Claims Examiner
VirtualVocationsSioux Falls, South Dakota, United Statesjob_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
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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, research benefits, and verify correct 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
Familiarity with COBRA, HIPAA, and coordination of benefits
Proficiency in Microsoft Windows and related software for medical coding
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Examiner • Sioux Falls, South Dakota, United States
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