Claims Examiner

A company is looking for a Claims Examiner to evaluate insurance claims and determine compensation amounts.

Key Responsibilities

Review insurance claims for validity, completeness, and adherence to policy terms

Collect and analyze relevant documentation, ensuring compliance with policies and regulations

Communicate with stakeholders to explain the claims process and provide status updates

Required Qualifications

High School diploma or equivalent required

Knowledge of healthcare claims processing and familiarity with claims systems

Ability to spot discrepancies in claims and handle large volumes of data

Willingness to learn new systems and adapt to changing priorities

Ability to pass pre-employment background checks and meet device requirements