Claims Examiner

VirtualVocations
Jackson Heights, New York, United States
Full-time

A company is looking for a Claims Examiner to evaluate insurance claims and determine compensation for policyholders.Key ResponsibilitiesReview insurance claims for validity and adherence to policy termsConduct investigations and analyze policy coverage to determine liability and settlement amountsCommunicate with claimants and stakeholders to explain the claims process and provide updatesRequired QualificationsHigh School diploma or equivalent requiredHealth claims processing experience preferred, including use of claims processing softwareKnowledge of medical terminology, ICD-9 / ICS-10, CPT, and HCPCS coding preferredBasic computer skills requiredAbility to pass a pre-employment background investigation

27 days ago
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