Excel
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Examiner • Racine, Wisconsin, United States
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